发布求助
文献互助 智能选刊 最新文献

Healthcare Papers最新文献

筛选
英文 中文
Beyond Engagement: Realizing Nurses' Capacity to Lead Sustainable Health Systems. 超越参与:实现护士领导可持续卫生系统的能力。
Healthcare Papers Pub Date : 2020-10-01 DOI: 10.12927/hcpap.2020.26369
Quinn Grundy, Olga Krasik, Nicole Meleca, Nicole Mills, Shugri Nour, Emma Whalen
{"title":"Beyond Engagement: Realizing Nurses' Capacity to Lead Sustainable Health Systems.","authors":"Quinn Grundy,&nbsp;Olga Krasik,&nbsp;Nicole Meleca,&nbsp;Nicole Mills,&nbsp;Shugri Nour,&nbsp;Emma Whalen","doi":"10.12927/hcpap.2020.26369","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26369","url":null,"abstract":"<p><p>The health system is a major contributor to Canada's greenhouse gas emissions, largely arising from the ways that care is organized and delivered. Nurses, representing the largest group of regulated healthcare professionals, are experts in the organization and delivery of care, and are uniquely and critically positioned to witness and address the harmful effects of climate crisis. Thus, sustainable health systems cannot be achieved without nurses. Yet, nurses' capacity to lead on issues of climate crisis and sustainability remains underdeveloped. We argue that the nursing profession needs to widely embrace climate crisis as a priority nursing problem and to take visible leadership on this issue. To enable the transformation of the health system toward sustainable and equitable delivery of care, health systems should incorporate a sustainability lens into strategic decision making, and implement and scale up nurse-led models of care. It is time to move beyond \"engaging\" or even \"empowering\" nurses to participate in sustainability initiatives. It is time for nurses to lead.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 3","pages":"67-73"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38388408","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 Search for Improving Value in Canadian Healthcare: Holy Grail or Steady Progress? 寻求提高加拿大医疗保健价值:圣杯还是稳步前进?
Healthcare Papers Pub Date : 2020-05-01 DOI: 10.12927/hcpap.2020.26264
Jason M Sutherland
{"title":"The Search for Improving Value in Canadian Healthcare: Holy Grail or Steady Progress?","authors":"Jason M Sutherland","doi":"10.12927/hcpap.2020.26264","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26264","url":null,"abstract":"<p><p>Canada is one of the world's highest per capita spenders on healthcare. Yet provinces consistently boast lackluster performance on important measures of their population's health and access to healthcare (Davis et al. 2014; Doty et al. 2020). Spurred by public reporting, unease among governments about how to fix the problem and the lack of obvious solutions, much discussion focuses on improving the \"value\" of spending on healthcare (Papanicolas et al. 2018; Shrank et al. 2019).</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 2","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38171343","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
Moving from Volume to Value with Hospital Funding Policies in Canada. 加拿大医院资助政策从数量到价值的转变。
Healthcare Papers Pub Date : 2020-05-01 DOI: 10.12927/hcpap.2020.26261
Logan Trenaman, Jason M Sutherland
{"title":"Moving from Volume to Value with Hospital Funding Policies in Canada.","authors":"Logan Trenaman,&nbsp;Jason M Sutherland","doi":"10.12927/hcpap.2020.26261","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26261","url":null,"abstract":"<p><p>Canada's two most populous provinces are moving toward activity-based funding (ABF) of hospitals. Although ABF may encourage greater value by improving cost-efficiency, it may decrease value in other respects. To address this trade-off, many jurisdictions have implemented value-based payment programs that modify ABF payments based on hospital performance on other aspects of value, such as outcomes and patient experience. In this article, the design and implementation of two value-based programs are reviewed: Australia's Pricing for Safety and Quality Program and Medicare's Hospital Value-Based Purchasing Program. The contrasts of these programs highlight key questions facing provincial payers in Canada to increase value from hospital spending.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 2","pages":"24-35"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38171272","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
"You Can't Get There from Here": Is There a Future for Value-Based Healthcare in Canada? “你不能从这里到达那里”:加拿大基于价值的医疗保健有未来吗?
Healthcare Papers Pub Date : 2020-05-01 DOI: 10.12927/hcpap.2020.26262
Erin Strumpf
{"title":"\"You Can't Get There from Here\": Is There a Future for Value-Based Healthcare in Canada?","authors":"Erin Strumpf","doi":"10.12927/hcpap.2020.26262","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26262","url":null,"abstract":"<p><p>Moving toward greater value in healthcare in Canada requires more than novel tools and policy levers. First, we need clear objectives, namely, value as defined across stakeholders with primacy given to patients and the public. Next, an unwavering commitment by payers, providers and system managers to pursue those definitions of value. At the most basic level, we need to remember whom the healthcare system is working for. Although numerous pilot projects and promising examples exist, pursuing value in healthcare in Canada will likely require a reassessment of some fundamental aspects of our healthcare systems. A pragmatic approach of learning from the successes and failures of current efforts combined with a major rethinking of the foundational and operating principles of our current systems may be required to get there from here.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 2","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38171345","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
The Value of Health Policy. 健康政策的价值。
Healthcare Papers Pub Date : 2020-05-01 DOI: 10.12927/hcpap.2020.26260
Pierre-Gerlier Forest
{"title":"The Value of Health Policy.","authors":"Pierre-Gerlier Forest","doi":"10.12927/hcpap.2020.26260","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26260","url":null,"abstract":"<p><p>Health systems are changing continuously, due to powerful forces such as scientific and technical advances, social and economic conditions and demography. Change affects health systems by disrupting their internal balance, that is, the adjustment of supply and demand for healthcare. At a high level, the answer is to adopt a policy approach that covers and connects the three areas of patient experience, health outcomes and cost-effectiveness, similar to the \"Triple Aim\" or its numerous avatars. Closer to the action, at the level at which decisions about treatment or care are made, the current trend is to focus on the \"value agenda.\"</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 2","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38171273","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: 3
Improving Value Means Increasing Population Health and Equity. 提高价值意味着提高人口健康和公平。
Healthcare Papers Pub Date : 2020-05-01 DOI: 10.12927/hcpap.2020.26263
Walter P Wodchis, Robert J Reid
{"title":"Improving Value Means Increasing Population Health and Equity.","authors":"Walter P Wodchis,&nbsp;Robert J Reid","doi":"10.12927/hcpap.2020.26263","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26263","url":null,"abstract":"<p><p>The purpose of this commentary is to outline a vision for the future of value-based healthcare in provinces across Canada and offer a few suggestions for the requirements to make substantial gains in value, based on learnings from past initiatives. We declare as our premise that improving value in healthcare means to improve population health. The goal of improving population health means to improve both average quality of life and life expectancy and to reduce inequalities in these health outcomes. That is, to \"shift and squeeze\" the population health distribution, as Dr. Patricia Martens phrased it in the Emmett Hall lecture at the Canadian Health Services and Policy Research conference in 2014.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 2","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38171344","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: 3
Working Toward Healthcare Integration: A Broad-Based Community Effort in Muskoka, Ontario. 努力实现医疗保健一体化:安大略省马斯科卡市基础广泛的社区努力。
Healthcare Papers Pub Date : 2020-02-01 DOI: 10.12927/hcpap.2020.26158
David J Mathies
{"title":"Working Toward Healthcare Integration: A Broad-Based Community Effort in Muskoka, Ontario.","authors":"David J Mathies","doi":"10.12927/hcpap.2020.26158","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26158","url":null,"abstract":"<p><p>A group with a broad representation of providers and engaged citizens (called, aptly enough, the Muskoka and Area Health Transformation, or MAHST) was formed to look for impediments to a sustainable health system in Muskoka, and propose solutions. Eventually, this group recommended a single governance for all of its community's healthcare. The current effort to develop an Ontario Health Team (OHT) should bring this endeavour to reality.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37850994","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
Value from Healthcare: No Silver Bullet. 医疗保健的价值:没有灵丹妙药。
Healthcare Papers Pub Date : 2020-02-01 DOI: 10.12927/hcpap.2020.26160
Jason M Sutherland
{"title":"Value from Healthcare: No Silver Bullet.","authors":"Jason M Sutherland","doi":"10.12927/hcpap.2020.26160","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26160","url":null,"abstract":"<p><p>Patients, caregivers, providers, provider organizations such as hospitals and provincial government funders each have their perspectives on how and when healthcare should be delivered and have expectations for its quality, convenience and efficiency. These competing viewpoints on the value from healthcare have led many to wonder: what is the path for improving value from healthcare in provinces?</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 1","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/hcpap.2020.26160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37850991","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
Integrated Care in Ontario: Unicorn or Black Swan? 安大略省的综合护理:独角兽还是黑天鹅?
Healthcare Papers Pub Date : 2020-02-01 DOI: 10.12927/hcpap.2020.26157
Paul Woods
{"title":"Integrated Care in Ontario: Unicorn or Black Swan?","authors":"Paul Woods","doi":"10.12927/hcpap.2020.26157","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26157","url":null,"abstract":"<p><p>The movement away from traditional models to organize, finance and deliver healthcare toward integrated models focusing on delivering value has been under way in many health systems and jurisdictions in the world with varying degrees of intensity and success for much of the past 20 years. I have had the opportunity to lead aspects of a multi-state health system committed to the concepts of accountable care during the first 10 years of the Patient Protection and Affordable Care Act (PPACA) in the US. For the past two years, I have assumed the role as CEO of a large academic health sciences centre in Ontario as the province embarks on a shift in policies to support integrated models of care delivery similar to those associated with the PPACA. I will describe my observations comparing two countries' move toward integrated delivery models and potential lessons for Canada.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 1","pages":"26-39"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37850996","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 Canada Ready to Partner for Value-Based Healthcare? 加拿大准备好与基于价值的医疗保健合作了吗?
Healthcare Papers Pub Date : 2020-02-01 DOI: 10.12927/hcpap.2020.26156
Jason Vanderheyden, Gabriela Prada
{"title":"Is Canada Ready to Partner for Value-Based Healthcare?","authors":"Jason Vanderheyden,&nbsp;Gabriela Prada","doi":"10.12927/hcpap.2020.26156","DOIUrl":"https://doi.org/10.12927/hcpap.2020.26156","url":null,"abstract":"<p><p>Global experience demonstrates that the transition of healthcare systems towards better value requires the collaboration of multiple actors, including health industry. Globally, several initiatives are already demonstrating the power of value-based partnerships between public and private sectors.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"19 1","pages":"40-47"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/hcpap.2020.26156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37851429","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信