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
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
Lack of Publicly Available Documentation Limits Spread of Integrated Care Innovations in Canada. 缺乏公开的文件限制了综合护理创新在加拿大的传播。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27176
Tara Stewart, Émilie Dionne, Robin Urquhart, Nelly D Oelke, Jessie Lee Mcisaac, Catherine M Scott, Jeannie Haggerty
{"title":"Lack of Publicly Available Documentation Limits Spread of Integrated Care Innovations in Canada.","authors":"Tara Stewart, Émilie Dionne, Robin Urquhart, Nelly D Oelke, Jessie Lee Mcisaac, Catherine M Scott, Jeannie Haggerty","doi":"10.12927/hcpol.2023.27176","DOIUrl":"10.12927/hcpol.2023.27176","url":null,"abstract":"<p><p>As healthcare in Canada is provincially operated, the program innovations in one jurisdiction may not be readily known in other jurisdictions. We examine the availability of implementation-specific data for 30 innovative Canadian programs designed to integrate health and social services for patients with complex needs. Using publicly available data and key informant interviews, we were able to populate only ∼50% of our data collection tool (on average). Formal program evaluations were available for only ∼30% of programs. Multiple barriers exist to the compilation and verification of healthcare programs' implementation data across Canada, limiting cross-jurisdictional learning and making a comparison of programs challenging.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"88-98"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239621","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 team. 团队。
Healthcare Policy Pub Date : 2023-10-01 DOI: 10.12927/hcpol.2023.27174
{"title":"The team.","authors":"","doi":"10.12927/hcpol.2023.27174","DOIUrl":"10.12927/hcpol.2023.27174","url":null,"abstract":"","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 SP","pages":"105-107"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239624","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
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