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From Stasis to Crisis: How and What Now for Canada's Healthcare Systems? 从停滞到危机：加拿大医疗保健系统如何以及现在该做些什么？
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27763
C David Naylor
{"title":"From Stasis to Crisis: How and What Now for Canada's Healthcare Systems?","authors":"C David Naylor","doi":"10.12927/hcpap.2025.27763","DOIUrl":"10.12927/hcpap.2025.27763","url":null,"abstract":"<p><p>In 2015, the Advisory Panel on Healthcare Innovation (APHI) highlighted shortcomings in Canada's healthcare systems, including weak integration, ineffective workforce planning and deployment, uneven infostructure and misaligned incentives. Progress in the last decade has been modest, underscoring both the challenges faced by provinces/territories in effecting top-down structural reforms and the limited yield from federal attempts to \"buy change.\" APHI anticipated that outcome and argued for a new bottom-up model of collaborative catalysis, evaluation and scaling of effective innovations in healthcare. This model also facilitates the selective commercialization of novel Canadian goods and services and bears consideration given our healthcare crisis and weak innovation indices.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Workforce Canada: A Source of Innovation in Health Workforce Planning. 加拿大卫生人力：卫生人力规划创新之源。
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27760
Deb Gordon, Glenda Yeates
{"title":"Health Workforce Canada: A Source of Innovation in Health Workforce Planning.","authors":"Deb Gordon, Glenda Yeates","doi":"10.12927/hcpap.2025.27760","DOIUrl":"10.12927/hcpap.2025.27760","url":null,"abstract":"<p><p>In 2023, federal, provincial and territorial governments created Health Workforce Canada with a mandate to transform health workforce planning. Strategic initiatives focus on convening networks, advancing data, catalyzing modelling and forecasting and sharing promising practices. Early successes feature extensive collaboration and co-creation, data dashboards to assist planners and decision makers, an early microsimulation modelling tool to enable working with imprecise data and an artificial intelligence-powered Digital Front Door to enhance access to quality health workforce information and support informed decision making. Early efforts are having a positive impact on health workforce planning, data accessibility and catalyzing innovation and transformation.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Building the Structures and Ecosystem Required for Sustainable Health Innovation in Canada. 构建加拿大可持续健康创新所需的结构和生态系统。
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27754
Alan J Forster, Stephanie Hastings, Braden J Manns
{"title":"Building the Structures and Ecosystem Required for Sustainable Health Innovation in Canada.","authors":"Alan J Forster, Stephanie Hastings, Braden J Manns","doi":"10.12927/hcpap.2025.27754","DOIUrl":"10.12927/hcpap.2025.27754","url":null,"abstract":"<p><p>Ten years after the Advisory Panel on Healthcare Innovation's report, progress on its recommendations remains limited across Canada. Coordinated, patient-centred, digitally enabled reforms and stronger interjurisdictional collaboration are urgently needed.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accelerating Innovation and Technological Transformation on a National Scale. 加快全国创新和技术改造。
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27758
Eyal Zimlichman
{"title":"Accelerating Innovation and Technological Transformation on a National Scale.","authors":"Eyal Zimlichman","doi":"10.12927/hcpap.2025.27758","DOIUrl":"10.12927/hcpap.2025.27758","url":null,"abstract":"<p><p>Health systems in developed countries face escalating challenges, including rising costs, workforce crises, safety concerns and persistent inequities. Despite widespread recognition of the need for transformation, progress has been slow and fragmented. The Canadian experience underscores this reality: a decade after the federal health minister's Advisory Panel on Healthcare Innovation released its landmark report, many of its key recommendations - including a $1-billion innovation fund and a national healthcare innovation agency - remain unfulfilled. During this period, system pressures have intensified, compounded by the COVID-19 pandemic and growing financial constraints. At the same time, digital technologies, particularly artificial intelligence, offer unprecedented opportunities to redesign care delivery, though adoption has been patchy and uncoordinated. This commentary argues that health systems must embed innovation into their core mission, linking transformation with economic development through clinician- and patient-driven solutions, commercialization, procurement reform and sustained national strategies to ensure that healthcare becomes both sustainable and socially generative.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"61-65"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are Canada's Health Systems Capable of Innovation? Plus ça Change, Plus C'est la Même Chose. 加拿大的卫生系统有能力创新吗？加上<s:1>变化，加上C'est la Même选择。
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27765
Sara Allin, Audrey Laporte
{"title":"Are Canada's Health Systems Capable of Innovation? Plus ça Change, Plus C'est la Même Chose.","authors":"Sara Allin, Audrey Laporte","doi":"10.12927/hcpap.2025.27765","DOIUrl":"10.12927/hcpap.2025.27765","url":null,"abstract":"<p><p>Canada lags its peers in health systems innovation. Ten years after the federal Advisory Panel on Healthcare Innovation released its report, progress remains limited. In this issue, Manns et al. (2025) revisit the recommendations of the report, assess progress and propose a path forward, including establishing a well-funded innovation agency, advancing interoperable data systems, shifting to value-based funding and fostering patient engagement. The lead essay (Manns et al. 2025), along with the rich and insightful commentaries, highlight both systemic barriers and opportunities for change. Despite past inertia, these strategies offer hope for building an innovation-ready health system capable of meeting future challenges.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Silos and Perpetual Pilots: Data as the Catalyst for Canada's Healthcare Innovation Revolution. 超越孤岛和永久试点：数据作为加拿大医疗保健创新革命的催化剂。
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27759
Anderson W Chuck
{"title":"Beyond Silos and Perpetual Pilots: Data as the Catalyst for Canada's Healthcare Innovation Revolution.","authors":"Anderson W Chuck","doi":"10.12927/hcpap.2025.27759","DOIUrl":"10.12927/hcpap.2025.27759","url":null,"abstract":"<p><p>Progress on the report of the Advisory Panel on Healthcare Innovation (2015) for Canada is limited. While Manns et al. (2025) advocate for a national innovation agency and fund, their analysis underemphasizes the catalytic role of health data infrastructure as the foundation of an innovation engine. Consequently, Canada has not cultivated the strategic infrastructure necessary to enable spread and scale. This commentary argues that pan-Canadian health data ecosystems are foundational to scaling innovation. By prioritizing data liquidity, real-world evidence generation and data stewardship, Canada can transform its \"perpetual pilot projects\" into a learning health system that accelerates the scale and spread of value-based innovations.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Time to Go Big or Go Home: A Reflection on the Advisory Panel on Healthcare Innovation. 是时候做大还是回家：医疗保健创新咨询小组的反思。
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27762
Alex Munter, Ashley Chisholm, Owen Adams
{"title":"Time to Go Big or Go Home: A Reflection on the Advisory Panel on Healthcare Innovation.","authors":"Alex Munter, Ashley Chisholm, Owen Adams","doi":"10.12927/hcpap.2025.27762","DOIUrl":"10.12927/hcpap.2025.27762","url":null,"abstract":"<p><p>Canada has a history of innovative pilot projects that have failed to spread and scale to achieve transformative change in the organization and delivery of healthcare. Past experience suggests four essential dimensions of sustainability: funding, including incentives to adopt new working methods and longer-term program funding; strong policy guidance and/or legislation and regulation; sustained focus on addressing a particular problem or issue; and accountability for results. Had the Naylor Panel recommendations been implemented a decade ago, Canada's healthcare system would now be on a much stronger footing to confront today's challenges. The Naylor blueprint offers pertinent, practical solutions for issues such as improving access to primary care, improving digital health and contending with artificial intelligence.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"34-42"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scaling Innovation in a Publicly Funded System: A UK Pathway From Evidence to Adoption. 在公共资助系统中扩大创新：英国从证据到采用的途径。
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27757
Matthew Whitty, David Walliker
{"title":"Scaling Innovation in a Publicly Funded System: A UK Pathway From Evidence to Adoption.","authors":"Matthew Whitty, David Walliker","doi":"10.12927/hcpap.2025.27757","DOIUrl":"10.12927/hcpap.2025.27757","url":null,"abstract":"<p><p>According to Manns et al. (2025), Canada struggles to turn good ideas into routine care because functions for evidence, funding, procurement and delivery are fragmented. In the UK, these functions are, in part, connected within a tax-funded service free at the point of use. This commentary maps the architecture, linking research translation, independent assessment, regulation, procurement, adoption support and data and explains how evidence moves into practice through principles aligned with the nonadoption, abandonment, scale-up, spread and sustainability framework, which addresses nonadoption, abandonment, the challenges of scale-up, spread and sustainability. Two worked examples, placental growth factor testing and stroke imaging artificial intelligence, show that national assessment, adoption support and procurement enabled rapid adoption at a national scale. Practical implications for Canada include a single repeatable pathway from promising evidence to routine use, conditional adoption with evidence generation, national frameworks that reduce transaction costs, investment in implementation capability and secure data environments for real-world evaluation.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Health Canada the Key to Cracking the Nut of Healthcare Reform? 加拿大卫生部是解决医疗改革难题的关键吗？
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27755
Jason M Sutherland
{"title":"Is Health Canada the Key to Cracking the Nut of Healthcare Reform?","authors":"Jason M Sutherland","doi":"10.12927/hcpap.2025.27755","DOIUrl":"10.12927/hcpap.2025.27755","url":null,"abstract":"<p><p>It is valuable to reflect on what progress the federal, provincial and territorial governments have made on implementing the Advisory Panel on Healthcare Innovation Report's recommendations. The recommendations offered by Manns et al. (2025) are a good starting point but are too modest. New entities need assurances of independence from federal, provincial and territorial governments; scale system interventions; ability to influence provincial and territorial health system funding policies including physician remuneration models; and capacity to integrate with regional priorities. To pursue the sought innovations, political will for reforming the structure of pan-Canadian healthcare organizations is needed.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rethinking the Federal Role in Health: Revisiting the 2015 Naylor Report on Healthcare Innovation. 重新思考联邦在医疗保健中的作用：回顾2015年内勒医疗保健创新报告。
HealthcarePapers Pub Date : 2025-12-01 DOI: 10.12927/hcpap.2025.27756
Marcel Saulnier
{"title":"Rethinking the Federal Role in Health: Revisiting the 2015 Naylor Report on Healthcare Innovation.","authors":"Marcel Saulnier","doi":"10.12927/hcpap.2025.27756","DOIUrl":"10.12927/hcpap.2025.27756","url":null,"abstract":"<p><p>Ten years ago, the Advisory Panel on Healthcare Innovation, chaired by C. David Naylor, gave its prescription to strengthen Canada's healthcare systems. Unfortunately, the report fell victim to politics and shifting government priorities. This commentary argues that key barriers to healthcare improvement in Canada - particularly siloed structures that prevent collaboration, a lack of political will to challenge the status quo and a myopic federalism paradigm - continue to bedevil Canada's health systems, and that the recommendations of the Naylor panel, particularly the proposed healthcare innovation fund and federal healthcare innovation agency, are as relevant today as they were in 2015.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"23 3","pages":"73-77"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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