Healthcare Management Forum最新文献

A path towards relational accountability in British Columbia's health system: Grounding systems transformation in Coast Salish Teachings and Indigenous-specific anti-racism. 不列颠哥伦比亚省卫生系统的关系问责之路：海岸萨利希教学的基础系统转变和土著特有的反种族主义。

Healthcare Management Forum Pub Date : 2025-10-02 DOI: 10.1177/08404704251359297

Eryn Braley, Robin Smoker-Peters, Dawn Tisdale, Katie Skelton, Nancy Laliberte, Joe Gallagher Kʷunuhmen, Dr Shane Te Ta-In Pointe

{"title":"A path towards relational accountability in British Columbia's health system: Grounding systems transformation in Coast Salish Teachings and Indigenous-specific anti-racism.","authors":"Eryn Braley, Robin Smoker-Peters, Dawn Tisdale, Katie Skelton, Nancy Laliberte, Joe Gallagher Kʷunuhmen, Dr Shane Te Ta-In Pointe","doi":"10.1177/08404704251359297","DOIUrl":"https://doi.org/10.1177/08404704251359297","url":null,"abstract":"Ongoing settler-colonialism within British Columbia's (BC's) healthcare system excludes First Nations Knowledge systems, perpetuating significant harm and inequities for Indigenous Peoples. Health systems transformation requires centring First Nations land-based laws and Teachings alongside Indigenous-specific anti-racism. The Provincial Health Services Authority's (PHSA's) journey of accepting Coast Salish Teachings gifted by Coast Salish Knowledge Keeper Te Ta-in provides a pathway on embodying relational accountability and distinctions-based approaches. The Teachings inspire people to grow and serve in new ways, embracing the truth of Indigenous-specific racism, incorporating lived experiences of Indigenous Peoples, and doing our best as human beings. Grounded in local First Nations Knowledge and Indigenous thought leadership, PHSA's approach demonstrates how land-based laws and Indigenous-specific anti-racism praxis can drive transformation to create an anti-racist, culturally safe, and equitable health system in line with the BC Declaration Act on the Rights of Indigenous Peoples, the In Plain Sight Report, provincial commitments, and legislative obligations.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251359297"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213843","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

Establishing a Research Institute in an Ontario Community Hospital: Reflections and Lessons Learned. 在安大略省社区医院建立研究所：反思和吸取的教训。

Healthcare Management Forum Pub Date : 2025-09-30 DOI: 10.1177/08404704251380461

Kian Rego, Elaina Orlando, Gail Riihimaki, Harpreet Bassi, Jennifer Ly Tsang

{"title":"Establishing a Research Institute in an Ontario Community Hospital: Reflections and Lessons Learned.","authors":"Kian Rego, Elaina Orlando, Gail Riihimaki, Harpreet Bassi, Jennifer Ly Tsang","doi":"10.1177/08404704251380461","DOIUrl":"https://doi.org/10.1177/08404704251380461","url":null,"abstract":"Integrating research into health service delivery is essential for building an equitable learning health system that values continuous improvement, innovation, and patient-centred care. At the organizational level, evidence shows that research-active hospitals achieve better patient outcomes and experiences, increased staff satisfaction and retention, enhanced operational efficiency, and greater opportunities for innovation and revenue generation. Yet, most Canadian hospitals are community hospitals which lack the infrastructure and organizational supports to conduct research. This article presents a case study of a research institute within a community hospital in Southern Ontario, describing its development, early outcomes, and strategic impact in establishing research as an organizational priority. We also introduce a novel adaptation of the balanced scorecard to guide the implementation and evaluation of research programs in community hospital settings. Reflections from this case highlight patient and organizational benefits, offering practical insights for community hospitals leaders seeking to build research capacity in their organizations.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251380461"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201009","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

Care Planning Across the Health System: Intersectoral Application of the interRAI Assessment System. 整个卫生系统的护理规划：综合评估系统的跨部门应用。

Healthcare Management Forum Pub Date : 2025-09-28 DOI: 10.1177/08404704251370371

Connie Schumacher, Margaret Saari, Melissa Northwood, Fabrice Mowbray, Chantelle Mensink, Michelle Heyer, Kasia Bail, Grace Pyatt

{"title":"Care Planning Across the Health System: Intersectoral Application of the interRAI Assessment System.","authors":"Connie Schumacher, Margaret Saari, Melissa Northwood, Fabrice Mowbray, Chantelle Mensink, Michelle Heyer, Kasia Bail, Grace Pyatt","doi":"10.1177/08404704251370371","DOIUrl":"https://doi.org/10.1177/08404704251370371","url":null,"abstract":"Older adults living with frailty and multimorbidity interact with multiple care providers and health settings, resulting in fragmented care and information discontinuity. Standardized assessments potentiate integrated care by communicating consistent measures of health information between sectors and providers. We use a pragmatic case example of a theoretical medically complex older adult to illustrate use of interRAI standardized assessments throughout the health journey. The case example represents the assessment findings of a patient accessing care through primary care, the emergency department, home/community care and long-term care. A suite of assessment instruments embedded with decision support algorithms guides nursing care decisions, while a common language and standardized assessment items support effective communication and collaboration among the health team. Successful adoption of integrated and comprehensive assessment tools requires training, engagement, and time to embed processes into practice. interRAI assessments enable integration through a common language, aligning successive assessments across the care continuum.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251370371"},"PeriodicalIF":0.0,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187165","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

Advancing mental healthcare in Canada: The development and dissemination of the quality mental healthcare implementation toolkit. 促进加拿大的精神保健：开发和传播高质量的精神保健实施工具包。

Healthcare Management Forum Pub Date : 2025-09-28 DOI: 10.1177/08404704251360222

Marissa Persaud, Siri Chunduri, Jonathan I Mitchell

{"title":"Advancing mental healthcare in Canada: The development and dissemination of the quality mental healthcare implementation toolkit.","authors":"Marissa Persaud, Siri Chunduri, Jonathan I Mitchell","doi":"10.1177/08404704251360222","DOIUrl":"https://doi.org/10.1177/08404704251360222","url":null,"abstract":"Quality mental healthcare delivery in Canada continues to face challenges in consistency and effectiveness. To address these gaps and respond to the evolving mental health landscape post-COVID, HealthCareCAN and the Mental Health Commission of Canada revised the Quality Mental Healthcare Framework (QMHCF) and developed an implementation toolkit. A multi-phase approach was used, including an environmental scan, key informant interviews, and consultations with people with lived and living experience to refine the framework and inform implementation strategies. The QMHCF identifies eight core dimensions of quality, emphasizing care as equitable, trauma-informed, recovery-oriented, evidence-based, integrated, stigma-free and inclusive, appropriate, and delivered in a positive work-life environment. The implementation toolkit includes practical guidance, case studies, and evaluation tools to support adoption. Both the revised framework and toolkit provide healthcare organizations with evidence-informed resources to enhance the delivery of mental health services across diverse care settings in Canada.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251360222"},"PeriodicalIF":0.0,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187142","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 role of government in protecting the public during a public health emergency. 在突发公共卫生事件中，政府在保护公众方面的作用。

Healthcare Management Forum Pub Date : 2025-09-26 DOI: 10.1177/08404704251367616

Penny Janet Ballem

引用次数: 0

Navigating Privacy in Health Data Sharing: A Patient-Centric Approach to Health Information Exchange. 健康数据共享中的隐私导航：以患者为中心的健康信息交换方法。

Healthcare Management Forum Pub Date : 2025-09-25 DOI: 10.1177/08404704251371617

Joanna L Seeley, Donna G Curtis Maillet, Sarah Balcom, Pamela Durepos

引用次数: 0

Are You Leading an Artificial Intelligence-Capable Healthcare Organization? 你正在领导一个人工智能医疗机构吗？

Healthcare Management Forum Pub Date : 2025-09-25 DOI: 10.1177/08404704251375388

Angel Arnaout

引用次数: 0

A vision for the role of governments in supporting the public's health: Learning from the past and expanding our imaginations for the future. 对政府在支持公众健康方面的作用的设想：从过去吸取教训，扩大我们对未来的想象。

Healthcare Management Forum Pub Date : 2025-09-24 DOI: 10.1177/08404704251362375

Lindsay McLaren

{"title":"A vision for the role of governments in supporting the public's health: Learning from the past and expanding our imaginations for the future.","authors":"Lindsay McLaren","doi":"10.1177/08404704251362375","DOIUrl":"https://doi.org/10.1177/08404704251362375","url":null,"abstract":"Governments in Canada and elsewhere play a very significant role in shaping the health of populations, but the main ways in which they do so are largely hidden because they lie outside of the health sector and are thus under-leveraged. Neoliberal economic and social policy has eroded upstream determinants of health, with profound consequences for health equity. The current polycrisis-a predictable outcome of neoliberalism-provides an opportunity to re-imagine a role for governments in supporting the public's health. Anchored in a broad version of public health, I consider three levels where we, as a community of health professionals, could start to envision such a version of government, focusing primarily on federal government: (1) public spending; (2) overall orientation of government vis-à-vis the well-being of the population; and (3) the broader political economic paradigm and its dynamics of power. Collectively, these offer opportunity to learn from our past while expanding our imaginations for the future. Such a vision will require the support, and the humility, of healthcare leaders.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251362375"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132108","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

Non-regulated but involved: Exploring the experiences of unregulated support providers in MAiD service delivery in Canada. 不受监管但参与：探索加拿大不受监管的MAiD服务提供支持提供者的经验。

Healthcare Management Forum Pub Date : 2025-09-23 DOI: 10.1177/08404704251363081

Clinton Ekaeze, Devidas Menon, Tania Stafinski

{"title":"Non-regulated but involved: Exploring the experiences of unregulated support providers in MAiD service delivery in Canada.","authors":"Clinton Ekaeze, Devidas Menon, Tania Stafinski","doi":"10.1177/08404704251363081","DOIUrl":"https://doi.org/10.1177/08404704251363081","url":null,"abstract":"Since its legalization in 2016, Medical Assistance in Dying (MAiD) in Canada has undergone significant development, yet the roles of Unregulated Support Providers (USPs) remain largely overlooked in research and policy discussions. This study investigates the experiences of and challenges faced by USPs supporting patients choosing MAiD in Canada. We conducted semi-structured interviews with 19 USPs across Canada, recruited via purposive sampling. Thematic analysis was employed to explore experiences and identify patterns of service provision, collaboration, and barriers to care. USPs offer emotional, educational, and logistical support to patients and families navigating MAiD-related decisions. Despite their contributions, they face barriers, such as financial inaccessibility and lack of formal recognition. Participants advocated for greater integration into the formal healthcare system and regulation to enhance accountability, accessibility, and patient safety. USPs can play an important yet overlooked role in MAiD. Their formal recognition could enhance psychosocial care for patients.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251363081"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126214","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

Addressing burnout and fatigue in surgical services: Leveraging external partnerships and institutional support. 解决外科服务中的倦怠和疲劳：利用外部伙伴关系和机构支持。

Healthcare Management Forum Pub Date : 2025-09-23 DOI: 10.1177/08404704251357533

Jessica Mulli, Erin Murdoch

{"title":"Addressing burnout and fatigue in surgical services: Leveraging external partnerships and institutional support.","authors":"Jessica Mulli, Erin Murdoch","doi":"10.1177/08404704251357533","DOIUrl":"https://doi.org/10.1177/08404704251357533","url":null,"abstract":"Burnout and fatigue are significant challenges in healthcare, especially within our surgical services. Our remote location, frequent leadership turnover, chronic understaffing, and misalignment between operating room hours and community needs have led to excessive overtime, exhaustion, and sick leave. A sustainability plan was co-developed with stakeholders. The plan addresses human factors through department stabilization, expanded operating hours, increased baseline staffing, and training via a partnership with the Association of periOperative Registered Nurse perioperative certification program. The plan was assessed using a project analysis approach. Our objective is to demonstrate how institutional support and partnerships can reduce burnout and fatigue in surgical services. This article offers practical lessons for health leaders and other professionals seeking sustainable solutions. Six-month review showed a substantial decrease in overtime among operating room nurses and a reduction in agency nurse use. Leveraging institutional supports supported a more sustainable work-life balance and reduced burnout.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251357533"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126233","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