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How Do We Build the Human Capital for a True Learning Healthcare System? 如何为真正的学习型医疗体系构建人力资本?
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26844
Meghan McMahon, Stephen Bornstein, Shanthi Johnson, Carl-Ardy Dubois, Erin Thompson, Adalsteinn Brown
{"title":"How Do We Build the Human Capital for a True Learning Healthcare System?","authors":"Meghan McMahon,&nbsp;Stephen Bornstein,&nbsp;Shanthi Johnson,&nbsp;Carl-Ardy Dubois,&nbsp;Erin Thompson,&nbsp;Adalsteinn Brown","doi":"10.12927/hcpap.2022.26844","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26844","url":null,"abstract":"<p><p>Our healthcare systems depend on human capital for effectiveness. The Canadian Institutes of Health Research - Institute of Health Services and Policy Research has prioritized building capacity for \"solution-oriented research and evidence-informed health care system transformation\" (CIHR IHSPR 2021a: 20) as a core strategic direction. In this commentary, we articulate strategies for positioning PhD-trained scientists at the forefront of this transformation, including refreshing a competency framework that outlines the skill set required for maximum impact, exploring opportunities to expand embedded research career pathways and considering new ways to support the evolution of learning health systems. We conclude highlighting the need to modernize how real-world research impact is recognized.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 3","pages":"44-52"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40400006","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: 2
Can a Focus on Equity, Diversity and Inclusion Transform Health Services Research? 关注公平、多样性和包容性能否改变卫生服务研究?
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26843
Andrew D Pinto
{"title":"Can a Focus on Equity, Diversity and Inclusion Transform Health Services Research?","authors":"Andrew D Pinto","doi":"10.12927/hcpap.2022.26843","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26843","url":null,"abstract":"<p><p>The new Canadian Institutes of Health Research - Institute of Health Services and Policy Research's Strategic Plan 2021-2026 (CIHR IHSPR 2021) holds potential. Barriers are anticipated, including that commitments to equity, diversity and inclusion (EDI) are tokenistic. This commentary provides four recommendations to support EDI as transformative. First, EDI must start with an honest history of the role of institutions in upholding injustice. Second, performative EDI must be replaced by changes in money, power and resources. Third, data collection alone must never be the end goal of EDI. And fourth, for EDI to be transformative, it must be grounded in praxis, taking direction from communities and movements seeking justice.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 3","pages":"53-60"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40400007","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
Strategizing Research for Impact. 战略研究的影响。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26841
Denis A Roy, Matthew Menear, Hassane Alami, Jean-Louis Denis
{"title":"Strategizing Research for Impact.","authors":"Denis A Roy,&nbsp;Matthew Menear,&nbsp;Hassane Alami,&nbsp;Jean-Louis Denis","doi":"10.12927/hcpap.2022.26841","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26841","url":null,"abstract":"<p><p>In its Strategic Plan 2021-2026, the Canadian Institutes of Health Research - Institute of Health Services and Policy Research (IHSPR) convincingly expresses its desire to expand capacity for applied health services and policy research (HSPR) and better mobilize research results for health system transformation geared toward the Quadruple Aim and health equity for all (CIHR IHSPR 2021). These strategic priorities echo views widely shared within the HSPR community, and we commend IHSPR for its leadership and vision. Recognizing the systemic challenges ahead of us, this commentary considers the HSPR community's capacity to achieve the promise of learning health systems, given the obstacles likely to hinder their rapid scale-up over the next five years. Next, we consider the spread of virtual care during the pandemic to illustrate the embedded and negotiated nature of innovation in health systems and the need for vigilance as to the social distribution of their benefits and costs. Finally, a critical review of the strategic plan provides insights into how research is governed in the HSPR field. Based on this analysis, it appears essential to reconsider health system transformation as social system transformation and strengthen interdisciplinary and comparative research. Looking forward, developing a science of science to better understand the conditions associated with high-impact research should be a cross-cutting priority for Canada's HSPR community.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 3","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40400009","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
Finding the Right Balance in Virtual Care: Insights from Canadian Physicians. 在虚拟医疗中找到适当的平衡:来自加拿大医生的见解。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26961
Sukirtha Tharmalingam, Simon Hagens
{"title":"Finding the Right Balance in Virtual Care: Insights from Canadian Physicians.","authors":"Sukirtha Tharmalingam,&nbsp;Simon Hagens","doi":"10.12927/hcpap.2022.26961","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26961","url":null,"abstract":"<p><p>Canadian physicians' perceptions on their use of and experience with virtual care offer important insights into finding the right balance in virtual care. Using data from the 2021 National Survey of Canadian Physicians conducted by Canada Health Infoway and the Canadian Medical Association (Canada Health Infoway and CMA 2021), we explored the mix of virtual care use by physicians, satisfaction with and challenges of virtual care and other perspectives around its continued use. We discuss how these data inform and enrich some of the key recommendations put forward by Falk (2022) in this issue.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10608632","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
What Is Possible If We Focus on Where Healthcare Is Going Instead of Where Medicine Has Been. 如果我们关注医疗保健的发展方向，而不是医学的发展方向，将会有什么可能?
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26957
Timothy M Foggin, Zayna A Khayat
{"title":"What Is Possible If We Focus on Where Healthcare Is Going Instead of Where Medicine Has Been.","authors":"Timothy M Foggin,&nbsp;Zayna A Khayat","doi":"10.12927/hcpap.2022.26957","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26957","url":null,"abstract":"<p><p>As Canadian leaders of the world's largest virtual care organization, we bring a national and a global perspective to our response to Falk's (2022) paper on virtual care in Canada in this issue. With more than 20 years of experience enabling virtual care and more than 90 million people accessing our virtual care services and tools in more than 170 countries, across more than 600 health systems and more than 70 clinical use cases, we have already done or witnessed first-hand many of the changes that Falk anticipates Canadians will contend with as we expand channels to and modalities of care beyond the incumbent monochannel of in-person, physician-mediated service delivery. In this essay, we respond to Falk's (2022) paper in three ways: (1) we disagree with the definition of virtual care; (2) we agree with - and expand on - the analysis and ideas; and (3) we reveal two gaps in Falk's analysis that will or should be at the forefront of the Canadian discourse. That is, we disagree with the narrow framing of virtual care, we agree with the locks and keys (and suggest, from experience, other ways to think about the keys) and we table important gaps that are notably missing from the debate.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10608636","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 Services Policy Research: Uniquely Positioned to Drive Equitable System Transformation. 卫生服务政策研究:独特的定位，以推动公平的系统转型。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26862
{"title":"Health Services Policy Research: Uniquely Positioned to Drive Equitable System Transformation.","authors":"","doi":"10.12927/hcpap.2022.26862","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26862","url":null,"abstract":"<p><p>With the launch of its Strategic Plan 2021-2026, the Canadian Institutes of Health Research - Institute of Health Services Policy Research (IHSPR) has embarked on a formidable quest to secure healthcare's holy grail: health system transformation, health equity and the vaunted pillars of the Quadruple Aim (Bodenheimer and Sinsky 2014; CIHR IHSPR 2021).</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 3","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40401397","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
Inequity in Digital Health Planning in Canada. 加拿大数字健康规划中的不平等。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26963
Ewan Affleck
{"title":"Inequity in Digital Health Planning in Canada.","authors":"Ewan Affleck","doi":"10.12927/hcpap.2022.26963","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26963","url":null,"abstract":"<p><p>An evaluation of the paper by Falk (2022) in this issue using a word count method found that it omits consideration of substantial efforts, inherent data rights and experiences with virtual care from certain jurisdictions, professions and Indigenous groups. Although equity is positioned as a core policy pillar of virtual care, it is not defined, nor are factors underlying digital health inequity described. Deficits in health informatics training, regulation, pedagogy and research in Canada likely contribute to an inequitable approach to health informatics planning. A commitment to definitional rigour, taxonomic clarity and evidence-informed informatics will help promote digital health equity.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 4","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10616346","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 Network of Scholars Strategy: A Case Study of Embedded Research Activities in Nova Scotia to Advance Health System Impact and Outcomes. 学者战略网络:新斯科舍省推进卫生系统影响和结果的嵌入式研究活动的案例研究。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26845
Gail Tomblin Murphy, Tara Sampalli, Mark Embrett, Meaghan Sim, Jennifer Murdoch, Kathryn McIsaac, Logan Lawrence, Julia Guk, Andrea Carson, Caroline Chamberland-Rowe, Maggie MacLellan, Marta MacInnis, Ryley Urban
{"title":"The Network of Scholars Strategy: A Case Study of Embedded Research Activities in Nova Scotia to Advance Health System Impact and Outcomes.","authors":"Gail Tomblin Murphy,&nbsp;Tara Sampalli,&nbsp;Mark Embrett,&nbsp;Meaghan Sim,&nbsp;Jennifer Murdoch,&nbsp;Kathryn McIsaac,&nbsp;Logan Lawrence,&nbsp;Julia Guk,&nbsp;Andrea Carson,&nbsp;Caroline Chamberland-Rowe,&nbsp;Maggie MacLellan,&nbsp;Marta MacInnis,&nbsp;Ryley Urban","doi":"10.12927/hcpap.2022.26845","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26845","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 for accelerating health system transformation is well positioned to meet the strategic priorities being outlined by many health systems in Canada and internationally (CIHR IHSPR 2021). The IHSPR Health System Impact Fellow program has been a strong influence on the embedded research and scientist program in Nova Scotia, namely, the Network of Scholars Program, which was implemented just before the pandemic. The network includes scientists and scholars from diverse academic backgrounds and skill levels including alumni of the Health System Impact Fellow program. The Network of Scholars has over 30 scholars and approximately 100 academic partners and scientists supporting embedded activities such as rapid reviews, implementation science and rapid evaluation initiatives. These embedded activities are front facing to the needs and priorities of the health system. This commentary highlights the importance of IHSPR's outlined strategic plan and direction, which are consistent with the experience and the needs for embedded supports within the Nova Scotia health system.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 3","pages":"33-43"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40400005","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: 4
From Strategy to Implementation: Optimizing the Contribution of Health Services and Policy Research to Equitable Healthcare System Transformation. 从战略到实施:优化卫生服务和政策研究对公平医疗体制转型的贡献。
Healthcare Papers Pub Date : 2022-04-01 DOI: 10.12927/hcpap.2022.26840
Meghan McMahon, Jessica Nadigel, Bahar Kasaai, Nida Shahid, Erin Thompson, Richard H Glazier
{"title":"From Strategy to Implementation: Optimizing the Contribution of Health Services and Policy Research to Equitable Healthcare System Transformation.","authors":"Meghan McMahon,&nbsp;Jessica Nadigel,&nbsp;Bahar Kasaai,&nbsp;Nida Shahid,&nbsp;Erin Thompson,&nbsp;Richard H Glazier","doi":"10.12927/hcpap.2022.26840","DOIUrl":"https://doi.org/10.12927/hcpap.2022.26840","url":null,"abstract":"<p><p>The Canadian Institutes of Health Research - Institute of Health Services and Policy Research's (IHSPR) Strategic Plan 2021-2026 (CIHR IHSPR 2021) aims to accelerate healthcare system transformation to achieve the Quadruple Aim and health equity through research. This special issue features a collection of commentaries from academic and health system leaders who were invited to respond to IHSPR's strategic plan and share insights regarding the opportunities the plan presents and areas where more attention may be needed. The present paper features a response from the IHSPR team and outlines the next steps regarding implementation. IHSPR is deeply grateful to the commentary authors for their insight, advice and recommendations, which will help to inform the implementation of the plan.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 3","pages":"78-83"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40400010","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
Long-Term Care's Financial Sustainability. 长期护理的财务可持续性。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26645
Don Drummond, Duncan G Sinclair
{"title":"Long-Term Care's Financial Sustainability.","authors":"Don Drummond,&nbsp;Duncan G Sinclair","doi":"10.12927/hcpap.2021.26645","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26645","url":null,"abstract":"<p><p>A system of facilities and services to support and care for Canada's elderly people is essential and must be sustained, but long-term care (LTC), as we now know it, is not it. It is not sustainable financially either by our governments or its current and future recipients. On the upside, the policy direction should easily be changed given that those recipients' strong preference is to age in place in their own homes and communities, not in institutional care homes.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888272","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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