Tag Archives: CMAJ

CMAJ: Are we betting on the welfare of our patients?

This week’s editorial in the Canadian Medical Association Journal may have raised the eyebrows of some hospital CEOs.

John Fletcher raises a question we asked more than year ago – does the duty to first ‘do no harm’ apply to gambling meant to support public services?

In February 2012 we questioned the role Susan Pigott (VP at the Centre for Addiction and Mental Health) played in the recommendations made by the Drummond Commission to increase access to gambling in Ontario. The recommendation was one of many by the Commission that appears to throw the well-being of citizens overboard to shore up government finances.

How different is it for hospitals to do the same, given hospital lotteries have become so ubiquitous in Ontario? The CMAJ says it is contradictory to ban hospitals from selling tobacco while allowing them to promote another addictive habit – gambling.

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All the fuss about parking-centered care

Patient-centered care is the latest catch phrase being used by health care administrators, politicians and policy wonks.

It has become so frequent in its use it has actually supplanted the mandatory use of “evidence-based decision making” as this year’s mantra.

Despite the mantra, most of us would be hard pressed to point to a specific initiative that trumps the patients’ interest over that of the interests of institutional health care providers.

It is therefore interesting to see the response to the Canadian Medical Association Journal’s (CMAJ) recent editorial that calls upon hospitals to abandon 1 per cent of their revenue to make parking free.

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