David
As you may recall, in one of our earlier exchanges, I mentioned the CHC
Strategic Review which was commissioned by the previous Ontario
Government. You should be able to access it through the AOHC website.
You will find a lot of information in it which describes the sector,
articulates reasons for its success, identifies challenges within the
current Health and Social Service siloed systems and provides a sound
argument for a model which, although obviously not beyond reproach,
would be able to meet the primary health needs of all citizens, if it
were sufficiently resourced. In addition, we have created a
well-developed accreditation process, linkages across the province and
encouragement to challenge current thinking about primary care group
practices. We also operate with an understanding of the impact of
poverty/education (social determinants) on health status and how to
create services and programs that acknowledges this. We do research,
provide venues for student health professionals to practice, promote
volunteer civic engagement and in so doing, nurture improved health for
communities as well as individuals.
Building on what Hersh, Michelle, Stephanie and others have said, we are
also excellent employers, exciting places to work, are creative
problem-solvers, innovators and seek the input of our physicians, nurse
practitioners, health promoters, chiropodists, community outreach
workers etc equally and often. Our boards are members of our communities
who champion us and often use our services. This model brings disparate
components of communities together, creating a kind of synergy that you
feel as soon as you enter the premises. This was really not meant to be
a treatise on Community Health Centres, but mostly we do a good job, are
great places to work and we are often nauseatingly proud to be part of
them. I suggest you visit one.
Lynne Raskin
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Stephanie Estabrook
Sent: Monday, May 03, 2004 10:06 AM
To: [log in to unmask]
Subject: Re: [SDOH] CHCs in Ontario
David,
I work for a CHC in Ottawa, so I thought I would add my perspective to
your questions. I don't know how many ontario citizens have access, but
there are 54 CHCs in Ontario. The website for the Association of
Ontario Health Centres, might know. www.aohc.org.
You asked if anyone can join their nearest CHC. The answer is yes, and
no. If they live in the catchment area of the CHC, then they are able
to become a member/client, if the centre has room. For example at our
centre we are closed to Medical patients, but our community and social
services programs are open to knew clients.
The human resources are not sufficient to care for all residents of
CHCs. As I mentioned, we are closed to new medical patients becuase we
do not have enough doctors, nurses, and med secretaries to open intake.
If we had more HR resources, we could serve more clients.
Hope some of that helped.
Stephanie Estabrook
>>> [log in to unmask] 5/1/04 3:13:31 PM >>>
Dennis, thanks. Would you know how many Ontario citizens have access to
this entitlement? Can anyone in Ontario join their nearest CHC?
Are the human resources in the CHC's sufficient to care for all Ontario
residents who are entitled to the service? Thanks for taking the time.
David Z.
>===== Original Message From Social Determinants of Health
<[log in to unmask]>
=====
> CHCs serve catchment areas that correspond
>to geographically well-defined and
>recognized neighbourhoods. These neighbourhoods
>show close correspondence with municipal and provincial election
>boundaries and have service agency catchment areas conforming to these
>boundaries.
>
>CHCs are funded by the provincial government to
>provide primary health care (an entitlement for Canadians)
>and develop community-based health promotion
>programs. CHCs are also chargedwith identifying and
>responding to the needs of vulnerable populations and
>usually do so through partnerships with other agencies.
>Staff includes physicians, nurses, social workers, dietitians, health
>promoters, and community outreach workers.
>
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David Zitner, M.A., M.D., C.C.F.P., F.C.F.P.
Director, Medical Informatics
Dalhousie University Faculty of Medicine
902-494-3802
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