Healthcare Policy最新文献_第2页

Public Engagement in Canadian Health Policy: Looking Back, Taking Stock and Charting the Future. 加拿大卫生政策中的公众参与：回顾、总结和规划未来。

Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27417

Julia Abelson, Katherine Boothe, Alpha Abebe, Roma Dhamanaskar

{"title":"Public Engagement in Canadian Health Policy: Looking Back, Taking Stock and Charting the Future.","authors":"Julia Abelson, Katherine Boothe, Alpha Abebe, Roma Dhamanaskar","doi":"10.12927/hcpol.2024.27417","DOIUrl":"10.12927/hcpol.2024.27417","url":null,"abstract":"Canada has a rich history of public engagement in the health policy sector. However, current political, economic and social challenges call for critical reflection on this history, to assess whether current approaches to engaging Canadian publics are up to the task, and what adaptations or new approaches might be needed. If the persisting inequities in health systems across Canada are going to be addressed, it is imperative that those designing, developing and implementing policies find ways to reflect the needs and preferences of the communities and populations most adversely affected by these inequities in their decisions. The purpose of this special issue is to address this important topic through a series of research papers and commentaries. Our work is targeted to health policy makers across Canada who are seeking to engage with various publics on a wide array of health policy issues. We offer key insights into what more purposeful and equitable public engagement might look like, as well as common pitfalls in public engagement practices and how they can be avoided.","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 SP","pages":"10-16"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477009","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

Black Community Health Advocates in Ontario: A Look at Health Policy Engagement From the Ground Up. 安大略省黑人社区健康倡导者：安大略省黑人社区健康倡导者：从基层看健康政策参与。

Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27413

Rhonda C George, Alpha Abebe

{"title":"Black Community Health Advocates in Ontario: A Look at Health Policy Engagement From the Ground Up.","authors":"Rhonda C George, Alpha Abebe","doi":"10.12927/hcpol.2024.27413","DOIUrl":"10.12927/hcpol.2024.27413","url":null,"abstract":"Study objectives: Disproportionately negative pandemic outcomes, lack of race-based data collection and poor engagement of Black communities in policy decision making have been widely documented for Black Canadians. We examine this to understand how formal public engagement processes might be more inclusive of Black peoples to inform more responsive policies.Methodology: The study employed an asset-based lens to examine how Black communities have engaged in health policy and advocacy in Ontario. In-depth interviews were conducted with eight participants who self-identify as Black, recruited using purposive and intensity sampling to (1) identify information-rich cases, including people who have been at the forefront of high-impact work in this space and (2) participants whose mission and mandates represented diverse approaches and sub-populations.Results: Our findings suggest that while Black community advocates face systemic and contextual barriers, they also embody deep and multifaceted knowledge, training and experience, which inform the rich ways that they approach advocacy.Discussion: Despite its Ontario focus, this study adds breadth and depth to the existing literature on health policy and historically marginalized populations, offering broader lessons for policy makers across jurisdictions. Our findings encourage policy makers to better recognize, make space for and cultivate fertile advocacy foundations, cultural knowledge and community-driven systems already present in Black communities.","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 SP","pages":"62-73"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477005","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

Engaging Canadians in Health Policy Is no Trivial Matter. 让加拿大人参与卫生政策并非小事一桩。

Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27418

Jason M Sutherland

引用次数: 0

Ethical and Transformative Scholarly Public Engagement: Pitfalls, Possibilities and Promises. 伦理和变革性学术公众参与：陷阱、可能性和承诺》。

Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27409

Jamila Michener

引用次数: 0

Trends in Government-Initiated Public Engagement in Canadian Health Policy From 2000 to 2021. 2000 年至 2021 年加拿大卫生政策中由政府发起的公众参与趋势。

Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27416

Roma Dhamanaskar, Katherine Boothe, Joanna Massie, Jeonghwa You, Danielle Just, Grace Kuang, Julia Abelson

{"title":"Trends in Government-Initiated Public Engagement in Canadian Health Policy From 2000 to 2021.","authors":"Roma Dhamanaskar, Katherine Boothe, Joanna Massie, Jeonghwa You, Danielle Just, Grace Kuang, Julia Abelson","doi":"10.12927/hcpol.2024.27416","DOIUrl":"10.12927/hcpol.2024.27416","url":null,"abstract":"Introduction: Canada has a rich history of public engagement in health policy; however, shifts in engagement practices over time have not been critically examined.Methodology: We searched for cases of government-initiated public engagement in Canadian health policy from 2000 to 2021 at the federal, provincial (Ontario, British Columbia, Nova Scotia) and pan-Canadian levels. Government databases, portals and platforms for engagement were searched, followed by academic and grey literature using relevant search terms. A coding scheme was iteratively developed to categorize cases by target population, recruitment method and type of engagement.Results: We identified 132 cases of government-initiated public engagement. We found a predominance of feedback and consultation engagement types and self-selection recruitment, especially at the federal level from 2016 onward. Engagements that targeted multiple populations (patients, public and other stakeholders) were favoured overall and over time. Just over 10% of cases in our survey mentioned efforts to engage with equity-deserving groups.Conclusion: Overall, our results identify a heavy reliance over time on more passive, indirect engagement approaches, which limit opportunities for collaborative problem solving and fail to include equity-deserving populations. Those overseeing the design and implementation of government-initiated public engagement will draw valuable lessons from this review to inform the design of engagement initatives.","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 SP","pages":"17-35"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477011","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

"Whatever Job I'm In, I'm Going to Find a Way to Make a Difference" - A Black Community Leader's Perspective on Engagement and Advocacy. "无论我从事什么工作，我都要想方设法有所作为"--一位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.2024.27412

Camille Orridge

引用次数: 0

Public Deliberation for Ethically Complex Policies: The Case of Medical Assistance in Dying in Canada. 伦理复杂政策的公共审议：加拿大临终医疗援助案例》。

Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27410

Roma Dhamanaskar, Julia Abelson

引用次数: 0

Whom Do I Trust to Represent Me? Long-Term Care Resident and Family Perspectives on Legitimate Representation. 我相信谁会代表我？长期护理居民和家庭对合法代表的看法。

Healthcare Policy Pub Date : 2024-09-01 DOI: 10.12927/hcpol.2024.27414

Jeonghwa You, Katherine Boothe, Rebecca Ganann, Michael Wilson, Julia Abelson

{"title":"Whom Do I Trust to Represent Me? Long-Term Care Resident and Family Perspectives on Legitimate Representation.","authors":"Jeonghwa You, Katherine Boothe, Rebecca Ganann, Michael Wilson, Julia Abelson","doi":"10.12927/hcpol.2024.27414","DOIUrl":"10.12927/hcpol.2024.27414","url":null,"abstract":"Introduction: Public engagement in long-term care policy making in Canada has primarily focused on \"intermediary agents\" who speak on behalf of long-term care (LTC) residents and their family caregivers. Yet the legitimacy of these intermediaries, as perceived by those they represent, has gone largely unexplored. This study examines LTC resident and family perspectives on who can legitimately represent them in LTC policy making.Methodology: We used an interpretive description design, drawing on semi-structured interviews with LTC residents and family caregivers in Ontario, Canada. Data were analyzed using inductive thematic analysis.Results: Eighteen interviews were conducted with 19 participants. Three key characteristics of legitimate representatives were identified: (1) willingness to act in the best interests of residents and families, (2) having the necessary skills and capacity to participate in LTC policy making and (3) engaging directly with residents and families.Conclusion: Governments and civil society organizations seeking to establish and maintain legitimacy in the eyes of LTC residents and family members can pursue this goal by supporting intermediaries who mirror the identities or experiences of those they represent, who are dedicated to serving their interests and who routinely and directly engage with them to understand the realities of LTC.","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 SP","pages":"48-61"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477012","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

A Canadian Call for Addressing Physical Health in Specialized Mental Health Settings. 加拿大呼吁在专门的心理健康环境中解决身体健康问题。

Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27475

Cara Evans, Christopher Canning, Munazzah Ambreen, Brian Lo, Mary Rose Van Kesteren, Caroline M E Walker, Vicky Stergiopoulous

引用次数: 0

Does Productivity in Healthcare Matter? An Unfortunate Post-Pandemic Legacy. 医疗保健行业的生产力重要吗？大流行后的不幸遗产。

Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27521

Jason M Sutherland

引用次数: 0