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Creating Health Equity in Cancer Screening: Developing Outreach Strategies for Under-Screened Populations through Community Engagement. 在癌症筛查中创造健康公平:通过社区参与为筛查不足的人群制定外展战略。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-07-01 DOI: 10.12927/hcq.2023.27143
Célina Boothby, Kara Patterson, Shainur Premji, Rachel Talavlikar, Samina Khan, Sneha Sebastian, Michael R Youssef, Huiming Yang
{"title":"Creating Health Equity in Cancer Screening: Developing Outreach Strategies for Under-Screened Populations through Community Engagement.","authors":"Célina Boothby,&nbsp;Kara Patterson,&nbsp;Shainur Premji,&nbsp;Rachel Talavlikar,&nbsp;Samina Khan,&nbsp;Sneha Sebastian,&nbsp;Michael R Youssef,&nbsp;Huiming Yang","doi":"10.12927/hcq.2023.27143","DOIUrl":"https://doi.org/10.12927/hcq.2023.27143","url":null,"abstract":"<p><p>Inequities in cancer screening were identified in Calgary, AB, by correlating low screening participation with higher material deprivation. This initiative sought to understand awareness of and barriers to breast, cervical and colorectal cancer screening to inform the co-design and implementation of an outreach strategy to increase screening awareness. Online focus groups with community members (<i>n</i> = 69) identified five themes, and interviews with community health workers (<i>n</i> = 21) identified four themes. The engagement phase led to a multi-component outreach strategy including a multilingual video series, a media campaign leveraging partner channels and a health worker information package with resources to assist with hosting community-based education sessions.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 2","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10343125","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
Improving Health Systems: There Is No App for That. 改善卫生系统:没有这样的应用程序。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-07-01 DOI: 10.12927/hcq.2023.27142
Neil Seeman
{"title":"Improving Health Systems: There Is No App for That.","authors":"Neil Seeman","doi":"10.12927/hcq.2023.27142","DOIUrl":"https://doi.org/10.12927/hcq.2023.27142","url":null,"abstract":"<p><p>Healthcare apps generally do not offer a coordinated strategy that aligns incentives among payers and patients, nor do apps solve underlying structural economic problems of sustainability, quality or equity. The economics of payers demand pilot testing; evidence-based research and iterative design; sustained communications to patients with the most need; and slow, careful integration that coordinates the needs of all participants. An integrated social systems app model can take the pressure off a stressed system.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 2","pages":"13-16"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9979347","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
Recommendations to Enhance Physical Health for Individuals with Severe Mental Illness in Canadian Healthcare Organizations. 加强加拿大医疗机构中患有严重精神疾病个体的身体健康的建议。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-04-01 DOI: 10.12927/hcq.2023.27053
Tania Tajirian, Cristina de Lasa, Caroline Chessex, Brian Lo, Po-Yen Brian Chang, Rola Moghabghab, Dionne Sinclair, Damian Jankowicz, Sanjeev Sockalingam, Vicky Stergiopoulos
{"title":"Recommendations to Enhance Physical Health for Individuals with Severe Mental Illness in Canadian Healthcare Organizations.","authors":"Tania Tajirian,&nbsp;Cristina de Lasa,&nbsp;Caroline Chessex,&nbsp;Brian Lo,&nbsp;Po-Yen Brian Chang,&nbsp;Rola Moghabghab,&nbsp;Dionne Sinclair,&nbsp;Damian Jankowicz,&nbsp;Sanjeev Sockalingam,&nbsp;Vicky Stergiopoulos","doi":"10.12927/hcq.2023.27053","DOIUrl":"https://doi.org/10.12927/hcq.2023.27053","url":null,"abstract":"<p><p>As Canadians with severe mental illness remain underserved and experience a high burden of physical health challenges and premature mortality, there is an unprecedented need to provide better physical healthcare to this population. Ways of addressing this gap include the delivery of physical healthcare in mental health settings (\"reverse integration\"). However, there is limited guidance on how to enact this integration. In this article, we outline the development of an integrated care strategy in Canada's largest mental health hospital and discuss system- and policy-level recommendations that healthcare organizations could consider in their initiatives.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 1","pages":"38-44"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424151","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
Innovations to Address Social Isolation for Elderly Canadians Aging at Home. 解决加拿大居家老人社会孤立问题的创新。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-04-01 DOI: 10.12927/hcq.2023.27057
Neil Seeman
{"title":"Innovations to Address Social Isolation for Elderly Canadians Aging at Home.","authors":"Neil Seeman","doi":"10.12927/hcq.2023.27057","DOIUrl":"https://doi.org/10.12927/hcq.2023.27057","url":null,"abstract":"<p><p>Amid the COVID-19 pandemic, two interdisciplinary pan-Canadian research initiatives have illuminated the social isolation and loneliness of seniors who age at home. The National Institute on Ageing at Toronto Metropolitan University and the Canadian Coalition for Seniors' Mental Health are exemplars in how to treat healthcare innovations as opportunities to create a sustainable high-quality healthcare system. Knowledge translation and communication with the public are core to the values and strategy of both organizations. Clinician leaders at these organizations take a holistic approach to understanding and communicating the importance of social isolation and loneliness among seniors.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 1","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9429605","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
Community Wellness Bus: A Partner-Led Initiative to Improve Service Integration and Address Unmet Needs of Underserved Populations in Algoma District, Ontario. 社区健康巴士:合作伙伴主导的倡议，以改善服务整合和解决未满足的需求，在阿尔戈马区，安大略省服务不足的人口。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-04-01 DOI: 10.12927/hcq.2023.27054
Jeffrey Dorans, Cassandra Lepore, Erin M Mulroney, Victoria Aceti Chlebus
{"title":"Community Wellness Bus: A Partner-Led Initiative to Improve Service Integration and Address Unmet Needs of Underserved Populations in Algoma District, Ontario.","authors":"Jeffrey Dorans,&nbsp;Cassandra Lepore,&nbsp;Erin M Mulroney,&nbsp;Victoria Aceti Chlebus","doi":"10.12927/hcq.2023.27054","DOIUrl":"https://doi.org/10.12927/hcq.2023.27054","url":null,"abstract":"<p><p>Launched at the height of the COVID-19 pandemic, the Community Wellness Bus (CWB) is an evidence-based mobile health clinic that serves high-needs populations living in Sault Ste. Marie, ON. As an Algoma Ontario Health Team partner-led initiative that works to improve health and social service integration, the CWB program is an effective, collaborative approach to address the unmet needs of individuals who are underhoused or living with a mental illness and/or addictions in the community. This article aims to identify successes, challenges and opportunities for the expansion of this program to re-engage individuals with the local health system.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 1","pages":"31-37"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9429608","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 : 2023-04-01 DOI: 10.12927/hcq.2023.27060
Anne Wojtak, Neil Stuart
{"title":"From the Editors.","authors":"Anne Wojtak,&nbsp;Neil Stuart","doi":"10.12927/hcq.2023.27060","DOIUrl":"https://doi.org/10.12927/hcq.2023.27060","url":null,"abstract":"<p><p>The recent winter months were particularly brutal for the healthcare system and its patients as we grappled with an onslaught of infectious diseases, healthcare backlogs and critical shortages of health human resources. We subsequently watched as Canada's federal and provincial leaders sought agreement on additional investments for several of our most precarious sectors, including long-term care, primary care and mental healthcare. Spring 2023 offers some optimism in that we will have new resources to make much-needed improvements to our depleted health sectors and services. While we can anticipate ongoing tensions as to how these investments will be used and how political leaders are held accountable, our healthcare leaders are gearing up to increase capacity and shore up our systems.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9429603","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
Cancer Risk among Adults Living with HIV in Ontario. 安大略省成年艾滋病毒感染者的癌症风险
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-04-01 DOI: 10.12927/hcq.2023.27059
Ioana A Nicolau, Ann N Burchell
{"title":"Cancer Risk among Adults Living with HIV in Ontario.","authors":"Ioana A Nicolau,&nbsp;Ann N Burchell","doi":"10.12927/hcq.2023.27059","DOIUrl":"https://doi.org/10.12927/hcq.2023.27059","url":null,"abstract":"<p><p>Cancer is an important comorbidity and healthcare concern for people living with the human immunodeficiency virus (HIV). Researchers have quantified the burden of cancer among people living with HIV in Ontario using administrative and registry-linked data held at ICES. Findings showed that although cancer incidence has declined over time, people living with HIV remain at a greater risk for cancers with infectious causes compared with HIV-negative people. There is a need for comprehensive HIV care that includes cancer prevention strategies.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 1","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9425867","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
Shadows and Light: An Interview with Heather Patterson. 光与影希瑟-帕特森访谈录。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-04-01 DOI: 10.12927/hcq.2023.27052
Neil Stuart, Anne Wojtak
{"title":"Shadows and Light: An Interview with Heather Patterson.","authors":"Neil Stuart, Anne Wojtak","doi":"10.12927/hcq.2023.27052","DOIUrl":"10.12927/hcq.2023.27052","url":null,"abstract":"<p><p>The editors of Healthcare Quarterly (HQ) recently had the opportunity to speak with Heather Patterson - emergency physician, photographer and author of the recently released book Shadows and Light (Patterson 2022). Through the photographs she took at Calgary-area hospitals during the height of the COVID-19 pandemic, Patterson created a poignant record of how the pandemic affected hospital staff, patients and their families. The book has struck a chord with many Canadians as it offers both an honest appraisal of the dreadful toll of the pandemic while also demonstrating the grace and compassion of healthcare workers.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 1","pages":"45-49"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9429610","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
Adapting Our SCOPE: Lessons Learned from Spreading and Scaling Efforts to Integrate Care. 调整我们的范围:从传播和扩大努力中获得的经验教训，以整合护理。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-04-01 DOI: 10.12927/hcq.2023.27051
Parisa Mehrfar, Jaclyn Martyn, Celia Laur, Noah Ivers, Aleisha Fernandes, Harpreet Bassi, Mohamed Alarakhia, Nadia Alam, Pauline Pariser
{"title":"Adapting Our SCOPE: Lessons Learned from Spreading and Scaling Efforts to Integrate Care.","authors":"Parisa Mehrfar,&nbsp;Jaclyn Martyn,&nbsp;Celia Laur,&nbsp;Noah Ivers,&nbsp;Aleisha Fernandes,&nbsp;Harpreet Bassi,&nbsp;Mohamed Alarakhia,&nbsp;Nadia Alam,&nbsp;Pauline Pariser","doi":"10.12927/hcq.2023.27051","DOIUrl":"https://doi.org/10.12927/hcq.2023.27051","url":null,"abstract":"<p><p>SCOPE (Seamless Care Optimizing the Patient Experience) launched in 2012 to support primary care in downtown Toronto with live navigation and rapid access to acute and community care resources for primary care providers (PCPs) and their patients. Ten years later, over 1,800 PCPs across Ontario have signed up for SCOPE and over 48,000 interactions in the form of e-mail, fax, phone and secure messaging have been conducted. Case examples illustrate the ways in which SCOPE has been adapted across a range of Ontario Health Teams, including under-resourced, small urban and rural sites. Primary care engagement, change management strategies and flexibility to meet the individual needs of each site have been key factors in the successful spread and scale of SCOPE's services.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 1","pages":"50-58"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424152","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
Key Stakeholder Perceptions of Standard vs. Total Cost of Ownership: A Procurement Analysis for Orthopaedic-Powered Instruments. 关键利益相关者对标准与总拥有成本的看法:骨科动力器械的采购分析。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2023-04-01 DOI: 10.12927/hcq.2023.27050
Aazad Abbas, Olumide Olotu, Sejla Abdic, Albert Yee, Jeremie Larouche, Cari Whyne, Dante Morra, Jay Toor
{"title":"Key Stakeholder Perceptions of Standard vs. Total Cost of Ownership: A Procurement Analysis for Orthopaedic-Powered Instruments.","authors":"Aazad Abbas,&nbsp;Olumide Olotu,&nbsp;Sejla Abdic,&nbsp;Albert Yee,&nbsp;Jeremie Larouche,&nbsp;Cari Whyne,&nbsp;Dante Morra,&nbsp;Jay Toor","doi":"10.12927/hcq.2023.27050","DOIUrl":"https://doi.org/10.12927/hcq.2023.27050","url":null,"abstract":"<p><p>This study compares standard procurement methodology (SPM) with total cost of ownership (TCO) methodology for the procurement of orthopaedic-powered instruments. The authors conducted semi-structured standardized interviews with key hospital procurement stakeholders following consolidated criteria for reporting qualitative research. Of the 33 hospital procurement stakeholders interviewed, all (100%) reported that SPM would be easier to use than TCO. However, only six (18%) preferred SPM over TCO. Barriers to the adoption of TCO emerged as a theme. Creating TCO frameworks can help to simplify the process for procurement agents and facilitate its adoption in the healthcare sector.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"26 1","pages":"59-64"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424158","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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