Bob Bell(@drbobbell) 's Twitter Profileg
Bob Bell

@drbobbell

Former surgeon and health system leader. Current grandpa. Advocate for universal, sustainable and excellent care that will be there for our grandchildren.

ID:1076533113017257984

linkhttps://drbobbell.com calendar_today22-12-2018 17:41:09

6,7K Tweets

9,3K Followers

929 Following

Bob Bell(@drbobbell) 's Twitter Profile Photo

Important article on terrible risks of community surgery centres that are not subject to hospital not-for-profit quality programs.

Surgery needs unbiased quality oversight.

For profit centres can't provide unbiased quality assessment.

Ontario beware.

nytimes.com/2023/07/15/hea…

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Bob Bell(@drbobbell) 's Twitter Profile Photo

To keep them working in the public system, Canadian nurses need better support and working conditions.

Important article.

Nurses have profoundly lost trust in health care leadership theglobeandmail.com/opinion/articl…

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SuperNanaMel πŸ‡¨πŸ‡¦ πŸ³οΈβ€πŸŒˆ(@Cha_and_Mel) 's Twitter Profile Photo

Bob Bell Thanks to Trudeau, CPP contributions have been increasing each year in order to provide a more substantial pension to contributors when they retire. While contributors feel the pain with each paycheck (just as Canada's Civil servants do!), it will be worth it!

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Bob Bell(@drbobbell) 's Twitter Profile Photo

Important commentary from Keith Ambachtsheer.

A sustainable πŸ‡¨πŸ‡¦ health system requires that seniors have sufficient income.

This article describes how that can happen.

theglobeandmail.com/business/comme…

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Bob Bell(@drbobbell) 's Twitter Profile Photo

TY John Malcolm

Your view certainly agrees with the surgery literature which demonstrates faster throughput in community operating rooms versus in-hospital ORs.

To be clear, community ORs should still be managed not-for-profit- ideally by a hospital.

ncbi.nlm.nih.gov/pmc/articles/P…

TY @johnmalcolm18 Your view certainly agrees with the surgery literature which demonstrates faster throughput in community operating rooms versus in-hospital ORs. To be clear, community ORs should still be managed not-for-profit- ideally by a hospital. ncbi.nlm.nih.gov/pmc/articles/P…
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Bob Bell(@drbobbell) 's Twitter Profile Photo

Two immediate fixes to shorten surgery wait lists:

1) e-referral and common triage surgery referrals;

2) move surgery out of hospitals to not-for-profit community surgery centres.

Adopting these two measures would shorten waits by 30%.

For everyone.

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Bob Bell(@drbobbell) 's Twitter Profile Photo

People who think the average Canadian can pay thirty thousand $$s for cancer surgery are either out of touch or out of compassion.

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Bob Bell(@drbobbell) 's Twitter Profile Photo

Important article by Elizabeth Payne regarding inter-provincial for-profit surgery.

Jean-Yves Duclos should examine this loophole in the Canada Health Act.

ottawacitizen.com/news/local-new…

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Bob Bell(@drbobbell) 's Twitter Profile Photo

Excellent review of seniors care in Oz & useful comparisons to πŸ‡¨πŸ‡¦ from National Institute on Ageing πŸ‡¨πŸ‡¦ & Samir Sinha team.

Occupancy in πŸ‡¦πŸ‡Ί LTC is only 85%. More seniors are institutionalized than in πŸ‡¨πŸ‡¦- but ALC rates in acute care are lower in πŸ‡¦πŸ‡Ί.

Well worth a read.

static1.squarespace.com/static/5c2fa7b…

Excellent review of seniors care in Oz & useful comparisons to πŸ‡¨πŸ‡¦ from @NIAgeing & @DrSamirSinha team. Occupancy in πŸ‡¦πŸ‡Ί LTC is only 85%. More seniors are institutionalized than in πŸ‡¨πŸ‡¦- but ALC rates in acute care are lower in πŸ‡¦πŸ‡Ί. Well worth a read. static1.squarespace.com/static/5c2fa7b…
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David Rouselle @DAR@med-mastodon.com(@DRouselle) 's Twitter Profile Photo

Bob Bell I’m trying to be unbiased, plan is to try to attract private money to increase access. But β€œGone is the requirement that clinics be inspected by the Ontario College of Physicians and Surgeons. No new inspecting authority is identified.” I think that’s a risk.

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Gerry Kupferschmidt(@GerryKupfersch1) 's Twitter Profile Photo

BC got it right, its Court of Appeal got it right & now the Supreme of Canada got it right. Canadians want universal . If any government violates the , a class action law suit by a team of lawyers from every political stripe is necessary. plsrt!l

BC got it right, its Court of Appeal got it right & now the Supreme of Canada got it right. Canadians want universal #healthcare. If any government violates the #CanadaHealthAct, a class action law suit by a team of lawyers from every political stripe is necessary. plsrt!l
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Bob Bell(@drbobbell) 's Twitter Profile Photo

With respect there are plenty of ON examples of not-for-profit community surgical centres doing many more cases. Kensington Eye Centre is great example, London's HULC, TOH Riverside. Community surgery works best with not-for-profit leadership- and that can come from a hospital.

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Bob Bell(@drbobbell) 's Twitter Profile Photo

πŸ‡¨πŸ‡¦ needs to move surgeries to community centres- shown safe & ⬆️es patient volumes by 25-30%.

NFP surgery centre goal is: ⬆️ quality & ⬇️ cost.

For-profit surgery centre goal is: ⬆️ profit.

Why pay more to FP centres when we can have NFP centres?

thestar.com/opinion/contri…

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Tiernan Murphy(@TiernanMurphy8) 's Twitter Profile Photo

Profit is an extra cost, you don't have to be a member of the mensa club to figure that out. And please don't tell me that silly nonsense about efficiencies.

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Bob Bell(@drbobbell) 's Twitter Profile Photo

Agree that about 50% of surgery needs to move out of hospitals into community Ramunas Saplys - with Orthopaedics leading the way.

But these community centres should be not-for-profit. Otherwise both taxpayers and patients will lose.

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Ghost Gurney(@ghost_gurney) 's Twitter Profile Photo

Doug Ford is willing to give Herzig- one of his reliable donors- our money, with a πŸ’ on top. Private healthcare is not more efficient, it is just MORE.

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