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Commentary: Risk and Causality: The Contribution of Policy Researchers to Public Decisions. 评论：风险与因果关系：政策研究者对公共决策的贡献。
Healthcare Policy Pub Date : 2025-05-01 DOI: 10.12927/hcpol.2025.27615
Pierre-Gerlier Forest
{"title":"Commentary: Risk and Causality: The Contribution of Policy Researchers to Public Decisions.","authors":"Pierre-Gerlier Forest","doi":"10.12927/hcpol.2025.27615","DOIUrl":"10.12927/hcpol.2025.27615","url":null,"abstract":"<p><p>In his introduction to the translation into French of Max Weber's famous conferences on science and politics, Raymond Aron makes the insightful suggestion that public decisions must start with two distinct <i>conjectures</i> (Aron 1963: 11). One concerns the risks arising from policy action, or inaction, in a situation or context that is always unique and peculiar, and the other, the uncertainty attached to the results of the action. Greatly simplified, because a decision is rarely made by only one person, outside an institution and the constraints that follow, a decision maker's first order of business is to consider the many consequences that may stem from intervening (or not) to change a situation or solve a problem (Tong 1987). In parallel, the decision maker will want evidence that the measures that are considered can succeed, based on experience or by default, on some plausible \"theory\" of social action (Edenhofer and Kowarsch 2019).</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"35-39"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conceiving Policy Design: Perspectives From Women Pursuing IVF in British Columbia. 怀孕政策设计：来自不列颠哥伦比亚省寻求试管婴儿的妇女的观点。
Healthcare Policy Pub Date : 2025-05-01 DOI: 10.12927/hcpol.2025.27545
Jenna Quelch
{"title":"Conceiving Policy Design: Perspectives From Women Pursuing IVF in British Columbia.","authors":"Jenna Quelch","doi":"10.12927/hcpol.2025.27545","DOIUrl":"10.12927/hcpol.2025.27545","url":null,"abstract":"<p><p>People experiencing infertility often face challenges accessing treatment, such as in vitro fertilization (IVF), especially in contexts where treatments are not funded by government or public health insurance plans. Using an original survey, this paper examines barriers to accessing IVF in British Columbia (BC), a province that recently announced that it would start funding IVF, beginning in fiscal year 2025/26. The survey findings highlight the financial, geographic and personal barriers that limit access to treatment. BC's new publicly funded IVF program should address patient challenges related to upfront costs, regional variation in the unaffordability of treatment and existing research related to embryo transfer limits in other provinces.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"46-57"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Provincial Leadership and Green Shoots: Where to Look for Innovation. 省级领导和新芽：在哪里寻找创新。
Healthcare Policy Pub Date : 2025-05-01 DOI: 10.12927/hcpol.2025.27599
Jason M Sutherland
{"title":"Provincial Leadership and Green Shoots: Where to Look for Innovation.","authors":"Jason M Sutherland","doi":"10.12927/hcpol.2025.27599","DOIUrl":"10.12927/hcpol.2025.27599","url":null,"abstract":"<p><p>The recent federal election highlighted an unfortunate fact: the national political parties were not able or willing to prioritize and champion the needed health reforms to be enacted by provinces. Each of the national parties offered few innovations beyond spending more money in the same way to buy access to family physicians.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advice or Advocacy - Varying Perceptions of Health Services and Policy Researcher Activities. 建议或倡导-对卫生服务和政策研究人员活动的不同看法。
Healthcare Policy Pub Date : 2025-05-01 DOI: 10.12927/hcpol.2025.27519
P Alison Paprica, Walter P Wodchis, Kimberlyn M Mcgrail
{"title":"Advice or Advocacy - Varying Perceptions of Health Services and Policy Researcher Activities.","authors":"P Alison Paprica, Walter P Wodchis, Kimberlyn M Mcgrail","doi":"10.12927/hcpol.2025.27519","DOIUrl":"10.12927/hcpol.2025.27519","url":null,"abstract":"<p><p>The line between objective advice and advocacy may be blurred for health services and policy researchers who work closely with policy makers. Our study of 22 participants' perceptions of a five-part fictional scenario in which a researcher has increasing involvement with the ministry of health found extensive variation in what participants perceived to be objective advice or advocacy. Based on this variation, we believe that health services and policy researchers cannot completely avoid the risk of being perceived as issue advocates, whether by peers or by policy makers, and suggest some possible ways to mitigate risk.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Explains Interprovincial Differences in the Uptake of Autonomous NP Primary Care Practice? 如何解释自主NP初级保健实践的省际差异？
Healthcare Policy Pub Date : 2025-05-01 DOI: 10.12927/hcpol.2025.27601
Damien Contandriopoulos, Katherine Bertoni
{"title":"What Explains Interprovincial Differences in the Uptake of Autonomous NP Primary Care Practice?","authors":"Damien Contandriopoulos, Katherine Bertoni","doi":"10.12927/hcpol.2025.27601","DOIUrl":"10.12927/hcpol.2025.27601","url":null,"abstract":"<p><p>This paper examines trends in the evolution of the primary care nurse practitioner (NP) workforce in Canada. Specifically, it focuses on two linear regression models. One, unsurprisingly, shows that the number of NPs per capita is positively correlated with the proportion of people declaring having an NP as their regular provider. The second shows that the proportion of patients without a regular provider in a province is very strongly correlated with the proportion of people declaring having an NP as their regular provider. In our view, this analysis supports the hypothesis that NPs are granted more autonomy only when access to care becomes critically constrained.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescent Access to Abortion Care in Canada: Age, Capacity and Parental Consent. 加拿大青少年获得堕胎护理：年龄、能力和父母同意。
Healthcare Policy Pub Date : 2025-05-01 DOI: 10.12927/hcpol.2024.27474
Alana Cattapan, Kathleen Hammond, Eleanor Mcgrath
{"title":"Adolescent Access to Abortion Care in Canada: Age, Capacity and Parental Consent.","authors":"Alana Cattapan, Kathleen Hammond, Eleanor Mcgrath","doi":"10.12927/hcpol.2024.27474","DOIUrl":"10.12927/hcpol.2024.27474","url":null,"abstract":"<p><p>For adolescents seeking abortion care in Canada, clear information about age and parental consent requirements is not always available. This article details the state of age of consent law and policy across Canada, focusing on access to abortion care. It identifies three key concerns, namely, challenges with unclear or contradictory information, obstacles presented by having additional requirements for minors' consent and difficulties posed by restrictions that require parents and/or guardians to be involved in decision making. The article concludes with recommendations to reduce these barriers to care.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary: Adolescents, Marginalization(s) and Abortion Care in Canada. 评论：加拿大的青少年、边缘化和堕胎护理。
Healthcare Policy Pub Date : 2025-05-01 DOI: 10.12927/hcpol.2025.27600
Tobin Leblanc Haley, Ghazal Motamedi
{"title":"Commentary: Adolescents, Marginalization(s) and Abortion Care in Canada.","authors":"Tobin Leblanc Haley, Ghazal Motamedi","doi":"10.12927/hcpol.2025.27600","DOIUrl":"10.12927/hcpol.2025.27600","url":null,"abstract":"<p><p>Abortion access in Canada has improved in the past 37 years. However, as healthcare delivery is primarily a provincial/territorial responsibility, there are divergences in the administration and operation of abortion care, including coverage in rural areas, access to telemedicine for medication abortion and the laws and policies governing medical consent for minors. In addition, the access and experience of care are often conditioned by raced, classed and gendered inequalities. When considering abortion care in Canada, it is vital to consider the complexities of federalism, the realities of rural and semi-rural life and intersecting forms of marginalization impacting service users, especially adolescents.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impacts of Homecare Investments in Alberta: Ecological and Economic Trend Analysis. 阿尔伯塔省家庭护理投资的影响：生态和经济趋势分析。
Healthcare Policy Pub Date : 2025-05-01 DOI: 10.12927/hcpol.2025.27616
Max Jajszczok, Cathy A Eastwood, Mingshan Lu, Ceara Cunningham, Hude Quan
{"title":"Impacts of Homecare Investments in Alberta: Ecological and Economic Trend Analysis.","authors":"Max Jajszczok, Cathy A Eastwood, Mingshan Lu, Ceara Cunningham, Hude Quan","doi":"10.12927/hcpol.2025.27616","DOIUrl":"10.12927/hcpol.2025.27616","url":null,"abstract":"<p><p>No standardized cost-based homecare-specific indicators are used provincially or nationally in Canada. We trended and portrayed Alberta's homecare costs and health system usage between 2015-16 and 2019-20. In addition, we conducted a cost-effectiveness ratio analysis. Total avoided acute care utilization was estimated at 346.2 thousand in-patient days. With $240.3 million in homecare investments above general growth, our cost-effectiveness ratio is 694:1. Application of these cost-based indicators reveals that homecare programs improve system cost-effectiveness. These indicators can assist health-system policy makers in understanding how systems are structured, specifically in achieving the goal of sustaining the publicly funded health system.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 3","pages":"58-77"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicine List for Public Funding From Existing Lists. 从现有药物清单中获得公共资助的药物清单。
Healthcare Policy Pub Date : 2025-02-01 DOI: 10.12927/hcpol.2025.27563
Ronan Murphy, Amal Rizvi, Moizza Zia Ul Haq, Nav Persaud
{"title":"Medicine List for Public Funding From Existing Lists.","authors":"Ronan Murphy, Amal Rizvi, Moizza Zia Ul Haq, Nav Persaud","doi":"10.12927/hcpol.2025.27563","DOIUrl":"https://doi.org/10.12927/hcpol.2025.27563","url":null,"abstract":"<p><p>A Canadian list of essential medicines to be publicly funded is crucial for implementing national universal pharmacare. The federal government maintains multiple medicine lists of publicly funded medicines for specific populations in Canada. Despite significant overlap across these lists, Canada does not yet have a single list that defines a minimum set of publicly funded medicines for everyone in Canada. Instead of creating a list from scratch, extant federal lists could form the basis for a harmonized list for all Canadians. We examined seven federal lists of publicly funded medicines and made recommendations for a potential future Canadian essential medicines list.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 2","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advance Requests for Medical Assistance in Dying in the International Context: Some Legal Issues for the Canadian Case. 国际背景下临终医疗协助的预先请求：加拿大案件的一些法律问题。
Healthcare Policy Pub Date : 2025-02-01 DOI: 10.12927/hcpol.2025.27478
Luis Espericueta
{"title":"Advance Requests for Medical Assistance in Dying in the International Context: Some Legal Issues for the Canadian Case.","authors":"Luis Espericueta","doi":"10.12927/hcpol.2025.27478","DOIUrl":"10.12927/hcpol.2025.27478","url":null,"abstract":"<p><p>An advance request for medical assistance in dying (MAiD) (ARM) is a document that allows individuals to request euthanasia if they lose their decision-making capacity. Currently, it is available in all countries where MAiD is permitted for individuals suffering from a serious and incurable illness whose natural death is not reasonably foreseeable, except in Canada. In this country, various citizen and parliamentary initiatives are considering the inclusion of this document in national legislation. This article presents for the first time a compilation of all ARM regulations worldwide. Analysis of the international framework suggests that the requirements for drafting an ARM could influence the effective implementation of patients' wishes.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 2","pages":"17-24"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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