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A Global Survey of Emergency Care Clinical Networks: Discussion and Implications for Canadian Learning Health Systems. 急诊护理临床网络全球调查：加拿大学习型医疗系统的讨论与启示》。
Healthcare Policy Pub Date : 2023-11-01 DOI: 10.12927/hcpol.2023.27235
Ross Duncan, Monika Roerig, Sara Allin, Greg Marchildon, Jim Christenson, Riyad B Abu-Laban
{"title":"A Global Survey of Emergency Care Clinical Networks: Discussion and Implications for Canadian Learning Health Systems.","authors":"Ross Duncan, Monika Roerig, Sara Allin, Greg Marchildon, Jim Christenson, Riyad B Abu-Laban","doi":"10.12927/hcpol.2023.27235","DOIUrl":"10.12927/hcpol.2023.27235","url":null,"abstract":"<p><p>Clinical networks (CNs) can promote innovation and collaboration across providers and stakeholders. However, little is known about the structure and operations of CNs, particularly in emergency care. As Canada advances learning health systems (LHSs), foundational research is essential to enable future comparisons across CNs to identify those that contribute to positive system change. Drawing from the results of our international survey, we provide a description of 32 emergency care CNs worldwide, including their structure, operations and sustainability. Future research should consider the context of such networks, how they may contribute to an LHS and how they impact patient outcomes.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 2","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138806098","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 and Provincial Governments Need To Be Transparent about Trade-Offs When They Buy Healthcare. 联邦政府和省政府在购买医疗保健服务时，需要透明地说明利弊得失。
Healthcare Policy Pub Date : 2023-11-01 DOI: 10.12927/hcpol.2023.27238
Fiona Clement, Jason M Sutherland
{"title":"Federal and Provincial Governments Need To Be Transparent about Trade-Offs When They Buy Healthcare.","authors":"Fiona Clement, Jason M Sutherland","doi":"10.12927/hcpol.2023.27238","DOIUrl":"10.12927/hcpol.2023.27238","url":null,"abstract":"<p><p>Spending on healthcare is carefully scrutinized by the public, the media and academics because the amounts are so large and represent a very significant proportion of provincial budgets. Some quarters are calling for increases in spending, whereas others are focused on restraint owing to perceived inefficiencies and ineffectiveness. The debate over healthcare spending has continued for decades and is likely to heat up as new provincial labour agreements have <i>locked in</i> annual healthcare spending increases of at least five percent for 2023 (BC Nurses' Union 2023; ONA 2023).</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 2","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138806810","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
Innovative Programs with Multi-Service Integration for Children and Youth with High Functional Health Needs. 为有高功能健康需求的儿童和青年提供多服务一体化的创新计划。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27178
Émilie Dionne, Nelly D Oelke, Shelley Doucet, Catherine M Scott, William Montelpare, Patricia Charlton, Rima Azar, Russel Dawe, Jeannie Haggerty
{"title":"Innovative Programs with Multi-Service Integration for Children and Youth with High Functional Health Needs.","authors":"Émilie Dionne, Nelly D Oelke, Shelley Doucet, Catherine M Scott, William Montelpare, Patricia Charlton, Rima Azar, Russel Dawe, Jeannie Haggerty","doi":"10.12927/hcpol.2023.27178","DOIUrl":"10.12927/hcpol.2023.27178","url":null,"abstract":"<p><p>The integration of care services and providers across the health-social-community continuum has helped improve the lives of many children and youth living with complex health conditions. Using environmental scan data, 16 promising multi-service programs were selected and analyzed qualitatively through a deliberative conversation approach. Descriptive data of analyzed programs are presented, as well as the thematic analysis results. An important program strength is its clear founding principles and engagement of patients and families. However, the scale-up of these initiatives remains a challenge unless such programs can be better financed and supported.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"65-77"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239619","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
Integrating Health and Social Care for Community-Dwelling Older Adults: A Description of 16 Canadian Programs. 为居住在社区的老年人提供健康和社会护理：对加拿大16个项目的描述。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27177
Tara Stewart, Émilie Dionne, Robin Urquhart, Nelly D Oelke, Yves Couturier, Catherine M Scott, Jeannie Haggerty
{"title":"Integrating Health and Social Care for Community-Dwelling Older Adults: A Description of 16 Canadian Programs.","authors":"Tara Stewart, Émilie Dionne, Robin Urquhart, Nelly D Oelke, Yves Couturier, Catherine M Scott, Jeannie Haggerty","doi":"10.12927/hcpol.2023.27177","DOIUrl":"10.12927/hcpol.2023.27177","url":null,"abstract":"<p><p>This paper describes 16 Canadian programs designed to provide integrated primary care for older adults. Publicly available data were used to identify the \"what\" and the \"how\" of integration for each program. Most programs integrated with other healthcare or medical services (vs. social services). Mechanisms of integration varied; the most common mechanism was interprofessional teams. Only 25% of the programs formally engaged with autonomous physician-led primary care practices (where most Canadians receive their primary care). Findings suggest that integrated care is a priority across Canada but also highlight how far we have to go to achieve both vertical integration within the healthcare sector (primary, secondary and tertiary services) and horizontal integration across sectors (health and social).</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"78-87"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239620","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
Toward Comprehensive Care Integration in Canada: Delphi Process Findings from Researchers, Clinicians, Patients and Decision Makers. 走向加拿大的全面护理一体化：研究人员、临床医生、患者和决策者的德尔菲过程研究结果。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27181
Émilie Dionne, Jeannie Haggerty, Catherine M Scott, Shelley Doucet, Tara Stewart, Amélie Quesnel-Vallée, William Montelpare, Robin Urquhart, Jason M Sutherland, Yves Couturier
{"title":"Toward Comprehensive Care Integration in Canada: Delphi Process Findings from Researchers, Clinicians, Patients and Decision Makers.","authors":"Émilie Dionne, Jeannie Haggerty, Catherine M Scott, Shelley Doucet, Tara Stewart, Amélie Quesnel-Vallée, William Montelpare, Robin Urquhart, Jason M Sutherland, Yves Couturier","doi":"10.12927/hcpol.2023.27181","DOIUrl":"10.12927/hcpol.2023.27181","url":null,"abstract":"<p><strong>Introduction: </strong>From a larger study examining policy and program information on how Canadian provinces integrate care services, this study aimed to create \"priority lists\" of 10-15 services that are \"absolutely needed\" for care integration.</p><p><strong>Methodology: </strong>A diverse group of over 50 Canadian stakeholders participated in virtual consensus-building using the nominal group technique and a modified e-Delphi method to identify services that focused on two different groups: children and youth with high functional health needs and older adults in functional decline.</p><p><strong>Results: </strong>Three lists - containing services, processes and infrastructure elements - emerged: one per tracer condition group and a consolidated list. The latter identified the following five services as top priority for primary care integration: mental health and addictions services; home care; transition between urgent-emergency-acute care; medication reconciliation in community pharmacies; and respite care. No single social service was a clear priority, but those that mitigate material deprivation emerged within the top 10.</p><p><strong>Discussion: </strong>This humble pan-Canadian study shows that priority services in health and social services are neither well integrated nor connected to primary care. It also suggests that effective policy strategizing for primary care integration for those with complex care needs may require thinking beyond the logic of services - given their siloed organization.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"24-38"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239625","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
Acknowledgment. 鸣谢。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27173
{"title":"Acknowledgment.","authors":"","doi":"10.12927/hcpol.2023.27173","DOIUrl":"10.12927/hcpol.2023.27173","url":null,"abstract":"","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"108-109"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239612","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
Appendix 3: Program Implementation Data Collection Tool. 附录3：项目实施数据收集工具。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27185
{"title":"Appendix 3: Program Implementation Data Collection Tool.","authors":"","doi":"10.12927/hcpol.2023.27185","DOIUrl":"10.12927/hcpol.2023.27185","url":null,"abstract":"","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239614","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
Connecting Health and Social Services for Patients with Complex Care Needs: A Pan-Canadian Comparative Policy Research Program. 为有复杂护理需求的患者提供医疗和社会服务：泛加拿大比较政策研究项目。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27182
Jeannie Haggerty, Catherine M Scott, Yves Couturier, AméLie Quesnel-Vallée, ÉMilie Dionne, Tara Stewart, Robin Urquhart, William Montelpare, Shelley Doucet, Nelly D Oelke
{"title":"Connecting Health and Social Services for Patients with Complex Care Needs: A Pan-Canadian Comparative Policy Research Program.","authors":"Jeannie Haggerty, Catherine M Scott, Yves Couturier, AméLie Quesnel-Vallée, ÉMilie Dionne, Tara Stewart, Robin Urquhart, William Montelpare, Shelley Doucet, Nelly D Oelke","doi":"10.12927/hcpol.2023.27182","DOIUrl":"10.12927/hcpol.2023.27182","url":null,"abstract":"<p><p>Comprehensive primary healthcare for patients with complex care needs requires connections to other health services, social services and community supports. This descriptive comparative policy research program used publicly available documents and informant interviews to examine progress toward integrated comprehensive care through the lens of services needed by children and youth (0-25 years) and community-dwelling older adults (≥ 65 years) with high functional health needs. This article describes five projects. The following three findings emerged across all the projects: Canada indeed has multiple health systems; numerous integrated service delivery solutions are being trialled and most focus on medical services; and it is an ongoing challenge for ministries of health to engage physicians and physician associations in integration.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"10-23"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239616","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
Patient Partners Respond to High-Level Findings on the Connectedness of Health and Social Services across Canada. 患者合作伙伴对加拿大各地卫生和社会服务联系的高级别调查结果作出回应。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27175
Jeannie Haggerty, Catherine M Scott
{"title":"Patient Partners Respond to High-Level Findings on the Connectedness of Health and Social Services across Canada.","authors":"Jeannie Haggerty, Catherine M Scott","doi":"10.12927/hcpol.2023.27175","DOIUrl":"10.12927/hcpol.2023.27175","url":null,"abstract":"<p><p>This short article captures input from patient partners on the dimensions of the research program that most resonated with them. They are passionate about wanting to see a better connection between health and social services, and they are also willing to be involved as advisors for policy directions in the same way as their involvement has become the norm in any patient-oriented research.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239622","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
Appendix 1: Macro Policy Data Collection Template. 附件1：宏观政策数据收集模板。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27186
{"title":"Appendix 1: Macro Policy Data Collection Template.","authors":"","doi":"10.12927/hcpol.2023.27186","DOIUrl":"10.12927/hcpol.2023.27186","url":null,"abstract":"","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239613","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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