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Not enough home care top concern for Ontario patients, study finds – CBC.ca

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The three biggest problems for patients surveyed about their discharge from Ontario hospitals all concern publicly funded home care, according to new research published in an international medical journal. 

The researchers hope the findings will encourage improvements in the hospital-to-home transition navigated by some one million patients every year in this province. 

The study involved more than 700 patients who had been admitted to Ontario hospitals over the previous three years. The researchers aimed to find out what affected the patients’ experience during their discharge and transition to home. 

Among 52 factors considered in the study, the single greatest concern was “not enough publicly funded home care services to meet the need.” That issue was ranked number one issue consistently across geographic, age, gender and ethnic groups, the researchers determined. 

Participants ranked home care support not being in place when returning from hospital as their number two concern, and the third-ranked priority was “having to advocate to get enough home care.”

“We know that when patients are discharged home from hospital it can be a really tricky time for them,” said Dr. Tara Kiran, lead researcher of the study, in an interview with CBC News. 

Dr. Tara Kiran, principal investigator of the study, is also a family physician and an associate scientist with St. Michael’s MAP Centre for Urban Health Solutions. (Ed Middleton/CBC)

“Our goal was really to understand from patients and caregivers themselves where we need to prioritize our improvement efforts,” Kiran said. “We asked them to rate the top gaps in the system that we needed to improve, and the top three gaps all related to home care.” 

Kiran is a family physician in Toronto and an associate scientist with St. Michael’s MAP Centre for Urban Health Solutions. She says she didn’t expect the strength of concern about home care nor its consistency.  

  • Have you had trouble accessing home care after hospital discharge? Email CBC Toronto to tell us your story. 

“The number of comments that we got about home care was overwhelming,” said Kiran. When patients were asked to rate their biggest concerns for action, “these three priorities around home care rose to the top very clearly,” she said.

The study is published in BMJ Quality & Safety, an offshoot of the prestigious British Medical Journal. The research was conducted in conjunction with Health Quality Ontario, a provincial agency that is now folded into the government’s centralized system known as Ontario Health. 

Kiran hopes it will help prompt the provincial government to consider expanding and enhancing home care.

“Ultimately, I think we need more investment in publicly funded home care,” she said.

“Right now, medicare covers doctors and hospitals 100 per cent. We’ve had some good public conversations about whether as a society we want to move toward including pharmacare. I think we need to have some of those same conversations regarding home care.”  

Ontario Health Minister Christine Elliott says her government takes seriously the concerns about the inadequacy of publicly funded home care. (Tijana Martin/Canadian Press)

Ontario Health Minister Christine Elliott calls the research important and says it confirms things the health ministry already knows about how difficult transitions home can be for patients and how they sometimes don’t receive adequate and effective home care. 

“This is something that we take very seriously,” Elliott said Monday in an interview with CBC News.

“Very often people feel that once they leave the hospital that they’re disconnected from the entire health care system. It shouldn’t be that way.”  

The Ford government increased annual home care funding by $155 million last year. It has also launched a reform of how the health system is organized, creating local Ontario Health Teams that bring hospitals and home care agencies together under a single umbrella.

Those teams “will know where the gaps in services are and will be able to fill them,” said Elliott. “I feel very confident that we will see people’s satisfaction in our home care services increase in the next year.” 

The creation of the Ontario Health Teams marks a big change from how home care was coordinated previously in this province, and provides an opportunity for addressing the issues raised by the study, said Kiran. 

“I think they can use our findings to really prioritize what it is that they’re working on,” she said.

The research suggests hospitals can take actions to improve patients’ experiences in recovering at home, including giving them a specific number to call when they have post-discharge issues. 

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Bad traffic, changed plans: Toronto braces for uncertainty of its Taylor Swift Era

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TORONTO – Will Taylor Swift bring chaos or do we all need to calm down?

It’s a question many Torontonians are asking this week as the city braces for the arrival of Swifties, the massive fan base of one of the world’s biggest pop stars.

Hundreds of thousands are expected to descend on the downtown core for the singer’s six concerts which kick off Thursday at the Rogers Centre and run until Nov. 23.

And while their arrival will be a boon to tourism dollars — the city estimates more than $282 million in economic impact — some worry it could worsen Toronto’s gridlock by clogging streets that already come to a standstill during rush hour.

Swift’s shows are set to collide with sports events at the nearby Scotiabank Arena, including a Raptors game on Friday and a Leafs game on Saturday.

Some residents and local businesses have already adjusted their plans to avoid the area and its planned road closures.

Aahil Dayani says he and some friends intended to throw a birthday bash for one of their pals until they realized it would overlap with the concerts.

“Something as simple as getting together and having dinner is now thrown out the window,” he said.

Dayani says the group rescheduled the gathering for after Swift leaves town. In the meantime, he plans to hunker down at his Toronto residence.

“Her coming into town has kind of changed up my social life,” he added.

“We’re pretty much just not doing anything.”

Max Sinclair, chief executive and founder of A.I. technology firm Ecomtent, suggested his employees avoid the company’s downtown offices on concert days, saying he doesn’t see the point in forcing people to endure potential traffic jams.

“It’s going to be less productive for us, and it’s going to be just a pain for everyone, so it’s easier to avoid it,” Sinclair said.

“We’re a hybrid company, so we can be flexible. It just makes sense.”

Swift’s concerts are the latest pop culture moment to draw attention to Toronto’s notoriously disastrous daily commute.

In June, One Direction singer Niall Horan uploaded a social media video of himself walking through traffic to reach the venue for his concert.

“Traffic’s too bad in Toronto, so we’re walking to the venue,” he wrote in the post.

Toronto Transit Commission spokesperson Stuart Green says the public agency has been working for more than a year on plans to ease the pressure of so many Swifties in one confined area.

“We are preparing for something that would be akin to maybe the Beatles coming in the ‘60s,” he said.

Dozens of buses and streetcars have been added to transit routes around the stadium, and the TTC has consulted the city on potential emergency scenarios.

Green will be part of a command centre operated by the City of Toronto and staffed by Toronto police leaders, emergency services and others who have handled massive gatherings including the Raptors’ NBA championship parade in 2019.

“There may be some who will say we’re over-preparing, and that’s fair,” Green said.

“But we know based on what’s happened in other places, better to be over-prepared than under-prepared.”

Metrolinx, the agency for Ontario’s GO Transit system, has also added extra trips and extended hours in some regions to accommodate fans looking to travel home.

A day before Swift’s first performance, the city began clearing out tents belonging to homeless people near the venue. The city said two people were offered space in a shelter.

“As the area around Rogers Centre is expected to receive a high volume of foot traffic in the coming days, this area has been prioritized for outreach work to ensure the safety of individuals in encampments, other residents, businesses and visitors — as is standard for large-scale events,” city spokesperson Russell Baker said in a statement.

Homeless advocate Diana Chan McNally questioned whether money and optics were behind the measure.

“People (in the area) are already in close proximity to concerts, sports games, and other events that generate massive amounts of traffic — that’s nothing new,” she said in a statement.

“If people were offered and willingly accepted a shelter space, free of coercion, I support that fully — that’s how it should happen.”

This report by The Canadian Press was first published Nov. 13, 2024.



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‘It’s literally incredible’: Swifties line up for merch ahead of Toronto concerts

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TORONTO – Hundreds of Taylor Swift fans lined up outside the gates of Toronto’s Rogers Centre Wednesday, with hopes of snagging some of the pop star’s merchandise on the eve of the first of her six sold-out shows in the city.

Swift is slated to perform at the venue from Thursday to Saturday, and the following week from Nov. 21 to Nov. 23, with concert merchandise available for sale on some non-show days.

Swifties were all smiles as they left the merch shop, their arms full of sweaters and posters bearing pictures of the star and her Eras Tour logo.

Among them was Zoe Haronitis, 22, who said she waited in line for about two hours to get $300 worth of merchandise, including some apparel for her friends.

Haronitis endured the autumn cold and the hefty price tag even though she hasn’t secured a concert ticket. She said she’s hunting down a resale ticket and plans to spend up to $600.

“I haven’t really budgeted anything,” Haronitis said. “I don’t care how much money I spent. That was kind of my mindset.”

The megastar’s merchandise costs up to $115 for a sweater, and $30 for tote bags and other accessories.

Rachel Renwick, 28, also waited a couple of hours in line for merchandise, but only spent about $70 after learning that a coveted blue sweater and a crewneck had been snatched up by other eager fans before she got to the shop. She had been prepared to spend much more, she said.

“The two prized items sold out. I think a lot more damage would have been done,” Renwick said, adding she’s still determined to buy a sweater at a later date.

Renwick estimated she’s spent about $500 in total on “all-things Eras Tour,” including her concert outfit and merchandise.

The long queue for Swift merch is just a snapshot of what the city will see in the coming days. It’s estimated that up to 500,000 visitors from outside Toronto will be in town during the concert period.

Tens of thousands more are also expected to attend Taylgate’24, an unofficial Swiftie fan event scheduled to be held at the nearby Metro Toronto Convention Centre.

Meanwhile, Destination Toronto has said it anticipates the economic impact of the Eras Tour could grow to $282 million as the money continues to circulate.

But for fans like Haronitis, the experience in Toronto comes down to the Swiftie community. Knowing that Swift is going to be in the city for six shows and seeing hundreds gather just for merchandise is “awesome,” she said.

Even though Haronitis hasn’t officially bought her ticket yet, she said she’s excited to see the megastar.

“It’s literally incredible.”

This report by The Canadian Press was first published Nov. 13, 2024.

The Canadian Press. All rights reserved.



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Via Rail seeks judicial review on CN’s speed restrictions

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OTTAWA – Via Rail is asking for a judicial review on the reasons why Canadian National Railway Co. has imposed speed restrictions on its new passenger trains.

The Crown corporation says it is seeking the review from the Federal Court after many attempts at dialogue with the company did not yield valid reasoning for the change.

It says the restrictions imposed last month are causing daily delays on Via Rail’s Québec City-Windsor corridor, affecting thousands of passengers and damaging Via Rail’s reputation with travellers.

CN says in a statement that it imposed the restrictions at rail crossings given the industry’s experience and known risks associated with similar trains.

The company says Via has asked the courts to weigh in even though Via has agreed to buy the equipment needed to permanently fix the issues.

Via said in October that no incidents at level crossings have been reported in the two years since it put 16 Siemens Venture trains into operation.

This report by The Canadian Press was first published Nov. 13, 2024.

Companies in this story: (TSX:CN)

The Canadian Press. All rights reserved.



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