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Our Data, Our Question: Public-Centric Approaches to Administrative Data Analysis. 我们的数据，我们的问题：以公众为中心的行政数据分析方法》。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-01-01 DOI: 10.12927/hcq.2024.27261
Elise Leong-Sit, Sabella Yussuf-Homenauth, Jerome Johnson, Simisola Johnson, Jenny Kirk, Nicola Samuels, Laura Ferreira-Legere, Michael Campitelli, Michael J Paterson, Michael J Schull
{"title":"Our Data, Our Question: Public-Centric Approaches to Administrative Data Analysis.","authors":"Elise Leong-Sit, Sabella Yussuf-Homenauth, Jerome Johnson, Simisola Johnson, Jenny Kirk, Nicola Samuels, Laura Ferreira-Legere, Michael Campitelli, Michael J Paterson, Michael J Schull","doi":"10.12927/hcq.2024.27261","DOIUrl":"10.12927/hcq.2024.27261","url":null,"abstract":"<p><p>There is growing recognition of the importance of patient, public and community engagement in health research, which has not been used widely in analyzing health administrative datasets. In Ontario, health data are stewarded by ICES, whose strategic decision making is guided by a diverse Public Advisory Council (PAC). In a first foray into publicly led projects, the ICES PAC undertook an analysis project on mental health and addiction health service use. Public members guided the project through all stages of research. This generated critical lessons for ICES on improving participation, collaboration and trust.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121029","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
The Community Paramedicine at Clinic Program: Improving Participant Health while Preserving Healthcare System Resources. 诊所社区辅助医疗计划：在保护医疗保健系统资源的同时改善参与者的健康。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-01-01 DOI: 10.12927/hcq.2024.27254
Leena AlShenaiber, Guneet Mahal, Ricardo Angeles, Francine Marzanek-Lefebvre, Melissa Pirrie, Amelia Keenan, Gina Agarwal
{"title":"The Community Paramedicine at Clinic Program: Improving Participant Health while Preserving Healthcare System Resources.","authors":"Leena AlShenaiber, Guneet Mahal, Ricardo Angeles, Francine Marzanek-Lefebvre, Melissa Pirrie, Amelia Keenan, Gina Agarwal","doi":"10.12927/hcq.2024.27254","DOIUrl":"10.12927/hcq.2024.27254","url":null,"abstract":"<p><p>Vulnerable populations such as low-income older adults in social housing suffer from poor quality of life and are impacted by chronic diseases. These populations are also high users of emergency services, which contribute to high healthcare costs. Community-based, patient-centred interventions, such as community paramedicine (CP) programs, can address the healthcare gaps for these underserved populations. Community Paramedicine at Clinic (CP@clinic) is an innovative, evidence-based, chronic disease prevention/management program that improves patient health and quality of life, connects them with health and community services, preserves healthcare resources and yields cost savings for the emergency care system. The program also works with other community organizations, facilitating interprofessional engagement and supporting other disciplines in providing care. Known barriers to implementing CP programs highlight the importance of standard practices and training as exemplified by the CP@clinic program.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 4","pages":"41-47"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121030","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
The Commonwealth Fund Survey of Primary Care Physicians Reveals Challenges Experienced by Family Doctors and Emphasizes the Need for Interoperability of Health Information Technologies. 联邦基金对初级保健医生的调查揭示了家庭医生所面临的挑战，并强调了卫生信息技术互操作性的必要性。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-10-01 DOI: 10.12927/hcq.2023.27222
Winnie Chan, Masud Hussain, Lyricy Francis, Farzana Haq, Laura Douglas, Liudmila Husak
{"title":"The Commonwealth Fund Survey of Primary Care Physicians Reveals Challenges Experienced by Family Doctors and Emphasizes the Need for Interoperability of Health Information Technologies.","authors":"Winnie Chan, Masud Hussain, Lyricy Francis, Farzana Haq, Laura Douglas, Liudmila Husak","doi":"10.12927/hcq.2023.27222","DOIUrl":"10.12927/hcq.2023.27222","url":null,"abstract":"<p><p>Electronic health information that is easily accessible and shareable among healthcare providers and their patients can provide substantial improvements in Canada's primary care system and population health outcomes. The Commonwealth Fund's (CMWF's) 2022 International Health Policy Survey of Primary Care Physicians (CIHI 2023) highlights the views and experiences of primary care doctors in 10 developed countries, including Canada. The survey covered various topics related to physician workload, the use of information technology and coordination of care. While the COVID-19 pandemic contributed to an increased physician workload that may have impacted the ability to efficiently coordinate care with other healthcare providers, Canadian family doctors did close the gap with other countries as 93% of family doctors are now using electronic medical records (EMRs) in their practices. The CMWF's 2022 survey revealed challenges faced by Canadian family doctors in their practices. However, international comparisons provide opportunities to learn from other countries and build on the implementation of EMRs as part of Canada's shared health priorities.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 3","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452773","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
Advance Care Planning in Primary Care: A Step toward Normalizing the Conversation. 初级保健中的预先护理计划:迈向对话正常化的一步。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-10-01 DOI: 10.12927/hcq.2023.27215
Shannon L Roberts, Susan Joyce, Anita Greig, Fereshte Nurdin Lalani, Liad Salz, Gili Rosen, Rosanna Macri
{"title":"Advance Care Planning in Primary Care: A Step toward Normalizing the Conversation.","authors":"Shannon L Roberts, Susan Joyce, Anita Greig, Fereshte Nurdin Lalani, Liad Salz, Gili Rosen, Rosanna Macri","doi":"10.12927/hcq.2023.27215","DOIUrl":"10.12927/hcq.2023.27215","url":null,"abstract":"<p><p>Despite the number of advance care planning (ACP) conversation guides and tools, ACP conversations are not common in healthcare. In this quality improvement project, we took a different approach and applied complex adaptive systems theory to develop an intervention that emerged from the users (family physicians) themselves - a standardized e-form with prompts. By listening to the users, we were able to integrate ACP best practices, including shifting the focus of ACP conversations from treatment decisions to patient values, in a way that met both users' and patients' needs, addressed barriers and will help normalize ACP conversations in primary care. The intervention was designed for any patient and family physician and may have utility for other family practice groups.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 3","pages":"43-52"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452767","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
The Importance of Race and Ethnicity Data in Cardiovascular Health Research. 种族和民族数据在心血管健康研究中的重要性
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-10-01 DOI: 10.12927/hcq.2023.27223
Javal Sheth, Maneesh Sud, Dennis Ko
{"title":"The Importance of Race and Ethnicity Data in Cardiovascular Health Research.","authors":"Javal Sheth, Maneesh Sud, Dennis Ko","doi":"10.12927/hcq.2023.27223","DOIUrl":"10.12927/hcq.2023.27223","url":null,"abstract":"<p><p>The COVID-19 pandemic has underscored the importance of addressing race and ethnic disparities in healthcare worldwide. In Canada, however, the lack of consistent capture of race and ethnicity data has hindered a comprehensive understanding of these potential disparities. This article explores the importance of and current progress in collecting race and ethnic data in Canada and provides examples of its importance in cardiovascular health outcomes. We believe that a successful implementation of standardized data collection tools on race and ethnicity data will shape evidence-based policies to minimize health disparities in Canada in the future.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 3","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452774","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
Was Virtual Care as Safe as In-Person Care? Analyzing Patient Outcomes at Seven and Thirty Days in Ontario during the COVID-19 Pandemic. 虚拟护理和面对面护理一样安全吗?分析2019冠状病毒病大流行期间安大略省7天和30天的患者结局。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-10-01 DOI: 10.12927/hcq.2023.27217
Shawn Mondoux, Frank Battaglia, Anastasia Gayowsky, Natasha Clayton, Caillin Langmann, Paul Miller, Alim Pardhan, Julie Mathews, Alex Drossos, Keerat Grewal
{"title":"Was Virtual Care as Safe as In-Person Care? Analyzing Patient Outcomes at Seven and Thirty Days in Ontario during the COVID-19 Pandemic.","authors":"Shawn Mondoux, Frank Battaglia, Anastasia Gayowsky, Natasha Clayton, Caillin Langmann, Paul Miller, Alim Pardhan, Julie Mathews, Alex Drossos, Keerat Grewal","doi":"10.12927/hcq.2023.27217","DOIUrl":"10.12927/hcq.2023.27217","url":null,"abstract":"<p><p>In 2020, almost overnight, the paradigm for healthcare interactions changed in Ontario. To limit person-to-person transmission of COVID-19, the norm of in-person interactions shifted to virtual care. While this shift was part of broader public health measures and an acknowledgment of patient and societal concerns, it also represented a change in care modalities that had the potential to affect the quality of care provided, as well as short- and long-term patient outcomes. While public policy decisions were being made to moderate the use of virtual care at the end of the declared pandemic, a thorough analysis of short-term patient outcomes was needed to quantify the impact of virtual care on the population of Ontario.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 3","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452775","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
A Case Study Implementing a Social Needs Screening Process and a Family Navigation Hub at Holland Bloorview Kids Rehabilitation Hospital. 在荷兰布鲁维尤儿童康复医院实施社会需求筛选过程和家庭导航中心的案例研究。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-10-01 DOI: 10.12927/hcq.2023.27220
Joanne Maxwell, Stephanie McFarland, Stephanie Moynagh, Jessica Reid, Shauna Kingsnorth, C J Curran
{"title":"A Case Study Implementing a Social Needs Screening Process and a Family Navigation Hub at Holland Bloorview Kids Rehabilitation Hospital.","authors":"Joanne Maxwell, Stephanie McFarland, Stephanie Moynagh, Jessica Reid, Shauna Kingsnorth, C J Curran","doi":"10.12927/hcq.2023.27220","DOIUrl":"10.12927/hcq.2023.27220","url":null,"abstract":"<p><p>Identifying and addressing clients' and families' most pressing social determinants of health needs are integral to quality healthcare. Healthcare leaders and front-line clinicians have long recognized the connection between unmet essential resource needs, such as food, housing and transportation and health outcomes. As a component of broader organizational efforts to improve equitable access to services, a social needs screening (SNS) initiative was introduced, along with a Family Navigation Hub providing navigation interventions. This paper describes the systematic approach taken to support the SNS initiative implementation and highlights evaluation results of the first year of activity.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 3","pages":"15-21"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452766","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
From the Editors. 来自编辑。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-10-01 DOI: 10.12927/hcq.2023.27224
Anne Wojtak, Neil Stuart
{"title":"From the Editors.","authors":"Anne Wojtak, Neil Stuart","doi":"10.12927/hcq.2023.27224","DOIUrl":"10.12927/hcq.2023.27224","url":null,"abstract":"<p><p>Some of us may recall a time in healthcare when it seemed that the summer months were a bit quieter, providing an opportunity to catch our breath before the onslaught of fall and the ramp-up to flu season. Yet, with the increasing demand on our health systems, the sense of downtime has all but disappeared. This may suggest that we collectively have less time available for review, reflection and learning - all of which are critical elements for improvement and transformation. As an editorial team, our contribution is to continue synthesizing and presenting leading practices and innovative concepts to our readers, enabling them to access knowledge and ideas more easily. It is how we can help build capacity in our system to deliver better healthcare at a time when renewal is needed more than ever.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 3","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452768","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
Inspiring Leadership: How a Community Hospital Is Tackling Healthcare's Most Difficult Problems. 鼓舞人心的领导:社区医院如何解决医疗保健中最困难的问题。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-10-01 DOI: 10.12927/hcq.2023.27216
Daniel P Edgcumbe, Krista Ieraci, Elaine Do Rosario, Michele Leroux
{"title":"Inspiring Leadership: How a Community Hospital Is Tackling Healthcare's Most Difficult Problems.","authors":"Daniel P Edgcumbe, Krista Ieraci, Elaine Do Rosario, Michele Leroux","doi":"10.12927/hcq.2023.27216","DOIUrl":"10.12927/hcq.2023.27216","url":null,"abstract":"<p><p>In the spring of 2022 - at the height of the COVID-19 pandemic - Halton Healthcare, a large community hospital corporation in southern Ontario, launched a brand-new leadership development program called \"Inspiring Leadership\" to support its workforce. Just one year later, the program is having a profound positive impact on the workforce with enhanced engagement and reduced turnover. By investging in people development, organizations can create a compelling employee value proposition, foster cross-continuum partnerships through Ontario Health Teams and community affiliates and, ultimately, advance their strategic objectives. In this article, we will describe the development of this unique program, its evaluation and its impact, with the intent of sharing this learning with other organizations so that they too might realize these benefits.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 3","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452769","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
It Is Time for Health Quality 5.0: Are You Ready? 健康质量5.0:你准备好了吗?
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-10-01 DOI: 10.12927/hcq.2023.27218
Leslee J Thompson
{"title":"It Is Time for Health Quality 5.0: Are You Ready?","authors":"Leslee J Thompson","doi":"10.12927/hcq.2023.27218","DOIUrl":"10.12927/hcq.2023.27218","url":null,"abstract":"<p><p>The work of health leaders is broadening in scope, scale and urgency to respond to massive global changes and challenges - including risks to safe, accessible and high-quality healthcare, threats to planetary health, crises in workforce resiliency and erosion of public trust and confidence. To address these issues and deliver on other imperatives around equity and inclusive service co-production, health leaders must again fashion a new quality improvement (QI) agenda fit for the times and the future, aligned with the move from digitization to personalization. The new era, Health Quality 5.0, must enable and be embedded in an integrated, coordinated and people-centred health system, supported by a learning health system and new QI approaches.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 3","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452771","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
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