How paramedics can help keep older Ontarians healthy — and out of the ER

Thousands of clinics in America have no doctors. The primary care providers are nurse-practitioners – and their results are as good or better than that of the doctors.

A novel way to help young men growing up in communities in which concentrated poverty, violence and unemployment are well-documented barriers to health and longevity: male youth of color are trained to be the emergency response team to help stabilize street victims before doctors or nurses begin procedures.

Twelve million people are blind in India, and are robbed of their livelihoods as a result. A hugely successful chain of cataract hospitals in India helped its business by treating half its patients for free.

The highest hospital costs come from preventable emergency room visits. A doctor in Camden developed a home visit program which gives better and cheaper care.

According to the Centers for Disease Control and Prevention, drug overdoses are the leading cause of injury-related mortality. Naxolone, a drug used to revive overdose victims, is only available by prescription. However, private organizations have distributed Naxolone kits nationally, showing that the drug can save lives when it is more readily accessible.

In Nepal, a controversial drug is proving to be effective in saving mother's lives. It's the only shelf-stable, easy-to-administer solution to curbing postpartum hemorrhage. In trials, misoprostol is shown to save the lives of women who live far from medical care facilities. Since Nepal allowed use of the drug, postpartum hemorrhage has fallen from the leading cause of maternal death to number two.

Latin American women in San Francisco have suffered from post-partum depression, social isolation, and chronic stress at the time of their pregnancies. Run by midwives, the Centering Pregnancy program at the San Francisco General Hospital provides patient-centered care, an environment to speak in Spanish, and a nurturing community for women’s group appointments. The results boast fewer c-sections and pre-term births, and an improvement in emotional support and overall prenatal health.

A project to take advantage of Coca-Cola’s famous global reach designed a kit of basic medicines that fit in between Coke bottles. But it turned out that what it needed to be copying wasn’t Coke’s package delivery, but it’s investment in the people in its supply chain.

In S. King County, Wash., the organization Global to Local identified Seattle's ironic status as being a global-health center but having an increasingly unhealthy populace. Global to Local pointed local citizens to a variety of services, using a "connect the dots" approach to treatment.

The health problems of millions of Americans are directly related to patients' failure to follow doctors’ orders. Community health workers are increasingly successful in New York and other American cities – not to substitute for doctors, but to help patients stick to their treatment plans.