- You are Prediseased, by Alan Cassels on CBC IDEAS July 29 and August 5, 2009
- Know your chances: Understanding health Statistics
- Should I Be Tested for Cancer? Maybe Not and Here's Why
- Daily Mail- Clinical breast exams lead to many misdiagnoses -
- Prostate-Specific Antigen (PSA) Test - National Cancer Institute 18 Mar 2009 ... A fact sheet that describes the PSA screening test for prostate cancer and explains the benefits and limitations of the test.
We know how difficult it is to change, and I suspect that physicians will be the ones most peeved with this change. I have seen the changes in healthcare practices in Ontario. We have been evolving the system, based on good research. Truthfully, if you have no symptoms, it is unusual for Primary Care to find a hidden disease in an otherwise health individual, then OHIP will no longer fund this major annual physical examination. In patients with a high-risk profile, such as a smoker, the obese, the very young and the elderly, then OHIP will continue to fund the full examination.
We are moving from the one size fits all approach to one that accommodates individual determinants for healthcare practices and strategies. For those with chronic illnesses, a full examination may or may not be necessary. That said, during a visit to manage prescriptions, for example, this regular appointment can be used to take vital signs and determine baseline blood pressure, for example.
What do the smart physicians and nurse practitioners focus on?
PREVENTION: eat balanced meals, mostly plants; avoid cigarettes and alcohol; exercise; watch your weight; watch your cholesterol; watch your blood pressure; socialize; keep busy; get the proper amount of sleep.
This is the difference between screening and diagnosis of cancer.
Supporting Evidence and For More Information[PDF]
For healthy patients, the fee for the annual health exam of $72.20 will be replaced with
several different fees for the personal health visit. The new fees will be:
o Age 2 to 11:$41.60
o Age 12 to 17:$77.20
o Age 18 to 64:$50.00
o Age 65 and over:$77.20
OHIP InfoBulletin #4585
Implementation of 2012 Physician Services Agreement – Amendments to the Schedule of
Benefits for Physician Services – Effective January 1, 2012
The Cochrane Library: General Health Checks in Adults for Reducing Morbidity and Mortality