HealthcarePapersPub Date : 2024-07-01DOI: 10.12927/hcpap.2024.27393
Kristina M Kokorelias, Caroline Emmer De Albuquerque Green, Samir K Sinha
{"title":"Tech-Enabled Aging in the Right Place Will Only Succeed by Harmonizing Innovation With the Provision of Person-Centred Care.","authors":"Kristina M Kokorelias, Caroline Emmer De Albuquerque Green, Samir K Sinha","doi":"10.12927/hcpap.2024.27393","DOIUrl":"10.12927/hcpap.2024.27393","url":null,"abstract":"<p><p>The evolving concept of \"[a]geing in the right place (AIRP)\" (Iciaszczyk et al. 2022: 1) underscores the importance of enabling older adults to receive comprehensive care and support across various settings. There is growing evidence that innovative technologies can empower more persons to maintain their autonomy while better ensuring their safety, well-being and quality of life and also improve the experience of family caregivers and paid care providers. While there exists a powerful belief that technologies can solve all problems, the reality is that they can also present risks, particularly around cybersecurity, privacy and ethical concerns and not deliver any real benefits and in some cases, cause users harm. This paper summarizes a number of pragmatic strategies for addressing these challenges and maximizing the impact of technology in supporting AIRP.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 2","pages":"72-77"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335952","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}
HealthcarePapersPub Date : 2024-07-01DOI: 10.12927/hcpap.2024.27400
James Shaw, Sonia Nizzer, Sandra McKay
{"title":"Technology, Aging and Home and Community Care: Picking the Right Problems to Solve.","authors":"James Shaw, Sonia Nizzer, Sandra McKay","doi":"10.12927/hcpap.2024.27400","DOIUrl":"10.12927/hcpap.2024.27400","url":null,"abstract":"<p><p>As the Canadian population ages, the imperative to support aging in the community grows increasingly urgent. In this commentary, we build on Kokorelias et al.'s (2024) article to address the ethically appropriate role of digital technologies in supporting aging at home. We argue that a nuanced perspective on this topic is crucial. Focusing on the pivotal role of personal support workers in home and community care, we highlight the multiple challenges they face, from precarious employment to safety concerns. While digital innovations offer promise, we suggest that a holistic approach blending policy initiatives with technological advancements is imperative.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 2","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335954","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}
HealthcarePapersPub Date : 2024-04-01DOI: 10.12927/hcpap.2024.27386
David J Kinitz, Nguyen K Tran, Kinnon R MacKinnon
{"title":"Expanding Policy and Programming to Address Conversion Therapy and 2SLGBTQ+ Health Inequity: A Discussion of Challenges.","authors":"David J Kinitz, Nguyen K Tran, Kinnon R MacKinnon","doi":"10.12927/hcpap.2024.27386","DOIUrl":"10.12927/hcpap.2024.27386","url":null,"abstract":"<p><p>Advocates and researchers have made myriad recommendations to guide policy actors in stopping conversion therapy. This commentary extends these recommendations by identifying core challenges that policy actors face with interventions that solely focus on conversion therapy. Conversion therapy exists because of pervasive social values and beliefs that devalue, erase and stigmatize Two-Spirit, lesbian, gay, bisexual, transgender, queer and other sexual and gender minority (2SLGBTQ+) people, in turn, creating a supply and demand market. That is, those who espouse oppressive values enable and supply conversion therapy for the demand of 2SLGBTQ+ people struggling against these values and those who influence their lives (e.g., guardians). The discussion underscores why policy actors must disrupt the cisheteronormative bedrock that sustains conversion therapy. It is imperative for policy actors to expand policies and programming beyond conversion therapy using an intersectional framework that considers colonialism, racism and cisheterosexism. Interventions must encompass all systems (e.g., health, legal, social, economic) that shape 2SLGBTQ+ people's lives to disrupt the market of conversion therapy.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 1","pages":"46-54"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309590","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}
HealthcarePapersPub Date : 2024-04-01DOI: 10.12927/hcpap.2024.27385
Kinnon R MacKinnon, Pablo Expósito-Campos, David J Kinitz, Joey Bonifacio
{"title":"Affirming Everyone in the Rainbow: Is Gender-Affirming Healthcare \"Gay Conversion Therapy?\"","authors":"Kinnon R MacKinnon, Pablo Expósito-Campos, David J Kinitz, Joey Bonifacio","doi":"10.12927/hcpap.2024.27385","DOIUrl":"10.12927/hcpap.2024.27385","url":null,"abstract":"<p><p>Many young people today embrace gender-diverse identities, with adolescents and young adults comprising the largest and fastest-growing demographic of gender-affirming healthcare seekers. Simultaneously, gender-affirming healthcare for this demographic has been debated, and restrictions have been introduced in many jurisdictions. Within this politically charged climate, some journalists, cultural commentators, gender clinicians and politicians have leveraged rhetorical claims that gender-affirming healthcare comprises a new form of \"gay conversion therapy.\" In this commentary, we explore the extent to which empirical evidence supports or contradicts this discourse as a real phenomenon. While we conclude that gender-affirming healthcare is not gay conversion therapy, we also draw attention to opportunities to enrich gender-affirming healthcare by embracing the complexity of sexuality and gender.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 1","pages":"55-62"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309588","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}
HealthcarePapersPub Date : 2024-04-01DOI: 10.12927/hcpap.2024.27388
Randall Jackson
{"title":"Reflecting on \"Beyond the Rainbow\": Advancing 2S/Indigiqueer Health Equity.","authors":"Randall Jackson","doi":"10.12927/hcpap.2024.27388","DOIUrl":"10.12927/hcpap.2024.27388","url":null,"abstract":"<p><p>In the context of 2S/Indigiqueer challenges to health and wellness, a focus that expands how we conceptualize negative colonial impacts to include cultural approaches to health, we potentially open space more helpful for addressing disparities. Four possible pathways are discussed, and include: (1) Expanding social determinants of health to include 2S/Indigiqueer practices that promote health; (2) Cultural resurgence helps address health disparities as it works to strengthen both individuals and communities; (3) To do these well, it is important to understand the cultural diversity that exists across 2S/Indigiqueer communities; and (4) Responses that privilege 2S/Indigiqueer community led-responses are needed to better ground health and wellness programs in culture. Finally, we add to these pathways by advocating for a series of policy responses that are supported on the ground by community.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 1","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309593","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}
HealthcarePapersPub Date : 2024-04-01DOI: 10.12927/hcpap.2024.27391
Daniel Grace, Sara Allin, Audrey Laporte
{"title":"Advancing 2S/LGBTQ+ Health Equity: A Call for Structural Action.","authors":"Daniel Grace, Sara Allin, Audrey Laporte","doi":"10.12927/hcpap.2024.27391","DOIUrl":"10.12927/hcpap.2024.27391","url":null,"abstract":"<p><p>The social, mental, physical and sexual health of diverse Two-Spirit, lesbian, gay, bisexual, transgender, queer and other sexual and gender minority (2S/LGBTQ+) populations across Canada and globally is under threat. In Canada, we are not immune to the rise in divisive and regressive policies and rhetoric that is negatively impacting the lives of 2S/LGBTQ+ people in the US and across the world (HRC Staff 2023; United Nations 2022). Make no mistake, the threats to the human rights and health of 2S/LGBTQ+ communities are growing in Canada as well (Benchetrit 2023). Health systems leaders and scholars can play a critical role in learning about, addressing and advocating for health equity for 2S/LGBTQ+ communities. This themed issue focuses on the urgency of addressing the social and structural determinants of health inequity for 2S/LGBTQ+ communities in a context of political volatility.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 1","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309587","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}
HealthcarePapersPub Date : 2024-04-01DOI: 10.12927/hcpap.2024.27384
Nadiyah Aseena Hussain
{"title":"Heteronormativity in Canadian Healthcare: Revisioning a Queer-Focused Realm.","authors":"Nadiyah Aseena Hussain","doi":"10.12927/hcpap.2024.27384","DOIUrl":"10.12927/hcpap.2024.27384","url":null,"abstract":"<p><p>Kia et al.'s (2024) article, \"Beyond the Rainbow: Advancing 2S/LGBTQ+ Health Equity at a Time of Political Volatility,\" illustrates the health discrepancies that the Two-Spirit, lesbian, gay, bisexual, transgender, queer, intersex, asexual and other sexual and gender minority (2SLGBTQIA+) community withstand and the Canadian healthcare system's legacy of heteronormativity. This commentary focuses on the straight-centred approach of the Canadian medical system that neglects, harms and fails the 2SLGBTQIA+ population, resulting in a decline in their mental and physical well-being and increased rates of morbidity for queer individuals. The 2SLGBTQIA+ community must be placed in the front and centre of integral decision making and have the final word in policy changes within Canadian regulatory bodies.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 1","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309591","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}
HealthcarePapersPub Date : 2024-04-01DOI: 10.12927/hcpap.2024.27390
Hannah Kia, Margaret Robinson, Edward Ou Jin Lee, Travis Salway, Lori E Ross
{"title":"Beyond the Rainbow: Advancing 2S/LGBTQ+ Health Equity at a Time of Political Volatility.","authors":"Hannah Kia, Margaret Robinson, Edward Ou Jin Lee, Travis Salway, Lori E Ross","doi":"10.12927/hcpap.2024.27390","DOIUrl":"10.12927/hcpap.2024.27390","url":null,"abstract":"<p><p>Two-Spirit, lesbian, gay, bisexual, transgender, queer and other sexual and gender minority (2S/LGBTQ+) populations continue to experience profound health disparities. In this article, we prioritize five issues in 2S/LGBTQ+ health equity and discuss policy interventions to address disparities in each area: (1) poverty in 2S/LGBTQ+ communities; (2) Two-Spirit mental health; (3) health equity issues in migrant and racialized LGBTQ+ populations; (4) challenges in implementing bans on conversion therapy; and (5) the evolving context of gender-affirming care. Multi-level policy interventions, including those in healthcare-adjacent contexts such as housing and immigration, will be critical to address the structural undercurrents driving health inequities for 2S/LGBTQ+ populations. Recognizing growing complexity and political volatility in the lives of 2S/LGBTQ+ people across Canada, we challenge healthcare policy actors to recognize the breadth of structural barriers to 2S/LGBTQ+ health equity issues and act with urgency in this area.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 1","pages":"9-25"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309589","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}
{"title":"Pushing the Boundaries: African LGBTQ+ Migrants Navigating Dislocation and Disparities in Canada.","authors":"Notisha Massaquoi, Ewura-Ama Ackon, Gregory Serieaux-Hall","doi":"10.12927/hcpap.2024.27387","DOIUrl":"10.12927/hcpap.2024.27387","url":null,"abstract":"<p><p>There is an urgency to advocate for lesbian, gay, bisexual, transgender, queer and other sexual and gender minority (LGBTQ+) racialized migrants and Canadian policy reform due to the rise in human rights violations globally for LGBTQ+ community members as they fight for constitutional change. Canada projects itself as a world leader in the protection of LGBTQ+ rights and is promoted as an ideal destination for those fleeing persecution. Contrary to this image, Canada has received harsh public criticism for its failure to live up to the expectations of a benevolent refugee-receiving country. The arrival of African LGBTQ+ migrants creates a lens for us to examine these cracks in our Canadian system and the resulting health disparities experienced by this group.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 1","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309592","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}
HealthcarePapersPub Date : 2024-04-01DOI: 10.12927/hcpap.2024.27383
Hannah Kia, Margaret Robinson, Edward Ou Jin Lee, Travis Salway, Lori E Ross
{"title":"Achieving 2S/LGBTQ+ Health Equity Requires Grappling With the Structural Drivers of Poor Health in Sexual and Gender Minorities.","authors":"Hannah Kia, Margaret Robinson, Edward Ou Jin Lee, Travis Salway, Lori E Ross","doi":"10.12927/hcpap.2024.27383","DOIUrl":"10.12927/hcpap.2024.27383","url":null,"abstract":"<p><p>While the need for research, policy and practice addressing the health equity issues of Two-Spirit, lesbian, gay, bisexual, transgender, queer and other sexual and gender minority (2S/LGBTQ+) populations is increasingly recognized, we acknowledge that significant gaps remain in this area. As authors in this themed issue have consistently pointed out, interventions that grapple with the intersectionally varied structural drivers of 2S/LGBTQ+ health remain lacking and, in particular, warrant urgent consideration. This is especially the case during a time when structural threats to the well-being of 2S/LGBTQ+ populations are on the rise, both in Canada and in other geopolitical contexts.</p>","PeriodicalId":101342,"journal":{"name":"HealthcarePapers","volume":"22 1","pages":"70-75"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309585","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}