First, an interview with Dr. Sacha Bhatia, cardiologist at Women’s College Hospital and UHN in Toronto and Director of the Women’s College Hospital Institute for Health System Solutions and Virtual Care. In a CMAJ research article (open access), Dr. Bhatia and colleagues found that preoperative ECG and chest radiography were performed more frequently than suggested in guidelines. Using routine health records for 1.5 million people, the authors found considerable variation in rates across institutions, which was not explained by patient- or institution-level factors.
As well, an interview with Dr. Chryssa McAlister, eye physician and surgeon in Toronto and Kitchener, Ontario, with academic appointments at McMaster University and the University of Toronto. In an analysis article published in CMAJ (subscription required), Dr. McAlister and colleagues say it is important to discuss with patients any noninsured services (such as specialized diagnostics, procedures and special-feature intraocular lenses) in an ethical and open way, declaring all conflicts of interest. Cataract surgery is insured in Canada; however, there are many add-on services which patients must pay for.
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