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Commentary: Critical to Care - The Problem of Profit in Ontario's Long-Term Care Home Sector. 评论：关键护理-利润在安大略省的长期护理部门的问题。
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27483
Susan Braedley
{"title":"Commentary: Critical to Care - The Problem of Profit in Ontario's Long-Term Care Home Sector.","authors":"Susan Braedley","doi":"10.12927/hcpol.2024.27483","DOIUrl":"10.12927/hcpol.2024.27483","url":null,"abstract":"<p><p>The search for profit in the Ontario long-term care (LTC) home sector means that inspections and fines are unlikely to drive quality improvement. For-profit ownership, operations and contracts thwart accountability for quality and financial stewardship while blocking full public reporting, thus preventing public oversight. Laying out the problems presented by the for-profit LTC homes' financial and operations infrastructure with examples, this commentary presents policy paths forward to address the problem of profit and improve accountability.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 1","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494109","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
Implementing Active Offer of Services in Both Official Languages in a Hospital Setting in Ontario. 在安大略省的一家医院环境中以两种官方语言积极提供服务。
Healthcare Policy Pub Date : 2024-08-01 DOI: 10.12927/hcpol.2024.27421
Katrine Sauvé-Schenk, Jacinthe Savard, François Durand
{"title":"Implementing Active Offer of Services in Both Official Languages in a Hospital Setting in Ontario.","authors":"Katrine Sauvé-Schenk, Jacinthe Savard, François Durand","doi":"10.12927/hcpol.2024.27421","DOIUrl":"10.12927/hcpol.2024.27421","url":null,"abstract":"<p><p>Providing services in a patient's preferred language is linked to safe and quality care. This paper presents the process and outcomes of implementing practices of active offer (AO) of French-language services in a hospital setting in a region of Ontario with a low density of francophones. Participating unit managers and site coordinators selected AO practices and carried out an implementation plan. The implementation's success was linked to the support received from higher management and site coordinators. Challenges included the managers' rival priorities and perceived language priorities. This process could be applied to meet the needs of other language communities.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"20 1","pages":"69-81"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","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
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
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
Rural-Urban Differences in Healthcare Use in Persons With Dementia Between 2000 and 2019: A Quebec Population-Based Study. 2000 年至 2019 年痴呆症患者使用医疗服务的城乡差异：一项基于魁北克人口的研究。
Healthcare Policy Pub Date : 2024-02-01 DOI: 10.12927/hcpol.2024.27281
Geneviève Arsenault-Lapierre, Claire Godard-Sebillotte, Tammy Bui, Nadia Sourial, Louis Rochette, Victoria Massamba, Caroline Sirois, Julie Kosteniuk, Debra Morgan, Amélie Quesnel-Vallée, Isabelle Vedel
{"title":"Rural-Urban Differences in Healthcare Use in Persons With Dementia Between 2000 and 2019: A Quebec Population-Based Study.","authors":"Geneviève Arsenault-Lapierre, Claire Godard-Sebillotte, Tammy Bui, Nadia Sourial, Louis Rochette, Victoria Massamba, Caroline Sirois, Julie Kosteniuk, Debra Morgan, Amélie Quesnel-Vallée, Isabelle Vedel","doi":"10.12927/hcpol.2024.27281","DOIUrl":"10.12927/hcpol.2024.27281","url":null,"abstract":"<p><strong>Background: </strong>Rural persons with dementia face medical services gaps. This study compares the health service utilization of rural and urban community-dwelling individuals with incident dementia.</p><p><strong>Methods: </strong>This study used a repeated annual cross-sectional cohort design spanning a period from 2000 to 2019 analyzing age-adjusted rates for 20 indicators of service use and mortality one year after diagnosis in Quebec administrative databases.</p><p><strong>Results: </strong>Of 237,259 persons, 20.1% were rural. Most rural persons had more emergency department visits and hospitalizations, shorter stays, less alternate level of care and fewer family physicians' and cognition specialists' visits. All groups had similar long-term care and mortality rates.</p><p><strong>Conclusion: </strong>Policy implications of these disparities are discussed.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 3","pages":"78-95"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11131092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892663","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
Five Years After Cannabis Legalization, Is It Time to Ease Restrictions on Promotion? 大麻合法化五年后，是否到了放松促销限制的时候？
Healthcare Policy Pub Date : 2024-02-01 DOI: 10.12927/hcpol.2024.27241
Jean-François Crépault, Sergio Rueda, Victor Tang
{"title":"Five Years After Cannabis Legalization, Is It Time to Ease Restrictions on Promotion?","authors":"Jean-François Crépault, Sergio Rueda, Victor Tang","doi":"10.12927/hcpol.2024.27241","DOIUrl":"10.12927/hcpol.2024.27241","url":null,"abstract":"<p><p>In the spring of 2024, the federal government is expected to report on its legislative review of the <i>Cannabis Act</i> (2018). One of the most contentious issues is whether to relax restrictions on cannabis promotion. This commentary describes the tension between the public health aims of legalization and the secondary aim of displacing the illicit market. We maintain that among jurisdictions that have legalized cannabis, Canada stands out as having the stated primary objective of safeguarding public health, and its restrictions on promotion are evidence-based and innovative. These measures must be preserved, even in the face of growing industry pressure to loosen them.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 3","pages":"21-28"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11131094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892619","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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