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
Commentary: Which Principles Should Apply for a National Strategy on Rare Diseases? 评论：国家罕见病战略应适用哪些原则？
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27353
Marc-AndrÉ Gagnon
{"title":"Commentary: Which Principles Should Apply for a National Strategy on Rare Diseases?","authors":"Marc-AndrÉ Gagnon","doi":"10.12927/hcpol.2024.27353","DOIUrl":"10.12927/hcpol.2024.27353","url":null,"abstract":"<p><p>Lexchin and Sirrs (2024) proposed five relevant principles to guide the use of federal funding for expensive drugs for rare diseases, including funding of outcomes-based risk-sharing agreements (OBRSAs) and proactive commitment and participation in the generation of high-quality evidence in a transparent way. This rejoinder, however, questions whether the federal funding should be used only to buy new drugs or whether it could be used to develop new drugs as well. It also examines what OBRSAs would require in terms of institutional capacities to allow the collection of real-world evidence.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 4","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126833","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
Reasons for High Emergency Department Use Among Patients With Common Mental Disorders or Substance-Related Disorders. 常见精神障碍或药物相关障碍患者大量使用急诊科的原因。
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27333
Karine-MichÈle Dion, Francine Ferland, Lambert Farand, Lise Gauvin, Marie-JosÉe Fleury
{"title":"Reasons for High Emergency Department Use Among Patients With Common Mental Disorders or Substance-Related Disorders.","authors":"Karine-MichÈle Dion, Francine Ferland, Lambert Farand, Lise Gauvin, Marie-JosÉe Fleury","doi":"10.12927/hcpol.2024.27333","DOIUrl":"10.12927/hcpol.2024.27333","url":null,"abstract":"<p><strong>Aims: </strong>This study examined the reasons for high emergency department (ED) use among patients with common mental disorders (MDs), substance-related disorders (SRDs) or co-occurring MDs-SRDs.</p><p><strong>Method: </strong>Following content analysis, 42 high ED users (three-plus visits/year) recruited in two Quebec EDs were interviewed.</p><p><strong>Results: </strong>The reasons included barriers to outpatient care, patient disabilities and professional practices. Patients with SRDs trust outpatient services less, those with MDs had important unmet needs and those with MDs-SRDs faced care coordination issues.</p><p><strong>Conclusion: </strong>Improvements such as ED use monitoring, consolidating MD-SRD practices and continuous training are needed in EDs and outpatient services to enhance access and continuity of care.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 4","pages":"55-69"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126891","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
Quality of Work Life and Mental Well-Being for Long-Term Care Staff in Nova Scotia. 新斯科舍省长期护理人员的工作生活质量和心理健康。
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27348
Janice M Keefe, Amber Duynisveld, Susan Stevens, Carole Estabrooks
{"title":"Quality of Work Life and Mental Well-Being for Long-Term Care Staff in Nova Scotia.","authors":"Janice M Keefe, Amber Duynisveld, Susan Stevens, Carole Estabrooks","doi":"10.12927/hcpol.2024.27348","DOIUrl":"10.12927/hcpol.2024.27348","url":null,"abstract":"<p><p>This study assesses the quality of work life for Nova Scotian continuing care assistants (CCAs) (<i>n</i> = 266), nurses (<i>n</i> = 144) and managers (<i>n</i> = 45) from 10 long-term care (LTC) homes in late 2021. CCAs scored significantly worse than nurses and managers on measures of mental health and anxiety. All groups reported high levels of cynicism and emotional exhaustion; CCAs' scores were higher than nurses or managers. CCAs scored significantly higher on professional efficacy than other groups. CCAs can derive a strong sense of accomplishment from their work, but results raise concerns of a potential breaking point. This suggests the need for continued action to support LTC staff.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 4","pages":"32-41"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126890","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
Changes in Primary Care Health Services During the COVID-19 Pandemic: A Longitudinal Analysis of Data From Ontario. COVID-19 大流行期间初级保健服务的变化：安大略省数据纵向分析。
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27362
Onlak Ruangsomboon, Adrina Zhong, Alexander Kopp, Beth Elston, Kirsten Eldridge, Samantha Lee, Erin Plenert, Andrew D Pinto, Richard H Glazier, Tara Kiran
{"title":"Changes in Primary Care Health Services During the COVID-19 Pandemic: A Longitudinal Analysis of Data From Ontario.","authors":"Onlak Ruangsomboon, Adrina Zhong, Alexander Kopp, Beth Elston, Kirsten Eldridge, Samantha Lee, Erin Plenert, Andrew D Pinto, Richard H Glazier, Tara Kiran","doi":"10.12927/hcpol.2024.27362","DOIUrl":"10.12927/hcpol.2024.27362","url":null,"abstract":"<p><p>The COVID-19 pandemic significantly impacted primary care, but its effect on quality of care is not well understood. We used health administrative data to understand the changes in quality-of-care measures for primary care between October 2018 and April 2022. We examined the following domains: cancer screening, chronic disease (diabetes) management, high-risk prescribing, continuity of care and capacity of primary care services. Colorectal and breast cancer screenings declined after the pandemic and had not returned to baseline by study end. In patients living with diabetes, in-person visits and up-to-date retinopathy screening rates declined after the pandemic declaration and did not return to baseline by study end, while statin prescribing remained stable. High-risk opioid prescribing decreased over time and was not affected by the pandemic. Physician continuity remained stable, though new patient enrollments decreased over the pandemic but returned to baseline by study end. Existing disparities in colorectal cancer screening by income and recent registration widened during the pandemic. In summary, COVID-19 had a variable impact on primary care, with the strongest influence on preventive and chronic disease care that was dependent on in-person visits.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 4","pages":"42-54"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126832","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
Federal Funding for Expensive Drugs for Rare Diseases: How Do We Pick and Choose? 联邦资助治疗罕见病的昂贵药物：我们如何选择？
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27334
Joel Lexchin, Sandra Sirrs
{"title":"Federal Funding for Expensive Drugs for Rare Diseases: How Do We Pick and Choose?","authors":"Joel Lexchin, Sandra Sirrs","doi":"10.12927/hcpol.2024.27334","DOIUrl":"10.12927/hcpol.2024.27334","url":null,"abstract":"<p><p>The number of expensive drugs for rare diseases (EDRDs) approved by Health Canada and their contribution to healthcare costs have been rapidly increasing. The federal government has announced a three-year funding commitment of $1.4 billion for EDRDs, but principles need to be developed for how that funding will be allocated, especially in cases where insufficient data are available to guide decision making. Here, we review the role of evidence quality in making choices and draw on the experience from other countries to put forward five principles about how the money should be spent.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 4","pages":"19-26"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126889","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
Spending on Healthcare: What Is the Right Number? 医疗开支：正确的数字是多少？
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27379
Fiona Clement, Jason M Sutherland
{"title":"Spending on Healthcare: What Is the Right Number?","authors":"Fiona Clement, Jason M Sutherland","doi":"10.12927/hcpol.2024.27379","DOIUrl":"10.12927/hcpol.2024.27379","url":null,"abstract":"<p><p>Healthcare is canada's favourite punching bag. Admittedly, Canadian healthcare has many problems and, sometimes, it feels as though the system cannot get anything right. But is all the criticism fair?</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 4","pages":"6-18"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126892","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
Conflicts of Interest of Canadian Medical School Deans: A Cross-Sectional Study. 加拿大医学院院长的利益冲突：一项横断面研究。
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27349
Joel Lexchin
{"title":"Conflicts of Interest of Canadian Medical School Deans: A Cross-Sectional Study.","authors":"Joel Lexchin","doi":"10.12927/hcpol.2024.27349","DOIUrl":"10.12927/hcpol.2024.27349","url":null,"abstract":"<p><strong>Background: </strong>Medical school deans wield considerable influence over research, clinical and educational missions at their institutions. This study investigates conflict of interest (COI) of Canadian medical school deans.</p><p><strong>Method: </strong>The websites of all 17 Canadian medical schools were searched for any mention of relationships between deans and pharmaceutical or medical device companies.</p><p><strong>Results: </strong>No COIs were discovered for 11 of the deans. Six had COIs, including participating in research funded by pharmaceutical companies and received consulting and speaker fees.</p><p><strong>Discussion: </strong>A minority of deans had COIs with healthcare industry companies. Whether deans' COIs affect policies at the medical schools they lead should be the subject of further investigation.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 4","pages":"70-80"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126834","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: Pricing Cataract (and Other Straightforward) Surgeries - A Policy Perspective to Build Capacity, Value and Innovation. 评论：白内障（及其他简单）手术定价--提高能力、价值和创新的政策视角。
Healthcare Policy Pub Date : 2024-02-01 DOI: 10.12927/hcpol.2024.27285
Will Falk
{"title":"Commentary: Pricing Cataract (and Other Straightforward) Surgeries - A Policy Perspective to Build Capacity, Value and Innovation.","authors":"Will Falk","doi":"10.12927/hcpol.2024.27285","DOIUrl":"10.12927/hcpol.2024.27285","url":null,"abstract":"<p><p>Aligning with Crump and colleagues' (2024) conclusions on cataract surgery, this article champions a level playing field for expanding surgical capacities for straightforward surgeries. It is agnostic toward for-profit or not-for-profit models. It argues for experimenting with new ambulatory facilities to meet urgent needs, emphasizing Ontario's successful two-decade experience with models such as the Kensington Eye Institute. The discussion advances a three-tiered pricing framework, advocating for transparent, structured pricing to reduce wait times and improve public health outcomes. This approach seeks to balance annual commitments, quarterly adjustments and spot market needs, promoting innovation, cost-efficiency and quality care.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 3","pages":"42-48"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11131096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892565","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
Healthcare Service Utilization and Perceived Gaps: The Experience of French-Speaking 2S/LGBTQI+ People in Manitoba. 医疗保健服务的利用和差距感知：马尼托巴省讲法语的 2S/LGBTQI+ 人士的经历。
Healthcare Policy Pub Date : 2024-02-01 DOI: 10.12927/hcpol.2024.27239
Danielle De Moissac, Kevin Prada, Ndeye Rokhaya Gueye, Jacqueline Avanthay-Strus, Stephan Hardy
{"title":"Healthcare Service Utilization and Perceived Gaps: The Experience of French-Speaking 2S/LGBTQI+ People in Manitoba.","authors":"Danielle De Moissac, Kevin Prada, Ndeye Rokhaya Gueye, Jacqueline Avanthay-Strus, Stephan Hardy","doi":"10.12927/hcpol.2024.27239","DOIUrl":"10.12927/hcpol.2024.27239","url":null,"abstract":"<p><p>Ethnolinguistically diverse 2S/LGBTQI+ (two-spirit, lesbian, gay, bisexual, transgender, queer and intersex) populations have unique healthcare needs and experience health inequities compared to their cisgender or heterosexual peers. This community-based participatory study sought to describe the profile and healthcare needs and experiences of official language minority French-speaking 2S/LGBTQI+ adults in Manitoba. Participants (<i>N =</i> 80) reported that gender and sexual identity were often concealed from service providers; many respondents faced discrimination based on their ethnolinguistic and sexual identities. Service gaps are identified pertaining to mental and sexual health; locating 2S/LGBTQI+-friendly, patient-centred care in French is difficult. Policy and practice should address systemic inequity and discrimination experienced by this equity-seeking population.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 3","pages":"62-77"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11131097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892634","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 Eye-Opening Truth About Private Surgical Facilities in Canada. 加拿大私立外科手术机构令人大开眼界的真相。
Healthcare Policy Pub Date : 2024-02-01 DOI: 10.12927/hcpol.2024.27283
Trafford R Crump, Gunnar Siljedal, Ezekiel Weis, Alex Ragan, Jason M Sutherland
{"title":"The Eye-Opening Truth About Private Surgical Facilities in Canada.","authors":"Trafford R Crump, Gunnar Siljedal, Ezekiel Weis, Alex Ragan, Jason M Sutherland","doi":"10.12927/hcpol.2024.27283","DOIUrl":"10.12927/hcpol.2024.27283","url":null,"abstract":"<p><p>This paper examines the contentious issue of using contracted surgical facilities (CSFs) for scheduled eye surgeries within Canada's publicly funded healthcare system. Despite the debate over the use of CSFs, there is a stark lack of Canadian-focused empirical evidence to guide policy decisions. This paper uses the Organisation for Economic Co-operation and Development's healthcare system performance conceptual model - access, quality and cost/expenditures - as a framework to explore the debates surrounding CSFs. It highlights the mixed evidence from international studies and proposes recommendations for policy makers to ensure equitable access, maintain high-quality care and achieve cost-effectiveness. The paper underscores the necessity for informed policy making supported by robust empirical research, stakeholder engagement and continuous policy evaluation to address the challenges posed by the integration of CSFs into Canada's healthcare landscape.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 3","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11131099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892666","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
首页 上一页 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：481959085
Book学术官方微信