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Related Concept Videos

Regional Terms01:12

Regional Terms

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Regional terms describe anatomy by dividing the body parts into different regions that contain structures involved in contributing similar functions. Using these terms helps increase the accurate description and identification of the particular region of interest or region affected by the disease.
Primarily, the human body has two major regions, the axial and appendicular regions. The axial region comprises regions from the head to the abdomen and makes up the central body axis. In contrast,...
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Region of Convergence01:17

Region of Convergence

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The z-transform is a powerful mathematical tool used in the analysis of discrete-time signals and systems. It is a crucial tool in the analysis of discrete-time systems, but its convergence is limited to specific values of the complex variable z. This range of values, known as the Region of Convergence (ROC), is fundamental in determining the behavior and stability of a system or signal. The ROC defines the region in the complex plane where the z-transform converges, which can take various...
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Selected Data About Geographic Locations01:25

Selected Data About Geographic Locations

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Geographic Information Systems (GIS) rely on two core types of data: spatial data and attribute data.Spatial DataSpatial data defines the physical location of features within a coordinate system, typically expressed in terms of latitude and longitude. It provides precise positioning for elements like roads, rivers, or buildings.Attribute DataAttribute data complements spatial data by adding descriptive information about these features. For example, a road's spatial data includes its start and...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Region of Convergence of Laplace Tarnsform01:20

Region of Convergence of Laplace Tarnsform

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The Region of Convergence (ROC) is a fundamental concept in signal processing and system analysis, particularly associated with the Laplace transform. The ROC represents an area in the complex plane where the Laplace transform of a given signal converges, determining the transform's applicability and utility.
Consider a decaying exponential signal that begins at a specific time. When deriving its Laplace transform, the time-domain variable is replaced with a complex variable. This...
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Anatomy of the Brain: Major Regions01:20

Anatomy of the Brain: Major Regions

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The brain is the most complex organ in the human body. It consists of four main parts: the cerebrum, diencephalon, cerebellum, and brainstem.
The cerebrum is the largest section of the brain and divides into left and right hemispheres, separated by a deep fissure. The cerebral outer layer of grey matter — the cerebral cortex — comprises elevations called gyri and shallow groves called sulci. The inner portion of white matter includes long nerve fibers known as axons, which connect...
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Regionalization: What Have We Learned?

Gregory P Marchildon1

  • 1Ontario Research Chair in Health Policy and System Design, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.

Healthcarepapers
|October 14, 2016
PubMed
Summary

Canadian health reform regionalization is debated. Centralized physician budgets prevent primary care integration, hindering regional health authorities

Area of Science:

  • Health policy and management
  • Canadian healthcare systems
  • Health services research

Background:

  • Regionalization represents a significant health reform in Canada.
  • Provincial approaches to regionalization vary, with differing models implemented since 2006.
  • Despite regionalization efforts, primary care remains largely unintegrated into these systems.

Purpose of the Study:

  • To analyze the impact of regionalization on Canadian healthcare delivery.
  • To examine the challenges in integrating primary care within regional health authorities.
  • To assess the evidence base for current health system structuring decisions.

Main Methods:

  • Review of Canadian provincial health reform policies.
  • Analysis of the impact of centralized physician budgets on regionalization.

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  • Examination of legislative mandates and performance constraints of regional health authorities.

    • Main Results:

    • Primary care integration is hindered by the centralization of physician budgets.
    • Regional health authorities face significant performance constraints due to lack of primary care integration.
    • Limited research exists on regionalization, impacting evidence-based decision-making.

    Conclusions:

    • The lack of primary care integration is a critical flaw in Canadian regionalization models.
    • Provincial governments require a stronger evidence base for effective health system design.
    • Reforming physician budget structures is crucial for successful healthcare regionalization.