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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":"https://doi.org/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
Commentary: Fixing Fraying? A Response to Milinkovic and Hurley. 评论：修复磨损？对米林科维奇和赫尔利的回应。
Healthcare Policy Pub Date : 2025-02-01 DOI: 10.12927/hcpol.2025.27562
Stephen Duckett
{"title":"Commentary: Fixing Fraying? A Response to Milinkovic and Hurley.","authors":"Stephen Duckett","doi":"10.12927/hcpol.2025.27562","DOIUrl":"https://doi.org/10.12927/hcpol.2025.27562","url":null,"abstract":"<p><p>Privatization - either of funding or provision - is not a solution to Canada's health system woes. However, access issues abound, and part - but only part - of the solution should be to look to improve efficiency of service delivery so that better access can be achieved with the same money.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 2","pages":"41-43"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051373","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
From Talking to Action: Changing Healthcare in Provinces and Territories. 从讨论到行动：改变各省和地区的医疗保健。
Healthcare Policy Pub Date : 2025-02-01 DOI: 10.12927/hcpol.2025.27560
Fiona Clement, Jason M Sutherland
{"title":"From Talking to Action: Changing Healthcare in Provinces and Territories.","authors":"Fiona Clement, Jason M Sutherland","doi":"10.12927/hcpol.2025.27560","DOIUrl":"https://doi.org/10.12927/hcpol.2025.27560","url":null,"abstract":"<p><p>There is no doubt that healthcare systems in Canada's provinces and territories are under duress - staffing problems, costly technology adoptions and barriers to accessing care are endemic. Among those who are already ill, the systems' problems create frustration, anxiety and even unchecked disease progression for some people. The worst instances are seen in the media almost daily; the result is an erosion of trust among the Canadian public who had been assured that high-quality medically necessary services would be accessible when needed.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 2","pages":"6-16"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029064","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
The Role and Influence of Federally Established Health Policy Advisory Bodies in Canada. 加拿大联邦建立的卫生政策咨询机构的作用和影响。
Healthcare Policy Pub Date : 2025-02-01 DOI: 10.12927/hcpol.2025.27502
Amity E Quinn, Rachelle Drummond, Tom Noseworthy, Fiona Clement, Stephana Moss, Emily Fitzgerald, Melanie Columbus, Brenlea Farkas, Henry T Stelfox
{"title":"The Role and Influence of Federally Established Health Policy Advisory Bodies in Canada.","authors":"Amity E Quinn, Rachelle Drummond, Tom Noseworthy, Fiona Clement, Stephana Moss, Emily Fitzgerald, Melanie Columbus, Brenlea Farkas, Henry T Stelfox","doi":"10.12927/hcpol.2025.27502","DOIUrl":"https://doi.org/10.12927/hcpol.2025.27502","url":null,"abstract":"<p><p>Since the passage of the <i>Canada Health Act</i> (1985), there have been many advisory bodies established by successive federal governments, each tasked with providing advice and making recommendations about where and how to improve the health system. Our analysis of interviews with advisory board members and implementers (e.g., ministry of health leaders, staff and consultants) addresses why participants perceived their advice and recommendations were generally not implemented and informal strategy groups used to facilitate implementation. We recommend that future health system advisory bodies focus on coalition building during policy development, integrate implementation plans into policy recommendations and evaluate the impact of policy recommendations.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 2","pages":"52-65"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014629","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: Ethics and Advance Requests for MAiD: Thresholds and Applicability. 评论：女佣的道德和提前请求：门槛和适用性。
Healthcare Policy Pub Date : 2025-02-01 DOI: 10.12927/hcpol.2025.27561
Cameron Cattell, Cheryl Mack
{"title":"Commentary: Ethics and Advance Requests for MAiD: Thresholds and Applicability.","authors":"Cameron Cattell, Cheryl Mack","doi":"10.12927/hcpol.2025.27561","DOIUrl":"https://doi.org/10.12927/hcpol.2025.27561","url":null,"abstract":"<p><p>We seek to highlight key ethical considerations that arise as Canada considers an expansion of medical assistance in dying (MAiD) to include advance requests. To do so, we will first highlight the ethical and practical concerns that arise with advance care planning and advance directives in general and then draw attention to the unique considerations that arise with advance requests for MAiD. Finally, we will take a closer look at the concerns that will arise with an expansion to include the population with dementia. We will argue that the stakeholder concerns for a vulnerable population such as dementia patients are significant. Legislative frameworks will need to address these concerns to ensure the safety of individual patients and support the role of surrogates and healthcare providers in this process.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 2","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020022","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
Health Worker Protests in Canada: A Descriptive Analysis of Protest Events From 2021-2022. 加拿大卫生工作者抗议：2021-2022年抗议事件的描述性分析
Healthcare Policy Pub Date : 2025-02-01 DOI: 10.12927/hcpol.2025.27564
Veena Sriram, Meena Rakasi, Kartik Sharma, Michael R Law, Sorcha A Brophy
{"title":"Health Worker Protests in Canada: A Descriptive Analysis of Protest Events From 2021-2022.","authors":"Veena Sriram, Meena Rakasi, Kartik Sharma, Michael R Law, Sorcha A Brophy","doi":"10.12927/hcpol.2025.27564","DOIUrl":"https://doi.org/10.12927/hcpol.2025.27564","url":null,"abstract":"<p><strong>Objectives: </strong>We analyzed protest events undertaken by health workers in Canada in 2021 and 2022. Our analysis focused on the quantity and distribution of protests within Canada, policy demands expressed by organizers and the temporal sequence of protest events.</p><p><strong>Methods: </strong>Our data came from the Armed Conflict Location and Event Data (ACLED) project, which includes a dataset with all health worker-involved protest events in specific jurisdictions, including Canada. Using an existing taxonomy of policy demands for protest events, we analyzed specific types of protests, protest demands and temporal trends.</p><p><strong>Results: </strong>Over our study period, ACLED identified 157 health worker protests. Events took place in all provinces, with Ontario recording the highest proportion (~40%). The majority of protests focused on working conditions and remuneration (57%), followed by public policy (26%) and health services delivery (21%). The most frequent subcategories were compensation (<i>n</i> = 48), anti-vaccination mandates (<i>n</i> = 38) and understaffing/patient overload (<i>n</i> = 19).</p><p><strong>Conclusion: </strong>Canadian health workers expressed concerns on policy issues ranging from opposition to COVID-19 mitigation to underinvestment in health systems. Identifying and recognizing these drivers and developing targeted policy to address them through inclusive and sustained engagement with health workers will contribute to long-term solutions.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 2","pages":"66-82"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050384","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
The Fraying at the Edges of the Public Healthcare System in Canada. 加拿大公共医疗体系边缘的磨损。
Healthcare Policy Pub Date : 2025-02-01 DOI: 10.12927/hcpol.2025.27538
Deborah Milinkovic, Jeremiah Hurley
{"title":"The Fraying at the Edges of the Public Healthcare System in Canada.","authors":"Deborah Milinkovic, Jeremiah Hurley","doi":"10.12927/hcpol.2025.27538","DOIUrl":"https://doi.org/10.12927/hcpol.2025.27538","url":null,"abstract":"<p><p>Since the passage of the <i>Canada Health Act</i> (CHA) in the mid 1980s, advocates for private finance in Canada have challenged the CHA and its underlying access and equity principles. Such challenges have grown in recent years to encompass, among other things, facility fees, membership fees, private virtual care, private interprovincial surgery clinics and private practice nurse practitioners. The continued technological and organizational evolution of healthcare will expand and complicate this further over time. A multipronged approach is needed that includes expanded data to support research on the impacts of such activity, new regulatory frameworks and coordinated action across levels of government.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 2","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990078","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
"You Can't Let Go" - A Black Community Leader's Perspective on Engagement and Advocacy. "你不能放手"--黑人社区领袖对参与和宣传的看法。
Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27411
Lanre Tunji-Ajayi
{"title":"\"You Can't Let Go\" - A Black Community Leader's Perspective on Engagement and Advocacy.","authors":"Lanre Tunji-Ajayi","doi":"10.12927/hcpol.2024.27411","DOIUrl":"10.12927/hcpol.2024.27411","url":null,"abstract":"<p><p>Lanre Tunji-Ajayi is president and CEO of the Sickle Cell Awareness Group of Ontario (SCAGO). This charitable organization focuses on ameliorating the lives of those living with sickle cell disease by providing evidence-based support to patients and supporting clinical and psychosocial research, health promotion and the development of best practice guidelines. Lanre's passion for this work is personal. Following the death of her brother Sunday Afolabi from preventable and treatable complications of sickle cell disease, Lanre immersed herself in advocacy for community health and quality patient care. In this oral history narrative, Lanre reflects on her decades-long journey advocating for those living with sickle cell disease - a disease which disproportionately affects Black people. Her reflections focus acutely on the challenges she has faced in raising awareness and visibility, including through formal public engagement policy processes. Lanre also speaks to the personal costs she has encountered engaging in this advocacy work and the subtle and institutionalized forms of anti-Black racism that have punctuated this already difficult effort to bring about change.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 SP","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477004","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
Recruiting for Engagement in Health Policy. 招聘参与卫生政策的人员。
Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27415
Joanna Massie, Katherine Boothe
{"title":"Recruiting for Engagement in Health Policy.","authors":"Joanna Massie, Katherine Boothe","doi":"10.12927/hcpol.2024.27415","DOIUrl":"10.12927/hcpol.2024.27415","url":null,"abstract":"<p><strong>Background: </strong>Who participates in public and patient engagement processes, and in what capacity they participate, matters. The strategies employed to recruit participants shape the outcomes and legitimacy of engagement processes. We explore these issues through a case study of workshop recruitment.</p><p><strong>Methods: </strong>We conducted a mixed-methods study drawing on literature about existing theories of engagement, and integrated findings from the research team's own public engagement workshop in September 2022. We sought to align theoretical frameworks with practical approaches to recruiting for engagement.</p><p><strong>Results: </strong>There are inherent trade-offs in recruitment methods. While the theory of recruitment is valuable, practical implementation is complex and highly context-dependent. Engaging existing partners and fostering relationships beyond specific events is crucial. Hybrid workshops and low-barrier honoraria promote participation; however, decisions about location and time create barriers. Finally, balancing trusting relationships with critical perspectives can create tension.</p><p><strong>Discussion: </strong>Recruitment is foundational for the engagement process, and requires flexibility, responsiveness and a realistic understanding of barriers. Our study suggests that there is no universal formula for ideal participant makeup or event format. Meaningful engagement requires ongoing dialogue and constant adjustment based on practice. Policy makers can use these insights to align recruitment and engagement strategies with their goals in order to move beyond quick, technocratic fixes.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 SP","pages":"36-47"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477010","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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