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Commentary: From Mixtapes to Playlists - Evolving Options for Capturing Diagnoses in Canadian Physicians' Data. 评论：从混音带到播放列表--在加拿大医生数据中捕捉诊断结果的演变选择。
Healthcare Policy Pub Date : 2022-08-01 DOI: 10.12927/hcpol.2022.26906
Keith Denny
{"title":"Commentary: From Mixtapes to Playlists - Evolving Options for Capturing Diagnoses in Canadian Physicians' Data.","authors":"Keith Denny","doi":"10.12927/hcpol.2022.26906","DOIUrl":"10.12927/hcpol.2022.26906","url":null,"abstract":"<p><p>Physician billing claims are rich sources of administrative health data. However, diagnostic codes in billing claims are drawn from the International Classification of Diseases, Ninth Revision (WHO &amp; International Conference for the Ninth Revision of the International Classification of Diseases 1977), which has not been updated by the World Health Organization in three decades. With its updated and expanded content and its digital tooling, the International Classification of Diseases 11th Revision (ICD-11) (WHO n.d.a.) could be considered for this purpose. Primary care practitioners have always found the ICD inadequate for their needs. This may change with ICD-11, with which the International Classification of Primary Care (ICPC) (van Boven and Ten Napel 2021) is more closely aligned. ICD-11, ICPC and the Systematized Nomenclature of Medicine Clinical Terms present evolving options for capturing diagnoses in physician data.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":" ","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/c9/policy-18-040.PMC9467266.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40357021","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: Burning Platforms, Icebergs and Tipping Points - Canada Needs a Single Socially Accountable Healthcare System. 评论：燃烧的平台、冰山和临界点--加拿大需要一个单一的社会责任医疗保健系统。
Healthcare Policy Pub Date : 2022-08-01 DOI: 10.12927/hcpol.2022.26908
Roger Strasser
{"title":"Commentary: Burning Platforms, Icebergs and Tipping Points - Canada Needs a Single Socially Accountable Healthcare System.","authors":"Roger Strasser","doi":"10.12927/hcpol.2022.26908","DOIUrl":"10.12927/hcpol.2022.26908","url":null,"abstract":"<p><p>Leslie et al.'s (2022) article caused me to reflect on the complexities and contradictions that are Canada. Healthcare in Canada is a hodgepodge of different health systems all assembled under the umbrella of the Canada Health Act (1985). Canadians expect medicare to deliver high-quality healthcare close to home wherever they live. For this aspiration to become a reality, there needs to be a single pan-Canadian health system focussed on the health needs of the populations being served. This socially accountable healthcare system is likely to be achieved only if there is a chorus of support across Canada for meaningful pan-Canadian health reforms.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":" ","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/4b/policy-18-026.PMC9467272.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40357019","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
Leaving the Walkman and ICD-9 Behind: Modernizing the Disease Classification System Used by Canadian Physicians. 抛弃随身听和ICD-9:加拿大医生使用的疾病分类系统的现代化。
Healthcare Policy Pub Date : 2022-08-01 DOI: 10.12927/hcpol.2022.26907
Stephanie Garies, Phoebe Ng, James A Dickinson, Terrence McDonald, Maeve O'Beirne, Kerry A McBrien, Catherine Eastwood, Danielle A Southern, Neil Drummond, Hude Quan
{"title":"Leaving the Walkman and ICD-9 Behind: Modernizing the Disease Classification System Used by Canadian Physicians.","authors":"Stephanie Garies,&nbsp;Phoebe Ng,&nbsp;James A Dickinson,&nbsp;Terrence McDonald,&nbsp;Maeve O'Beirne,&nbsp;Kerry A McBrien,&nbsp;Catherine Eastwood,&nbsp;Danielle A Southern,&nbsp;Neil Drummond,&nbsp;Hude Quan","doi":"10.12927/hcpol.2022.26907","DOIUrl":"https://doi.org/10.12927/hcpol.2022.26907","url":null,"abstract":"<p><p>The International Classification of Diseases, Ninth Revision (ICD-9) was released in the 1970s and adopted in Canada for physician billing claims in 1979 (CIHI n.d.b.; WHO &amp; International Conference for the Ninth Revision of the International Classification of Diseases 1977). ICD-9 is no longer adequate for representing our modern healthcare environment and patient needs. We summarize the findings from a small survey of ICD-9 users across Canada - such as family physicians, researchers and decision makers - who describe the limitations of ICD-9 and the features that they would desire in a new or updated classification system.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":" ","pages":"32-39"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dd/46/policy-18-032.PMC9467271.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40357020","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: 2
Provincial Health Systems: Are They Imploding? 省级卫生系统：它们正在崩溃吗？
Healthcare Policy Pub Date : 2022-08-01 DOI: 10.12927/hcpol.2022.26910
Jason M Sutherland
{"title":"Provincial Health Systems: Are They Imploding?","authors":"Jason M Sutherland","doi":"10.12927/hcpol.2022.26910","DOIUrl":"10.12927/hcpol.2022.26910","url":null,"abstract":"<p><p>Recently, we have all seen myriad articles in the national newspapers announcing that provinces' healthcare systems are imploding, with authors describing systems in states of \"crisis\" (Laverly 2022), \"visibly coming apart\" (Tumilty 2022), \"broken\" (Urback 2022) and \"a travesty\" (Picard 2022). Without minimizing the hardships or frustrations that some patients and their families have been experiencing at the hands of provincial health systems, are the harsh descriptors apt or fair?</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":" ","pages":"6-16"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/10/policy-18-006.PMC9467268.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40357017","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
Pan-Canadian Registration and Licensure of Health Professionals: A Path Forward Emerging from a Best Brains Exchange Policy Dialogue. 泛加拿大卫生专业人员的注册和许可:从最佳人才交流政策对话中出现的前进道路。
Healthcare Policy Pub Date : 2022-08-01 DOI: 10.12927/hcpol.2022.26909
Kathleen Leslie, Chantal Demers, Richard Steinecke, Ivy Lynn Bourgeault
{"title":"Pan-Canadian Registration and Licensure of Health Professionals: A Path Forward Emerging from a Best Brains Exchange Policy Dialogue.","authors":"Kathleen Leslie,&nbsp;Chantal Demers,&nbsp;Richard Steinecke,&nbsp;Ivy Lynn Bourgeault","doi":"10.12927/hcpol.2022.26909","DOIUrl":"https://doi.org/10.12927/hcpol.2022.26909","url":null,"abstract":"<p><p>The regulation of health professions differs across Canadian provinces and territories, often resulting in an unstandardized approach to licensure and registration. These siloed regulatory frameworks hinder health workforce mobility and virtual care - with implications for patient safety and equitable access to healthcare - and pose a barrier to integrated health workforce planning. The authors report on a Best Brains Exchange policy dialogue held in October 2019 on pan-Canadian registration and licensure (CIHR 2019), highlighting leading practices and presenting a potential path forward through pan-Canadian regulatory mechanisms. Situating these findings within the context of the COVID-19 pandemic demonstrates the urgency for governments to move on this reform.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":" ","pages":"17-25"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/6a/policy-18-017.PMC9467269.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40357018","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: 5
Building Blocks to Sustainable Rural Maternity Care: Toward a Systems Approach to Service Planning. 构建可持续农村孕产妇保健的基石:迈向服务规划的系统方法。
Healthcare Policy Pub Date : 2022-08-01 DOI: 10.12927/hcpol.2022.26904
Jude Kornelsen, Kira Koepke
{"title":"Building Blocks to Sustainable Rural Maternity Care: Toward a Systems Approach to Service Planning.","authors":"Jude Kornelsen,&nbsp;Kira Koepke","doi":"10.12927/hcpol.2022.26904","DOIUrl":"https://doi.org/10.12927/hcpol.2022.26904","url":null,"abstract":"<p><p>This qualitative study aimed to understand, document and analyze system supports needed to sustain rural maternity care in communities without local access to Caesarean section. In-depth interviews and focus groups with 58 healthcare providers and administrators from rural British Columbia were conducted in 2017/2018. Themes from the data led to the development of five systems interventions necessary to stabilize local maternity care: (1) building nursing confidence; (2) supporting interprofessional teams; (3) efficient transport to referral sites; (4) clear inclusion criteria for local deliveries; and (5) enhanced relationships with referral centres.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"18 1","pages":"60-74"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467273/pdf/policy-18-060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10291057","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: 3
Public Health Messaging during the COVID-19 Pandemic and Its Impact on Family Caregivers' COVID-19 Knowledge. COVID-19大流行期间的公共卫生信息传递及其对家庭护理人员COVID-19知识的影响
Healthcare Policy Pub Date : 2022-08-01 DOI: 10.12927/hcpol.2022.26903
Deirdre McCaughey, Gwen McGhan, Kristin Flemons, Whitney Hindmarch, Kim Brundrit
{"title":"Public Health Messaging during the COVID-19 Pandemic and Its Impact on Family Caregivers' COVID-19 Knowledge.","authors":"Deirdre McCaughey,&nbsp;Gwen McGhan,&nbsp;Kristin Flemons,&nbsp;Whitney Hindmarch,&nbsp;Kim Brundrit","doi":"10.12927/hcpol.2022.26903","DOIUrl":"https://doi.org/10.12927/hcpol.2022.26903","url":null,"abstract":"<p><strong>Background: </strong>Enabling accurate, accessible public health messaging is a critical role of public health officials during a pandemic, but family caregivers of people living with dementia (PLWD) have rarely been specifically addressed in public health messaging.</p><p><strong>Objective: </strong>The objective of this study was to examine how family caregivers for people living with dementia access and evaluate public health messaging in Alberta.</p><p><strong>Method: </strong>An online survey was conducted with family caregivers for PLWD (n = 217).</p><p><strong>Results: </strong>Most respondents rated public health messaging as good or excellent (63.9%), but specific information about how to access caregiving information (69.5%) and what to expect in the future (49.1%) was rated as less than good. Family caregivers also identified how to care for a PLWD during the pandemic (57.5%) as a key information need. Healthcare providers/workers were the least frequently used source of public health messaging. Almost all family caregivers (94.4%) rated their own COVID-19 knowledge as good or excellent.</p><p><strong>Discussion: </strong>Tailored, context-driven public health messaging for family caregivers of PLWD is critically needed.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"18 1","pages":"75-89"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467267/pdf/policy-18-075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10291060","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: 2
Are Family Medicine Clinics Improving Access to Care through Organizational Changes Driven by Healthcare Reform? 家庭医学诊所是否通过医疗改革推动的组织变革改善了医疗服务的可及性?
Healthcare Policy Pub Date : 2022-08-01 DOI: 10.12927/hcpol.2022.26905
Isabel Rodrigues, Marie Authier
{"title":"Are Family Medicine Clinics Improving Access to Care through Organizational Changes Driven by Healthcare Reform?","authors":"Isabel Rodrigues,&nbsp;Marie Authier","doi":"10.12927/hcpol.2022.26905","DOIUrl":"https://doi.org/10.12927/hcpol.2022.26905","url":null,"abstract":"<p><strong>Purpose: </strong>This observational descriptive study reports organizational changes after the last reform in 18 family medicine units (FMUs) affiliated with the University of Montreal in Québec.</p><p><strong>Method: </strong>Two self-administered surveys on access to care were administered to FMU directors between December 2016 and January 2017, and in August 2018.</p><p><strong>Results: </strong>Between surveys, the number of registered patients increased substantially. All clinics recruited new patients, and most offered walk-in services (89%) and moved toward an advanced access scheduling model (83%). For licensed practical nurses, there was a median increase from 0 to 3 and for nurse clinicians, from 2 to 3, that helped the development of collaborative teamwork.</p><p><strong>Conclusion: </strong>Despite the added teaching mission, the response of the FMU network has been dynamic, has adapted to the major changes and has continued to actively improve access to care for their communities. Challenges still remain regarding work on key priorities for improving access management.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"18 1","pages":"46-59"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467270/pdf/policy-18-046.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10291058","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: 1
COVID-19 and Long-Term Care: What Have We Learned? COVID-19和长期护理:我们学到了什么?
Healthcare Policy Pub Date : 2022-06-01 DOI: 10.12927/hcpol.2022.26858
Raisa Deber, Mary Crea-Arsenio, Mélanie Lavoie-Tremblay, Andrea Baumann
{"title":"COVID-19 and Long-Term Care: What Have We Learned?","authors":"Raisa Deber,&nbsp;Mary Crea-Arsenio,&nbsp;Mélanie Lavoie-Tremblay,&nbsp;Andrea Baumann","doi":"10.12927/hcpol.2022.26858","DOIUrl":"https://doi.org/10.12927/hcpol.2022.26858","url":null,"abstract":"<p><p>The COVID-19 pandemic has led to thousands of deaths; of these, a disproportionate number has occurred in long-term care settings. The papers presented here deal with a number of issues highlighted by this crisis in several jurisdictions, including Ontario, Quebec and the Netherlands. Analyzing these may give us some insight into what is necessary to prevent this disaster from happening again.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"17 SP","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9346584/pdf/policy-17-008.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9549326","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: 1
Long-Term Care during COVID-19: A Special Look under the Hood. COVID-19期间的长期护理:深入了解。
Healthcare Policy Pub Date : 2022-06-01 DOI: 10.12927/hcpol.2022.26859
Jason M Sutherland
{"title":"Long-Term Care during COVID-19: A Special Look under the Hood.","authors":"Jason M Sutherland","doi":"10.12927/hcpol.2022.26859","DOIUrl":"https://doi.org/10.12927/hcpol.2022.26859","url":null,"abstract":"<p><p>Long-term care (LTC) is an OFT-overlooked critical component of provinces' health and social care systems. Its residents have borne a disproportionate share of the negative impact of the COVID-19 pandemic. Healthcare Policy believes that rules, regulations, policies and health system delivery factors that were associated with excess mortality and poor health and social outcomes in LTC should be closely examined so that the recent mistakes made in that sector can be avoided in the future.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"17 SP","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9346586/pdf/policy-17-006.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9549325","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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