发布求助
文献互助 智能选刊 最新文献

Healthcare Policy最新文献

筛选
英文 中文
Lack of Transparency in Pharmaceutical Industry Payments to Canadian Physicians and Patient Groups. 制药行业支付给加拿大医生和患者团体缺乏透明度。
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2025.27773
Joel Lexchin
{"title":"Lack of Transparency in Pharmaceutical Industry Payments to Canadian Physicians and Patient Groups.","authors":"Joel Lexchin","doi":"10.12927/hcpol.2025.27773","DOIUrl":"10.12927/hcpol.2025.27773","url":null,"abstract":"<p><p>Canada is a laggard when it comes to transparency of transfers of value between the pharmaceutical industry and physicians and patient groups. In most high-income countries, transparency is mandated by the government or required for membership in industry associations. Aside from one attempt by a previous Ontario Liberal government, provincial and federal governments have steered clear of this issue, and the role of Innovative Medicines Canada has been minimal. There is evidence showing that the receipt of payments by physicians and patient groups is associated with actions favourable to the pharmaceutical industry. Companies should have to disclose the payments that they make.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"19-27"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931567","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
Long-Stay Patients and the Curious Case of Disappearing Hospital Beds in Canada and Australia. 加拿大和澳大利亚的长期住院病人和医院病床消失的奇怪案例。
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2026.27902
Michael Pervan, Jason M Sutherland
{"title":"Long-Stay Patients and the Curious Case of Disappearing Hospital Beds in Canada and Australia.","authors":"Michael Pervan, Jason M Sutherland","doi":"10.12927/hcpol.2026.27902","DOIUrl":"10.12927/hcpol.2026.27902","url":null,"abstract":"<p><p>Imagine that a decade ago, hospital administrators, governments and policy makers fretted about hospitals being filled with patients that did not need to be there. There were so many patients unnecessarily occupying beds in Canadian hospitals that the situation became a political issue.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"6-18"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931556","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: Healthcare Partnerships, Medical Scandals and Canada's Lack of Transparency in Pharmaceutical Donations. 评论：医疗保健伙伴关系，医疗丑闻和加拿大在药品捐赠方面缺乏透明度。
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2026.27848
Sharon Batt
{"title":"Commentary: Healthcare Partnerships, Medical Scandals and Canada's Lack of Transparency in Pharmaceutical Donations.","authors":"Sharon Batt","doi":"10.12927/hcpol.2026.27848","DOIUrl":"10.12927/hcpol.2026.27848","url":null,"abstract":"<p><p>The Canadian government should fund and maintain an accessible website to make pharmaceutical companies' payments to physicians and patient groups transparent. But the government encourages these funding relationships and helps obscure their nature and extent. Furthermore, the industry's relationships with public sector actors permeate the healthcare system, creating webs of influence; a disclosure system should capture this complexity. While other high-income countries have implemented transparency requirements, their efforts sometimes resemble defensive responses to scandals. In this response to Lexchin, I discuss webs of public-private partnerships as barriers to public accountability in our health system and strategies for dismantling them.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931528","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
Reporting and Accountability: An Assessment of the 2017 Bilateral Agreements in Canada. 报告和问责制：对2017年加拿大双边协议的评估
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2026.27898
Whitney Loerzel, Leyna Lowe, Haizhen Mou
{"title":"Reporting and Accountability: An Assessment of the 2017 Bilateral Agreements in Canada.","authors":"Whitney Loerzel, Leyna Lowe, Haizhen Mou","doi":"10.12927/hcpol.2026.27898","DOIUrl":"10.12927/hcpol.2026.27898","url":null,"abstract":"<p><p>In 2017, the Canadian federal government and the provincial/territorial governments signed bilateral agreements that provided targeted federal funding. Our study focuses on the funding for mental health and addiction services and investigates whether the provinces are complying with the two conditions: financial reporting and outcome reporting. We construct report cards and find that while financial accountability is being fulfilled, performance accountability is only partially fulfilled. We make suggestions on how governments can improve the accountability associated with federal healthcare funding in the drafting of future agreements.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"82-94"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931498","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
Wildfire Evacuation Lessons From La Ronge, a Northern Saskatchewan Site: Physician Debriefings. 萨斯喀彻温省北部拉朗日地区的野火疏散经验：医师简报。
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2026.27817
Max Karnitsky, Jeffrey D C Irvine, Daniel Irvine, Veronica McKinney
{"title":"Wildfire Evacuation Lessons From La Ronge, a Northern Saskatchewan Site: Physician Debriefings.","authors":"Max Karnitsky, Jeffrey D C Irvine, Daniel Irvine, Veronica McKinney","doi":"10.12927/hcpol.2026.27817","DOIUrl":"10.12927/hcpol.2026.27817","url":null,"abstract":"<p><p>The 2025 La Ronge wildfire evacuation highlights vulnerabilities in rural health system readiness during climate-driven emergencies. Reflections from 12 family physicians revealed challenges in communication redundancy, clarity of emergency governance, continuity of care for evacuated patients and the emotional strain of dual responder-evacuee roles. These insights, gathered through a post-evacuation debrief, represent physicians' perspectives rather than assessments of organizational performance. The findings echo lessons from previous Canadian wildfires and inform policy directions to strengthen communication systems, clinical integration in emergency operations, patient-tracking processes and trauma-informed supports for rural and northern health system resilience.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931563","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
Advancing Community Engagement in Healthcare in Rural British Columbia: A Gap Analysis to Improve Community Involvement in Healthcare Planning. 推进社区参与不列颠哥伦比亚省农村医疗保健：差距分析，以提高社区参与医疗保健计划。
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2026.27899
Jude Kornelsen, Paul Adams, Kate Wills
{"title":"Advancing Community Engagement in Healthcare in Rural British Columbia: A Gap Analysis to Improve Community Involvement in Healthcare Planning.","authors":"Jude Kornelsen, Paul Adams, Kate Wills","doi":"10.12927/hcpol.2026.27899","DOIUrl":"10.12927/hcpol.2026.27899","url":null,"abstract":"<p><p>Although community engagement in health service decision making is a cornerstone of effective planning that meets local population needs, there is limited information on how these practices are being undertaken and their level of efficacy from the perspective of community members. This pan-provincial survey research in British Columbia (BC) considered whether or not there is a gap between rural community voices and their inclusion in health planning through an online survey of rural community residents (<i>N</i> = 707). Responses were analyzed based on an amended IAP2 Spectrum framework and revealed that, despite provincial, regional and interest group mandates around community engagement in healthcare planning, there has been an erosion of trust between rural communities and BC's healthcare system. This has led to low levels of confidence in healthcare decision makers and a lack of meaningful participation in decision-making processes. Rebuilding trust is a precursor to addressing this issue in a meaningful way.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"64-81"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931587","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
Should Health Canada Use Reports From Foreign Regulators to Approve New Drugs? 加拿大卫生部是否应该使用外国监管机构的报告来批准新药？
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2026.27900
Joel Lexchin
{"title":"Should Health Canada Use Reports From Foreign Regulators to Approve New Drugs?","authors":"Joel Lexchin","doi":"10.12927/hcpol.2026.27900","DOIUrl":"10.12927/hcpol.2026.27900","url":null,"abstract":"<p><p>Health Canada is consulting on whether to use reports from foreign regulators as the basis for approving new drugs. This Data Matters article looks at three metrics: the time gap between submission of new drug applications to the Food and Drug Administration (FDA) and Health Canada; the time gap between FDA and Health Canada approval of new drugs; and the proportion of FDA-approved new drugs that are also approved by Health Canada. This article argues that there is no convincing evidence that such a change is necessary. Health Canada should pause its plans for using foreign regulator reports until it can show that its initiative is necessary to improve the health of Canadians.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931593","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: Beyond Preparedness: What Rural Wildfire Evacuations Reveal About Health System Interfaces. 评论：超越准备：什么农村野火疏散揭示卫生系统接口。
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2026.27895
Ellen Schenk
{"title":"Commentary: Beyond Preparedness: What Rural Wildfire Evacuations Reveal About Health System Interfaces.","authors":"Ellen Schenk","doi":"10.12927/hcpol.2026.27895","DOIUrl":"10.12927/hcpol.2026.27895","url":null,"abstract":"<p><p>This rejoinder reflects on Karnitsky and colleagues' account of the 2025 La Ronge wildfire evacuation, arguing that the case highlights not a system failure but rather system stress at critical governance and communication interfaces. The commentary extends the discussion by examining how emergency preparedness often underestimates failures that occur between organizational levels rather than within them. It emphasizes communication redundancy as an equity issue, continuity-of-care infrastructure during displacement and the ethical strain placed on rural clinicians serving as both responders and evacuees. Together, these insights suggest design principles for climate-resilient health systems.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"44-47"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931539","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
Who's Coming Through the Door? Quantifying Care Continuity of Personal Support Services in Home Care. 谁进来了？量化家居护理中个人支援服务的护理连续性。
Healthcare Policy Pub Date : 2026-08-01 DOI: 10.12927/hcpol.2026.27901
Sandra M McKay, Travis A Van Belle, David Fry, Kathryn A Nichol, Trevor Heer, William Lomas, Emily C King
{"title":"Who's Coming Through the Door? Quantifying Care Continuity of Personal Support Services in Home Care.","authors":"Sandra M McKay, Travis A Van Belle, David Fry, Kathryn A Nichol, Trevor Heer, William Lomas, Emily C King","doi":"10.12927/hcpol.2026.27901","DOIUrl":"10.12927/hcpol.2026.27901","url":null,"abstract":"<p><p>Continuity is an important contributor to care quality. Objective measurement of care continuity is required to support quality improvement and track provider organization performance. The high-intensity, long-term nature of in-home personal support and the implications of employment standards make it inappropriate to idealize a single-provider model. To measure continuity in team-based care, we propose and demonstrate the application of four accessible, complementary metrics and demonstrate how these can reveal the diversity of client experiences. These metrics can be used to drive quality improvement and create benchmarks that define appropriate levels of performance with respect to care continuity.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 4","pages":"48-56"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931525","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
When Safety Promotion Impairs Access to Care: Lessons From Endoscopy Across Canada. 当安全宣传妨碍获得护理：来自加拿大各地内窥镜检查的经验教训。
Healthcare Policy Pub Date : 2026-05-01 DOI: 10.12927/hcpol.2026.27836
Simon Houston, Amanda Porter
{"title":"When Safety Promotion Impairs Access to Care: Lessons From Endoscopy Across Canada.","authors":"Simon Houston, Amanda Porter","doi":"10.12927/hcpol.2026.27836","DOIUrl":"10.12927/hcpol.2026.27836","url":null,"abstract":"<p><p>An informal review of existing conscious sedation policies across Canada shows that, following endoscopic procedures, many sites require that a patient be accompanied home and cared for by a support person. Though well-intended, these policies may act as a barrier to care for vulnerable persons or result in unnecessary hospital admissions. We argue that equity requires more flexibility, creativity and risk tolerance in the application or interpretation of safety-related rules in particular situations. Unexamined common practices can sometimes pull against our responsibility to promote greater equity and access to care. Revisiting these policies and practices could reduce inequities in healthcare accessibility.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 3","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018045","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
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
小红书