Please enable JavaScript.
Coggle requires JavaScript to display documents.
Inadequate access to rehabilitation services in Ontario - Coggle Diagram
Inadequate access to rehabilitation services in Ontario
1. Intro
needs not met- Increased population with chronic diseases and ageing
no reasonable and timely access to physio services (inpatient/outpatient)
focus on acute care and not rehab services as per CHA
Important role of physiotherapy in rehab services
2. Lit review and Background
Ageing/chronic diseases/permanent disability/episodic disability
Inequity in healthcare
costs
low paid/casual employment/no private insurance
no treatment
out of pocket costs
unemployed/seniors/disability
WSIB
ODSP
Delisting of services by provincial government
availability
rural Vs urban
low number of physios in rural/regional
long wait times
OHIP funded
long wait times
not many clinics offer OHIP funded physio due to funding
episode care
Education and awareness lacking
patients not aware of benefits and resources
health staff not aware of benefits and resources
3. Policy context
Prev policy adoption
more physio positions funded in primary health care teams since 2013
OHIP funded clinic
MOHLTC funds rehab for under 19 and 65 and over
other policy that would address
reform CHA and broaden the definition
pros
mandating change with funding
list under insured service- medically necessary
cons
politically very hard as seen with previous examples
4. Policy recommendations
Ontario govt introduce programs such as ODP/OHIP+ for people without private insurance
improve ODSP eligibility
More funding (Community rehab centre/ Rehab in the home model/ funding to OHIP physio clinic)
rehab to vulnerable groups/low income and medium income earners based on income test
charge based on low/med income e.g $10, $15
Increase access in rural/regional areas
Increase number of physios
Incentives
International recruitment
easier pathways like for the physicians
Technology/virtual care
Increase education and awareness
Interdisciplinary teams in primary care
health literacy to patients
increasing teaching about rehab in medical training
transparency of wait times
Government treats rehab with the same priority/essential service
5. Implementation
Provincial government
MOHLTC
College of Physiotherapy
Hospital/LHIN/Community