Healthcare Policy最新文献_第8页

E-Mental Health Services in Canada: Can They Close the Access Gap? 加拿大的电子心理健康服务：它们能缩小获取差距吗？

Healthcare Policy Pub Date : 2023-08-01 DOI: 10.12927/hcpol.2023.27159

Evgenia Gatov, Gillian Strudwick, David Wiljer, Paul Kurdyak

引用次数: 0

Commentary: The Injustice of Paediatric Drug Labelling in Canada - A Call to Action. 评论：加拿大儿科药物标签的不公正——行动呼吁。

Healthcare Policy Pub Date : 2023-08-01 DOI: 10.12927/hcpol.2023.27156

Tamorah Lewis

引用次数: 0

Productivity Decline or Administrative Avalanche? Examining Factors That Shape Changing Workloads in Primary Care. 生产力下降还是行政雪崩？检查改变初级保健工作量的因素。

Healthcare Policy Pub Date : 2023-08-01 DOI: 10.12927/hcpol.2023.27152

Ruth Lavergne, Sandra Peterson, David Rudoler, Ian Scott, Rita Mccracken, Goldis Mitra, Alan Katz

{"title":"Productivity Decline or Administrative Avalanche? Examining Factors That Shape Changing Workloads in Primary Care.","authors":"Ruth Lavergne, Sandra Peterson, David Rudoler, Ian Scott, Rita Mccracken, Goldis Mitra, Alan Katz","doi":"10.12927/hcpol.2023.27152","DOIUrl":"10.12927/hcpol.2023.27152","url":null,"abstract":"Background: In Canada, family physicians (FPs) per capita have increased but so have access challenges. We explored changes in population characteristics, service delivery and FP practice that may help understand these trends.Methods: We used linked administrative data in British Columbia to describe changes in patient ages and comorbidities, hospitalizations and receipt of services that may require FP coordination, review and/or follow-up: prescriptions dispensed, laboratory tests, diagnostic imaging (radiology and ultrasound), specialist visits and emergency department visits. We estimate the number of FPs delivering community-based comprehensive care and report changes in service volume per community-based FP visit.Results: Between 1999/2000 and 2017/2018, people experienced fewer days in hospital, but the number of treated comorbidities, day surgeries and other services requiring FP coordination increased over and above the expected levels attributed to population aging. While the total number of FPs per capita have increased, numbers in community-based care have not and visits per physician have fallen. Increases in services that may involve FP coordination per community-based FP visit ranged from 32.2% for diagnostic radiology to 122.1% for lab tests.Conclusion: Findings suggest substantially increased coordination workload per FP visit. Ongoing impacts of population aging and changing service delivery on primary care workload require further examination.","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"19 1","pages":"114-129"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10596325","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

Reforming Paediatric Drug Regulations in Canada: A Clinical and an Access Imperative. 加拿大儿科药物法规改革：临床和准入的当务之急。

Healthcare Policy Pub Date : 2023-08-01 DOI: 10.12927/hcpol.2023.27157

Charlotte Moore Hepburn, Allison A Chang, Deborah M Levy

引用次数: 0

Reversing the Stigma around Canada's Poor-Performing Healthcare Systems. 扭转围绕加拿大糟糕的医疗保健系统的污名。

Healthcare Policy Pub Date : 2023-08-01 DOI: 10.12927/hcpol.2023.27162

Jason M Sutherland

引用次数: 0

"A Band-Aid Solution": Policy Maker and Primary Care Provider Perspectives on the Value of Attachment Incentives. “创可贴解决方案”:政策制定者和初级保健提供者对依恋激励价值的看法。

Healthcare Policy Pub Date : 2023-05-01 DOI: 10.12927/hcpol.2023.27090

Emily Gard Marshall, Mackenzie Cook, Lauren Moritz, Richard Buote, Maria Mathews, Mylaine Breton

{"title":"\"A Band-Aid Solution\": Policy Maker and Primary Care Provider Perspectives on the Value of Attachment Incentives.","authors":"Emily Gard Marshall, Mackenzie Cook, Lauren Moritz, Richard Buote, Maria Mathews, Mylaine Breton","doi":"10.12927/hcpol.2023.27090","DOIUrl":"https://doi.org/10.12927/hcpol.2023.27090","url":null,"abstract":"Approximately 15% of Canadians are without a primary care provider (\"unattached\"). To address \"unattachment,\" several provinces introduced a financial incentive for family physicians who attach new patients. A descriptive qualitative approach was used to explore perspectives of patient access and attachment to primary care. Semi-structured qualitative interviews were conducted with family physicians, nurse practitioners and policy makers in Nova Scotia. Thematic analysis was performed to identify participant perspectives on the value and efficacy of financial incentives to promote patient attachment. Three themes were identified: (1) positive impacts of the incentive, (2) shortcomings of the incentive and (3) alternative strategies to strengthen primary healthcare. Participants felt that attachment incentives may offer short-term solutions to patient unattachment; however, financial incentives cannot overcome systemic challenges. Participants recommended alternative policy levers to strengthen primary healthcare, including addressing the shortage of primary care providers and developing remuneration and practice models that support sustainable patient attachment.","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"18 4","pages":"106-119"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/2f/policy-18-106.PMC10370396.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890405","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: Access to Psychedelics for Psychological Suffering at the End of Life - Prioritizing Our Priorities. 评论：为临终前的心理痛苦获取迷幻剂--优先考虑我们的优先事项。

Healthcare Policy Pub Date : 2023-05-01 DOI: 10.12927/hcpol.2023.27047

Daniel Rosenbaum, Sarah Hales, Daniel Z Buchman

引用次数: 0

Bilateral Federalism, Value-Based Healthcare and the Future of Canadian Intergovernmental Diplomacy on Health. 双边联邦制、基于价值的医疗保健和加拿大政府间卫生外交的未来。

Healthcare Policy Pub Date : 2023-05-01 DOI: 10.12927/hcpol.2023.27095

Tom Mcintosh

引用次数: 0

Innovating for Value-Based Surgical Care in Canada: A Post-Pandemic Necessity. 加拿大基于价值的外科护理创新：大流行后的必然选择。

Healthcare Policy Pub Date : 2023-05-01 DOI: 10.12927/hcpol.2023.27094

Alana M Flexman, Janny Ke, Julie Hallet

引用次数: 0

Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics. 生活在社会弱势地位的患者在团队式初级保健诊所就医的机会较少。

Healthcare Policy Pub Date : 2023-05-01 DOI: 10.12927/hcpol.2023.27091

Nadia Deville-Stoetzel, Isabelle Gaboury, Jeannie Haggerty, Mylaine Breton

{"title":"Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics.","authors":"Nadia Deville-Stoetzel, Isabelle Gaboury, Jeannie Haggerty, Mylaine Breton","doi":"10.12927/hcpol.2023.27091","DOIUrl":"10.12927/hcpol.2023.27091","url":null,"abstract":"Objective: This study aims to explore differences in access to care as experienced by patients registered in team-based primary healthcare clinics according to their social vulnerability profile.Method: A total of 1,562 patients from four team-based primary healthcare clinics completed an e-survey conducted between June and November 2021. The social vulnerability index was used to compare the experiences.Results: Patients with low vulnerability consulted at emergency rooms three times more often because their family physician was not available (p = 0.006) than patients with no vulnerability. Lack of continuity was reported two times more often by patients with low vulnerability related to team members not knowing their recent medical history (p = 0.006) and by patients with high vulnerability related to no one being in charge of their file (p = 0.023). Both vulnerable groups reported receiving contradictory information more often than patients with no vulnerability.Conclusion: Patients with high vulnerability experienced more access difficulties related to continuity, interprofessional collaboration and communication with providers.","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"18 4","pages":"89-105"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/2e/policy-18-089.PMC10370394.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890404","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