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Collaborations in Care: Working Together to Give Canadians the Healthcare They Need and Deserve. 护理合作:共同努力为加拿大人提供他们需要和应得的医疗保健。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26958
Erik Sande
{"title":"Collaborations in Care: Working Together to Give Canadians the Healthcare They Need and Deserve.","authors":"Erik Sande","doi":"10.12927/hcpap.2022.26958","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26958","url":null,"abstract":"<p><p>As the Canadian healthcare system struggles to keep pace with the demand, it is becoming increasingly urgent to find more solutions to ensure that Canadians receive the care they deserve and expect. The author shares perspectives on the value of privately delivered solutions in our publicly funded healthcare system. He draws on the notion of bringing together a mix of knowledge, expertise and talent to help reduce barriers and improve access to care. In addition to virtual care, he examines examples of mobile integrated health programs and partnerships that are working to deliver care to communities.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"68-70"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10608635","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
Virtual Care in Canada as of the Sixth Wave of the COVID-19 Pandemic: Finding the Right Balance - An Indigenous Perspective. 第六波COVID-19大流行期间加拿大的虚拟医疗:寻找适当的平衡-土著视角
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26956
Michael A B Anderson
{"title":"Virtual Care in Canada as of the Sixth Wave of the COVID-19 Pandemic: Finding the Right Balance - An Indigenous Perspective.","authors":"Michael A B Anderson","doi":"10.12927/hcpap.2022.26956","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26956","url":null,"abstract":"<p><p>The constraints of the COVID-19 pandemic accelerated the adoption of virtual care. The role of virtual care in the mix of healthcare services is being re-examined as the pandemic evolves. For many diverse Indigenous communities (rural, remote, urban), virtual care has the potential to increase access to healthcare and improv health outcomes, or to worsen existing inequities. Thoughtful co-design of virtual care programs, attention to user experience and enabling policy decisions can unlock the potential of virtual care for Indigenous individuals and communities.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10616344","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
Never Let a Crisis Go to Waste. 永远不要浪费危机。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26966
Owen Adams
{"title":"Never Let a Crisis Go to Waste.","authors":"Owen Adams","doi":"10.12927/hcpap.2022.26966","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26966","url":null,"abstract":"<p><p>The adage \"Never let a good crisis go to waste,\" widely attributed to Winston Churchill (Gruère 2019), has echoed throughout the COVID-19 pandemic. It aptly describes the rapid uptake of virtual care since March 2020 and other developments that it has inspired, including renewed attention to health information and data governance, interoperability, health equity, appropriateness and cross-border licensure.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10608631","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
Interoperability: A National Person-Centred View. 互操作性:国家以人为中心的观点。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26962
Trevor Jamieson, Denise Zarn
{"title":"Interoperability: A National Person-Centred View.","authors":"Trevor Jamieson,&nbsp;Denise Zarn","doi":"10.12927/hcpap.2022.26962","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26962","url":null,"abstract":"<p><p>We respond to Falk's (2022) recent recommendations around interoperability. Although we applaud the notion that the health data of Canadians be usable - that is, machine interpretable - and widely clinically available, Falk's (2022) recommendations must be extended. Specifically, interoperability must centre on the person and people's rights to hold and control a usable copy of their health information for their own purposes. Also, we must acknowledge that Canada is a small global market and avoid internal fragmentation with competing jurisdictional standards. Our national strategy must align with major trading partners. To do otherwise will disenfranchise Canadians and our digital health innovators.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"44-49"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10608634","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
Financing Models for Virtual Care. 虚拟医疗的融资模式。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26959
Robert S Bell, Matthew Chow
{"title":"Financing Models for Virtual Care.","authors":"Robert S Bell,&nbsp;Matthew Chow","doi":"10.12927/hcpap.2022.26959","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26959","url":null,"abstract":"<p><p>Principles for determining physician compensation in the provision of virtual care are discussed along with analysis of the virtual care components included in the 2022 Ontario Physician Services Agreement (SEAMO 2022). Ministries and medical associations should continue to discuss appropriate payment for virtual advice for patients who do not have a primary care provider. They should also determine methods for payment for physician engagement in apps designed to optimize treatment of chronic diseases.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10616347","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 Health System Transformation through Research to Achieve the Quadruple Aim and Health Equity. 以科研促卫生体制转型，实现“四个目标”和卫生公平。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26847
Meghan McMahon, Jessica Nadigel, Erin Thompson, Nida Shahid, Bahar Kasaai, Johanne Richard, Richard H Glazier
{"title":"Accelerating Health System Transformation through Research to Achieve the Quadruple Aim and Health Equity.","authors":"Meghan McMahon,&nbsp;Jessica Nadigel,&nbsp;Erin Thompson,&nbsp;Nida Shahid,&nbsp;Bahar Kasaai,&nbsp;Johanne Richard,&nbsp;Richard H Glazier","doi":"10.12927/hcpap.2022.26847","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26847","url":null,"abstract":"<p><p>The Canadian Institutes of Health Research - Institute of Health Services and Policy Research's (IHSPR's) Strategic Plan 2021-2026: Accelerate Health Care System Transformation through Research to Achieve the Quadruple Aim and Health Equity for All (CIHR IHSPR 2021) outlines the Institute's key priority areas for investment and activity over the next five years. IHSPR used an evidence-informed strategic planning process that was pan-Canadian in scope and designed to elicit the health services and policy research priorities of decision makers, providers, researchers, patients, communities and the public. This paper outlines IHSPR's four key strategic priorities for supporting and optimizing research in transforming Canada's healthcare delivery systems over the next five years.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 3","pages":"9-24"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40401399","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: 1
Response to Commentaries on Virtual Care as of the Sixth Wave of the COVID-19 Pandemic. 对COVID-19大流行第六波期间虚拟医疗评论的回应。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26955
William Falk
{"title":"Response to Commentaries on Virtual Care as of the Sixth Wave of the COVID-19 Pandemic.","authors":"William Falk","doi":"10.12927/hcpap.2022.26955","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26955","url":null,"abstract":"<p><p>This is a brief response to the nine commentaries on my paper regarding virtual care as of the sixth wave of the COVID-19 pandemic (Falk 2022). Virtual care and its digital support infrastructure have had an iterative developmental path since the arrival of the pandemic in early 2020. Real-time policy making has been the norm in the field, and iteration by thoughtful opinion leaders seems a sensible way of continuing to move the discussion forward.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"83-90"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10608637","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
Looking at the Big Picture to Find the Optimal Fit for Virtual Care. 放眼全局，寻找最适合虚拟护理的方案。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26964
Teri Price
{"title":"Looking at the Big Picture to Find the Optimal Fit for Virtual Care.","authors":"Teri Price","doi":"10.12927/hcpap.2022.26964","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26964","url":null,"abstract":"<p><p>Excitement over the rapid implementation of virtual care has been a common theme of the pandemic. Virtual care was an essential option that eliminated the risk of physical contact early on, but does it fit into what we envision as an optimal future health system? Pulling from the knowledge gained through more than 500 conversations about a better healthcare system(s), the author outlines some of the fundamental elements that will be critical for the future and where virtual care fits in the big picture. In fact, the author believes that the vision of a patient having a highfunctioning care team that meets their unique needs cannot exist without virtual care.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10610822","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
The Value of and Need for Health Services and Policy Research that Focuses on Macro System-Level Challenges. 卫生服务的价值和需求以及关注宏观系统层面挑战的政策研究。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26846
Kimberlyn McGrail, Fiona Clement, Michael Law
{"title":"The Value of and Need for Health Services and Policy Research that Focuses on Macro System-Level Challenges.","authors":"Kimberlyn McGrail,&nbsp;Fiona Clement,&nbsp;Michael Law","doi":"10.12927/hcpap.2022.26846","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26846","url":null,"abstract":"<p><p>Much of health services and policy research is applied. We offer four provocations to stimulate thinking about the relationship between research and the \"systems\" it aims to influence. We conclude that a focus on partnership implies that researchers need to be empathetic to the timelines and needs of policy makers, while true relationships are bidirectional. Focusing on the priorities of \"systems\" will emphasize short-term issues. This leads to researchers often conducting post-implementation evaluation, where they have had little involvement in policy or intervention design. Finally, a focus on single-project return of investment will tend to undervalue riskier - but also potentially more rewarding - research.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 3","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40401400","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
Virtual Care in Canada as of the Sixth Wave of the COVID-19 Pandemic: Finding the Right Balance. 第六波COVID-19大流行期间加拿大的虚拟医疗:找到适当的平衡。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26965
William Falk
{"title":"Virtual Care in Canada as of the Sixth Wave of the COVID-19 Pandemic: Finding the Right Balance.","authors":"William Falk","doi":"10.12927/hcpap.2022.26965","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26965","url":null,"abstract":"<p><p>Virtual care has stabilized at about one-third of visits as the sixth wave of the pandemic in Canada ebbs from about twice that at the peak of the first wave but is up more than tenfold from pre-pandemic levels. This has created huge changes and challenges, which the author reviews in an attempt to make workable policy recommendations and find a balance among competing priorities. Falk revisits recommendations from his Health Canada report (Falk 2021), updating and expanding on recommendations concerning remuneration, licensure, equity and access. He introduces newly available data on specialty and primary care use and discusses the practical implications for change management and system development. He expands his recommendations for aggressive regulatory changes and standards for digital health and virtual care.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"12-29"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10616345","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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