Thank you very much, Madam Chair.
The Canadian Pharmacists Association very much welcomes this opportunity to present to you today during your review of the 10-year plan to strengthen health care.
While medication use is an integral component of Canadian health care, adverse drug events and medication misuse remain a serious issue. In a recent Canadian study, 24% of patients were admitted to a hospital's internal medicine service for drug-related causes, and over 70% of these admissions were deemed preventable. Similarly, another recent study in Vancouver found that one out of every nine emergency department visits was due to a drug-related cause, and over two-thirds of these were preventable. It's against this background and concerns about appropriate use and access to care that we want to base some of our remarks to you today.
Since the announcement of the 10-year plan in 2004, some progress has been made; however, there are many challenges that remain unmet. I'm going to focus on four areas.
First is the national pharmaceutical strategy. Progress has been slow to date. There's been a relative lack of progress in overall strategy. The process has not been very transparent, consultation with stakeholders took place relatively late in the day, and we still don't know what's happening in many of the key areas, if indeed any progress has been made on issues such as expensive drugs for rare diseases or the development of a common national formulary. We're concerned that many of the issues identified as priorities in the NPS are being addressed in isolation, and we see the need for more focus on a comprehensive strategy to address the issues.
Appropriate use of pharmaceuticals needs to be a key focus of the national pharmaceutical strategy. In September 2006, over 20 months ago, the progress report on the national pharmaceutical strategy identified further work to be done. We've seen little activity, and the process seems stalled.
There have been a few initiatives in the NPS that have resulted in meaningful benefits for Canadians: some provinces have announced catastrophic drug coverage programs; the recently announced Bill C-51 should modernize the drug approval process; the Patented Medicine Prices Review Board has been analyzing non-patented drug prices; and some provinces have announced new regulations and policies concerning pharmaceuticals. There needs to be a sustained effort by federal, provincial, and territorial governments to continue to develop and implement a truly national pharmaceutical strategy.
With respect to health human resources, the 10-year plan recognized the need to increase the supply of health care professionals in Canada, including doctors, nurses, and pharmacists. There has been progress in health human resources planning. Health Canada has invested in interprofessional education and collaboration, support for integration of internationally educated health care professionals, and generation of data for the seven priority health care providers identified in the 10-year plan.
The approval of an FPT framework for pan-Canadian planning and progress in provincial plans to manage health human resources have been positive developments; however, there is much more that remains to be done. Areas of focus need to include planning based on population needs; addressing shortages, particularly of doctors, nurses, and pharmacists, and of other health care professionals; and healthy workplace issues. We also still need better data collection.
Thirdly, I want to comment on primary health care reform. This is critical to the sustainability of the health care system as we move forward. Much more work is needed to address issues of timely access to care, interprofessional collaboration, and optimizing the scopes of practice of health care professionals. As medication experts and the most accessible health care providers, pharmacists need to be further integrated into primary health care and primary health care teams.
Finally, I want to comment on electronic health records. EHR and telehealth are key technologies to enable health system renewal. Adoption of computer technology and electronic health records by clinicians remains a challenge. Progress has been slow. Most provinces are developing a drug information system that will include a complete drug profile and enable e-prescribing applications. We believe the electronic health record will enable primary health care reform and allow health care practitioners to better care for their patients.
Better information will lead to better health care decisions, and DIS applications will lead to enhanced drug safety. To this end, funding for Canada Health Infoway needs to be increased in order to realize the vision of the electronic health record.
In conclusion, while progress has been made on some elements of the 10-year plan, significant challenges and opportunities remain. More funding and more work will be required to address the issues that were identified by the first ministers four years ago.
Thank you very much.