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Electronic Access to and Exchange of Patient Information Among Physicians Practising in Canada. 加拿大执业医师对患者信息的电子访问和交换。
Healthcare Policy Pub Date : 2026-02-01 DOI: 10.12927/hcpol.2026.27799
Waldo Beauséjour, Bobby Gheorghiu, Owen Adams, Rashaad Bhyat, Simon Hagens
{"title":"Electronic Access to and Exchange of Patient Information Among Physicians Practising in Canada.","authors":"Waldo Beauséjour, Bobby Gheorghiu, Owen Adams, Rashaad Bhyat, Simon Hagens","doi":"10.12927/hcpol.2026.27799","DOIUrl":"10.12927/hcpol.2026.27799","url":null,"abstract":"<p><p>Physicians require timely access to patient information to provide effective care. However, in Canada, most of this information is siloed in unconnected systems, limiting access at the point of care. This paper analyzes the current state of electronic access to and exchange of patient information among Canadian physicians, using data from the 2024 Infoway-Canadian Medical Association survey of physicians. Using descriptive analysis, the paper reveals an imbalance between the growing adoption of digital health solutions (notably electronic medical records and electronic health records) and advancements in interoperability. To achieve a more connected digital health ecosystem, the paper calls for policy efforts, data-sharing frameworks and incentive strategies.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 2","pages":"37-48"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500103","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
Tears, Suffering and System Failure: What My Father's Pain Revealed About the Canadian Healthcare System. 眼泪，痛苦和系统故障：我父亲的痛苦揭示了加拿大医疗体系。
Healthcare Policy Pub Date : 2026-02-01 DOI: 10.12927/hcpol.2025.27769
Natalie Giannotti
{"title":"Tears, Suffering and System Failure: What My Father's Pain Revealed About the Canadian Healthcare System.","authors":"Natalie Giannotti","doi":"10.12927/hcpol.2025.27769","DOIUrl":"10.12927/hcpol.2025.27769","url":null,"abstract":"<p><strong>Background: </strong>Despite universal healthcare, Canadian cancer patients continue to face preventable suffering linked to diagnostic delays, fragmented care and unmet symptom needs.</p><p><strong>Objective: </strong>To analyze one patient's cancer journey through established quality frameworks and translate findings into evidence-informed policy reforms.</p><p><strong>Methods: </strong>A narrative of advanced cancer care was examined using five intersecting frameworks: (1) high-reliability organizations; (2) patient-centred care; (3) value-based care; (4) quality improvement; and (5) systems thinking. These frameworks were applied to identify system-level failures and policy gaps.</p><p><strong>Results: </strong>Analysis revealed system failures linked to diagnosis communication, care coordination, symptom response and access.</p><p><strong>Conclusions: </strong>Four reforms are proposed to strengthen reliability and compassion in cancer care by treating suffering as a clinical emergency.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 2","pages":"49-65"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500114","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
Do Politics and Healthcare Intersect in 2026? 2026年政治和医疗会相交吗？
Healthcare Policy Pub Date : 2026-02-01 DOI: 10.12927/hcpol.2026.27798
Jason M Sutherland
{"title":"Do Politics and Healthcare Intersect in 2026?","authors":"Jason M Sutherland","doi":"10.12927/hcpol.2026.27798","DOIUrl":"10.12927/hcpol.2026.27798","url":null,"abstract":"<p><p>Do you trust our prime minister to fix your overcrowded emergency departments, reduce waits for your surgery or find you a primary care doctor? Do you trust your premier to do the same or your minister of health?</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 2","pages":"6-18"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500086","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
Barriers and Solutions to Healthcare Access for Immigrants in Canada. 加拿大移民获得医疗保健的障碍和解决办法。
Healthcare Policy Pub Date : 2026-02-01 DOI: 10.12927/hcpol.2025.27653
Michael Y Guo, Ahmer A Karimuddin, Michael Bond, Jason M Sutherland
{"title":"Barriers and Solutions to Healthcare Access for Immigrants in Canada.","authors":"Michael Y Guo, Ahmer A Karimuddin, Michael Bond, Jason M Sutherland","doi":"10.12927/hcpol.2025.27653","DOIUrl":"10.12927/hcpol.2025.27653","url":null,"abstract":"<p><p>Canada has higher rates of immigration than many high-income countries. Provinces' health systems have been slow to adapt new policies and practices to accommodate the newcomers. New immigrants are left to \"shoehorn\" themselves into health systems that were not designed for their languages, culture or preferences for care. For immigrants, language barriers impede communication, undermine the clinician-patient relationship and discourage healthcare-seeking behaviours. New policies are needed to break down barriers, so provinces' health systems do not exacerbate health inequalities.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 2","pages":"19-27"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500081","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
Authentically and Effectively Addressing Migrant Health Needs. 切实有效地解决移徙者的保健需要。
Healthcare Policy Pub Date : 2026-02-01 DOI: 10.12927/hcpol.2026.27796
Akshaya Neil Arya
{"title":"Authentically and Effectively Addressing Migrant Health Needs.","authors":"Akshaya Neil Arya","doi":"10.12927/hcpol.2026.27796","DOIUrl":"10.12927/hcpol.2026.27796","url":null,"abstract":"<p><p>This rejoinder proposes solutions to improve the health of newcomers, reflecting the author's clinical, teaching, research and advocacy experience. Tackling declining physical and mental migrant health requires an appreciation of varied experiences before and within Canada, necessitating a holistic approach involving the health system and beyond. Using examples of recent migration waves, the author implores policy makers to move beyond system constraints, consult with those implementing and with those affected and develop funding models to support interdisciplinary team-based specialized primary care clinics. Concurring with the importance of interpretation, the author would, however, base this in justice, and beyond training health professionals in cultural competency, asserts the need to address power, institutional responsibility and the right to health.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 2","pages":"28-36"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500088","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
Canada's Hospitals Under Stress: Is More Money the Only Answer? 加拿大医院面临压力：增加资金是唯一的解决办法吗？
Healthcare Policy Pub Date : 2025-11-01 DOI: 10.12927/hcpol.2025.27745
Jason M Sutherland
{"title":"Canada's Hospitals Under Stress: Is More Money the Only Answer?","authors":"Jason M Sutherland","doi":"10.12927/hcpol.2025.27745","DOIUrl":"10.12927/hcpol.2025.27745","url":null,"abstract":"<p><p>Hospitals are in tough straights currently with queues in their emergency departments and very long wait times for elective surgery. Many hospitals are also bleeding red ink. Prominent teaching hospitals are facing multi-million-dollar operating deficits in Ontario. Hamilton Health Sciences and The Ottawa Hospital each reported operating deficits of more than $20 million in 2025 (Hamilton Health Sciences Corporation 2025; The Ottawa Hospital 2025).</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 1","pages":"6-18"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12782357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783200","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: Breaking Ixion's Wheel: Escaping Canada's Self-Inflicted Cycle of Primary Care Crisis and Renewal. 评论：打破伊克西翁的车轮：逃离加拿大初级保健危机和更新的自我造成的循环。
Healthcare Policy Pub Date : 2025-11-01 DOI: 10.12927/hcpol.2025.27742
Monica Aggarwal
{"title":"Commentary: Breaking Ixion's Wheel: Escaping Canada's Self-Inflicted Cycle of Primary Care Crisis and Renewal.","authors":"Monica Aggarwal","doi":"10.12927/hcpol.2025.27742","DOIUrl":"10.12927/hcpol.2025.27742","url":null,"abstract":"<p><p>Proposals to \"fix\" Canada's primary care crisis by expanding the workforce or scaling up interprofessional teams risk repeating past failures. The deeper challenge lies in structural fragmentation, the absence of coherent system design and weak accountability. Sustainable transformation requires more than piecemeal reforms or pilot projects. It demands implementing a systems approach that is premised on a consensus-based, pan-Canadian strategy anchored in shared aims, principles and investments in the structural attributes of high-performing primary care systems. These evidence-informed attributes are identified in the Aggarwal-Hutchison framework. Without meaningful structural reform, new spending will yield only incremental gains, keeping Canada bound to Ixion's wheel - a self-inflicted cycle of crisis, renewal and disappointment.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 1","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12782353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783230","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
Pharmacists' Perspectives on Delivery of Clinical Services and the Current Payment Model in British Columbia, Canada. 加拿大不列颠哥伦比亚省药剂师对临床服务交付和当前支付模式的看法。
Healthcare Policy Pub Date : 2025-11-01 DOI: 10.12927/hcpol.2025.27693
Angela Pang, Mary H Berger, Adam Easterbrook, Alexander C T Tam, Nick Bansback, Michael R Law, Craig Mitton, Larry D Lynd, Peter J Zed, I Fan Kuo, L Olivia Tseng, Wei Zhang
{"title":"Pharmacists' Perspectives on Delivery of Clinical Services and the Current Payment Model in British Columbia, Canada.","authors":"Angela Pang, Mary H Berger, Adam Easterbrook, Alexander C T Tam, Nick Bansback, Michael R Law, Craig Mitton, Larry D Lynd, Peter J Zed, I Fan Kuo, L Olivia Tseng, Wei Zhang","doi":"10.12927/hcpol.2025.27693","DOIUrl":"10.12927/hcpol.2025.27693","url":null,"abstract":"<p><strong>Introduction: </strong>Pharmacists' service fees are paid to pharmacies, not directly to pharmacists, which may hinder the adoption of expanded pharmacists' services. Our aim was to identify barriers and enablers to pharmacists' delivery of services in relation to the payment model.</p><p><strong>Methodology: </strong>We conducted semi-structured interviews with community pharmacists or owners in British Columbia using a constructivist approach and performed a thematic analysis.</p><p><strong>Results: </strong>Three themes emerged: <i>tension regarding pharmacists' perception of their role in healthcare, influence of systemic factors on pharmacists' role and autonomy over practice.</i></p><p><strong>Conclusion: </strong>While payment is a significant factor in deterring pharmacists from clinical service delivery, systemic factors also influence how pharmacists feel about their role.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 1","pages":"72-87"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12782358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783302","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
Erratum. 勘误表。
Healthcare Policy Pub Date : 2025-11-01 DOI: 10.12927/hcpol.2025.27744
{"title":"Erratum.","authors":"","doi":"10.12927/hcpol.2025.27744","DOIUrl":"10.12927/hcpol.2025.27744","url":null,"abstract":"","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 1","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12782355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783205","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: Enhancing Health Data for Systems Change to Prevent Homelessness in Canada. 评论：加强卫生数据系统变革，以防止加拿大无家可归。
Healthcare Policy Pub Date : 2025-11-01 DOI: 10.12927/hcpol.2025.27743
Angela Russolillo
{"title":"Commentary: Enhancing Health Data for Systems Change to Prevent Homelessness in Canada.","authors":"Angela Russolillo","doi":"10.12927/hcpol.2025.27743","DOIUrl":"10.12927/hcpol.2025.27743","url":null,"abstract":"<p><p>Housing is a critical social determinant of health, yet until recently, hospitals did not routinely collect data on homelessness. National homelessness coding mandates have brought attention to an often poorly represented issue, but largely reaffirm existing evidence - homelessness is a growing public health issue. Governments and health systems should not just document the ongoing crisis but also leverage administrative data to prevent homelessness. Policies aimed at early detection, cross-sectoral data integration and affordable housing are needed to address the upstream drivers of homelessness.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"21 1","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12782351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783214","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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