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Health Data Literacy in Canada: The Missing Metric in a Data-Rich Era. 加拿大的健康数据素养：数据丰富时代的缺失指标。
Healthcare Management Forum Pub Date : 2026-05-07 DOI: 10.1177/08404704261447696
Cliff Lindeman, Ewan Affleck, Nigel Ashworth, Ed Jess, Nicole Kain, Katie Kjelland, Quyen Lam, Glynda Rees
{"title":"Health Data Literacy in Canada: The Missing Metric in a Data-Rich Era.","authors":"Cliff Lindeman, Ewan Affleck, Nigel Ashworth, Ed Jess, Nicole Kain, Katie Kjelland, Quyen Lam, Glynda Rees","doi":"10.1177/08404704261447696","DOIUrl":"https://doi.org/10.1177/08404704261447696","url":null,"abstract":"<p><p>Health data are essential for improving care, guiding decisions, and shaping health policy, but many people in Canada lack the knowledge needed to use them effectively. This article suggests that health data literacy, understanding what data are, why they matter, and how they should be used, is a critical foundation of a well-functioning health system. Without a shared level of literacy across the public, healthcare providers, decision-makers, and researchers, even advanced systems may result in fragmented care, poor decisions, wasted resources, and reduced public trust. Currently, there is no consistent definition of comprehensive approach to measure or improve health data literacy in Canada, and existing efforts are limited. Evidence shows significant gaps across all groups from low public awareness to challenges among clinicians and policy-makers in interpreting and using data effectively. A coordinated approach to define, measure, and improve health data literacy is needed to strengthen Canada's health system.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261447696"},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844313","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 Survey of Primary Care Administrators' Experiences During Integration of Pharmacists into Team-Based Primary Care in British Columbia. 不列颠哥伦比亚省基层医疗管理人员整合药师团队基层医疗的经验调查。
Healthcare Management Forum Pub Date : 2026-05-01 Epub Date: 2025-11-10 DOI: 10.1177/08404704251388321
Peter J Zed, Arwa Nemir, Peter S Loewen, Anita I Kapanen, Anupama Salil
{"title":"A Survey of Primary Care Administrators' Experiences During Integration of Pharmacists into Team-Based Primary Care in British Columbia.","authors":"Peter J Zed, Arwa Nemir, Peter S Loewen, Anita I Kapanen, Anupama Salil","doi":"10.1177/08404704251388321","DOIUrl":"10.1177/08404704251388321","url":null,"abstract":"<p><p>Team-based primary care involving a pharmacist provides many benefits, including improved patient outcomes, increased efficiency, and enhanced patient and clinician satisfaction. This article reports findings from a provincial survey to describe primary care network administrators' experiences during integration of pharmacists into interprofessional team in primary care networks, and to describe the facilitators and barriers of team-based care. Health service administrators reported an overall high degree of satisfaction with their experiences collaborating with the program team and with pharmacists in a developing team-based primary care model. Barriers to team-based care included lack of integrated electronic medical record preventing efficient access and sharing of patient information/communication, lack of role clarity and scope of practice among team members, and lack of co-location precluding relationship building, timely care, and optimization of the team. These barriers should be addressed to optimize the effectiveness and efficiency of the team as the model of primary care continues to evolve.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"234-240"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483106","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
Standardizing Health Workforce Data in Canada: Legal and Regulatory Levers for Harmonized Collection and Sharing. 加拿大卫生人力数据标准化：协调收集和共享的法律和监管杠杆。
Healthcare Management Forum Pub Date : 2026-05-01 Epub Date: 2026-02-02 DOI: 10.1177/08404704251403158
Alexandra Lyn, Kathleen Leslie, Arthur Sweetman, Geetanjali Sharma, Sarah Lazin, Gwenneth Feeny, Ivy Lynn Bourgeault
{"title":"Standardizing Health Workforce Data in Canada: Legal and Regulatory Levers for Harmonized Collection and Sharing.","authors":"Alexandra Lyn, Kathleen Leslie, Arthur Sweetman, Geetanjali Sharma, Sarah Lazin, Gwenneth Feeny, Ivy Lynn Bourgeault","doi":"10.1177/08404704251403158","DOIUrl":"10.1177/08404704251403158","url":null,"abstract":"<p><p>There is a growing awareness of the benefits of comprehensive, standardized, and accessible data on the health workforce to support more timely and robust planning. We found that provincial regulation and data privacy legislation could be better aligned to strengthen the infrastructure for high-quality health workforce planning data. This article identifies existing legal and regulatory mechanisms that enable the collection and sharing of more standardized health workforce data. We propose a framework that enables the collection and sharing of standardized data by scaling up existing leading practices in certain provinces into a more cohesive approach. Key facilitators include umbrella legislation, privacy frameworks that contemplate data use for workforce planning, efforts to collect anti-discrimination data, and secure data access infrastructure. Together, these facilitators support a viable foundation for improved health workforce data standardization and utilization for planning to improve healthcare delivery across Canada in the existing legal context.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"255-262"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107773","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
The Cost of Turnover in Home Healthcare: A Conceptual Model. 家庭医疗的周转成本：一个概念模型。
Healthcare Management Forum Pub Date : 2026-05-01 Epub Date: 2026-02-06 DOI: 10.1177/08404704251412842
K A P Zagrodney, S M McKay, R Jaffe, K Myers, E Sequera, D Uzelac, E C King
{"title":"The Cost of Turnover in Home Healthcare: A Conceptual Model.","authors":"K A P Zagrodney, S M McKay, R Jaffe, K Myers, E Sequera, D Uzelac, E C King","doi":"10.1177/08404704251412842","DOIUrl":"10.1177/08404704251412842","url":null,"abstract":"<p><p>Despite the relatively high turnover rates and increasing demand for homecare, little is known about the costs of turnover for homecare employers. To create effective policies to reduce turnover and associated costs, employers require an understanding of what factors contribute to the costs of turnover. Building upon existing models from labour economic and human resources theories, we worked with subject matter experts from a large homecare employer organization to co-design the first known homecare cost of turnover model. The resulting model accounts for sector-specific cost differences and can be used to estimate the costs of homecare worker turnover. As homecare continues to face high workforce instability, clear estimates of the cost of turnover can guide organizations and decision-makers in the evidence-based design of retention policies and programs to the benefit of homecare workers, funders, those seeking homecare, and the broader health and social care system.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"297-302"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132685","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
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 : 2026-05-01 Epub Date: 2025-09-25 DOI: 10.1177/08404704251371617
Joanna L Seeley, Donna G Curtis Maillet, Sarah Balcom, Pamela Durepos
{"title":"Navigating Privacy in Health Data Sharing: A Patient-Centric Approach to Health Information Exchange.","authors":"Joanna L Seeley, Donna G Curtis Maillet, Sarah Balcom, Pamela Durepos","doi":"10.1177/08404704251371617","DOIUrl":"10.1177/08404704251371617","url":null,"abstract":"<p><p>Personal Health Information (PHI) sharing through Health Information Exchange (HIE) enhances patient safety in Canada, yet not all provinces and territories voluntarily disclose PHI on safety incidents to federal and pan-Canadian surveillance systems. A frequently cited barrier by healthcare organizations for HIE between different interoperable health databases is patients' and families' concerns for their privacy. This explorative qualitative study examined patients' and families' attitudes toward PHI sharing, including its secondary use in patient safety events. Rather than expressing reluctance, participants described support for HIE when privacy safeguards, such as defined sharing purposes and anonymous formats, were in place. These findings present a significant opportunity for health leaders and data custodians to use the research findings to create a patient-centric framework for the HIE of PHI.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"200-204"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151384","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
Leading the Way: Advancing Patient Advocacy through People-Centred Care. 引领潮流：通过以人为本的护理推进患者权益。
Healthcare Management Forum Pub Date : 2026-05-01 Epub Date: 2025-12-02 DOI: 10.1177/08404704251394564
Giulia Zucal, Nicole Graham, Michael Creek, Kateryna Metersky, Deborah Flores, Gladys Hui, Nafsin Nizum, Michelle Rey, Doris Grinspun
{"title":"Leading the Way: Advancing Patient Advocacy through People-Centred Care.","authors":"Giulia Zucal, Nicole Graham, Michael Creek, Kateryna Metersky, Deborah Flores, Gladys Hui, Nafsin Nizum, Michelle Rey, Doris Grinspun","doi":"10.1177/08404704251394564","DOIUrl":"10.1177/08404704251394564","url":null,"abstract":"<p><p>This article presents how the Registered Nurses' Association of Ontario developed the People-Centred Care, 3<sup>rd</sup> edition best practice guideline and describes its use in advancing patient advocacy by implementing the three guiding principles, two evidence-based recommendations and five good practice statements. Furthermore, the guideline equips leaders and organizations with implementation tips to promote patient autonomy, address systemic barriers, and foster inclusive, advocacy-driven care. We emphasize leadership's role in fostering cultures of engagement, collaboration, and empowerment. This is a critical tool for organizations, leaders, and providers seeking to embed patient advocacy within practice and policy. It underscores the transformative potential of leadership-driven advocacy in advancing people-centred care and ensuring health systems prioritize the voices, needs, and experiences of those they serve.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"194-199"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662321","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
Recommendations of an Independent Expert Committee for the Development of Quebec's First Government Policy on Primary Care. 制定魁北克省第一项初级保健政府政策的独立专家委员会的建议。
Healthcare Management Forum Pub Date : 2026-05-01 Epub Date: 2026-01-21 DOI: 10.1177/08404704251397322
Mylaine Breton, Elise Boulanger, Catherine Lamoureux-Lamarche, Marie-Dominique Beaulieu, Karina Prévost, Sophie Boies, Catherine Bouffard-Dumais, Antoine Groulx
{"title":"Recommendations of an Independent Expert Committee for the Development of Quebec's First Government Policy on Primary Care.","authors":"Mylaine Breton, Elise Boulanger, Catherine Lamoureux-Lamarche, Marie-Dominique Beaulieu, Karina Prévost, Sophie Boies, Catherine Bouffard-Dumais, Antoine Groulx","doi":"10.1177/08404704251397322","DOIUrl":"10.1177/08404704251397322","url":null,"abstract":"<p><p>In January 2025, the Ministry of Health and Social Services commissioned an independent expert panel to make recommendations to guide the first government policy addressing the primary care crisis in Quebec. Conducted over a period of 4 months, this work combines a targeted literature review, 59 consultations with more than 200 stakeholders, and a provincial forum to develop recommendations grounded in evidence and local realities. Findings from the consultations revealed a fragmented, hospital-centred system characterized by inequitable access and insufficient continuity. The expert committee formulated six coherent and locally adaptable key recommendations aligned with international best practices. This provides a pragmatic and comprehensive roadmap to strengthen primary care in Quebec through interdisciplinary teams, territorial governance, protected and dedicated funding, data infrastructure, and user involvement. A concrete action plan is essential to achieve the proposed vision, which will require time, consistency, and structured planning.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"247-254"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020018","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
The Philosophy of Artificial Intelligence in Healthcare: Facilitating a Human-Centred Paradigm to Optimize Healthcare Outcomes. 医疗保健中的人工智能哲学：促进以人为中心的范式以优化医疗保健结果。
Healthcare Management Forum Pub Date : 2026-05-01 Epub Date: 2025-11-21 DOI: 10.1177/08404704251394950
Holly Wei, Sylvain Trepanier, Trent Wei, David Marshall, Robert D Wiley, Darrin D'Agostino
{"title":"The Philosophy of Artificial Intelligence in Healthcare: Facilitating a Human-Centred Paradigm to Optimize Healthcare Outcomes.","authors":"Holly Wei, Sylvain Trepanier, Trent Wei, David Marshall, Robert D Wiley, Darrin D'Agostino","doi":"10.1177/08404704251394950","DOIUrl":"10.1177/08404704251394950","url":null,"abstract":"<p><p>This article aims to examine the philosophy of Artificial Intelligence (AI) in healthcare and present a novel framework that could bridge philosophy, ethics, and leadership to promote the responsible and human-centred integration of AI. Moving beyond efficiency and innovation, it explores the deeper philosophical, moral, and human dimensions of AI's evolving role in care delivery. The proposed framework incorporates teleology, ontology, epistemology, axiology, and ethics to provide a structured foundation for guiding AI development, implementation, and governance through purpose, knowledge, values, and moral action. Grounded in these principles, it highlights the leadership approaches that foster accountability, organizational readiness, and ethical stewardship in AI adoption. These insights inform the development of a framework designed to align AI with human values and to promote compassionate, ethical, and sustainable applications that enhance healthcare outcomes while preserving the essence of human care.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"241-246"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575090","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
Bridging Clinical and Entrepreneurial Intelligence: The Dual Acumen Model for Integrating Scientific Expertise and Innovation Strategy in Healthcare Leadership. 弥合临床和创业智力：在医疗保健领导整合科学专业知识和创新战略的双重敏锐度模型。
Healthcare Management Forum Pub Date : 2026-05-01 Epub Date: 2026-01-30 DOI: 10.1177/08404704251405775
Charleata Battle
{"title":"Bridging Clinical and Entrepreneurial Intelligence: The Dual Acumen Model for Integrating Scientific Expertise and Innovation Strategy in Healthcare Leadership.","authors":"Charleata Battle","doi":"10.1177/08404704251405775","DOIUrl":"10.1177/08404704251405775","url":null,"abstract":"<p><p>Physicians are increasingly called to lead beyond clinical care, addressing system inefficiencies through innovation and entrepreneurial action. This qualitative multiple-case study examined how 21 physicians in the United States developed and applied \"dual acumen,\" the integration of scientific expertise and entrepreneurial intelligence to advance healthcare innovation. Guided by effectuation theory, data were analyzed by NVivo 12 for thematic coding. Findings demonstrate how physician entrepreneurs navigated uncertainty through five effectual principles: bird-in-hand, affordable loss, crazy quilt, lemonade, and pilot-in-the-plane. These principles informed the development of the Dual Acumen Model, an empirically derived framework explaining how physicians translate clinical insights into entrepreneurial practice and system-level innovation. The study contributes empirical evidence that hybrid physician leaders advance healthcare improvement by integrating scientific and innovation competencies that build leadership capacity and organizational adaptability.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"285-290"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094541","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
Ethical Issues of Risk Management Disclosure in Healthcare Networks. 医疗网络风险管理披露的伦理问题。
Healthcare Management Forum Pub Date : 2026-05-01 Epub Date: 2026-01-31 DOI: 10.1177/08404704251404875
Laurie Bouchard, Béatrice Godard
{"title":"Ethical Issues of Risk Management Disclosure in Healthcare Networks.","authors":"Laurie Bouchard, Béatrice Godard","doi":"10.1177/08404704251404875","DOIUrl":"10.1177/08404704251404875","url":null,"abstract":"<p><p>Risk management disclosure is one of the so-called ethical processes that illustrate the culture of fairness (just culture) and no-blame. On the field, however, this culture is not always felt by staff. Disclosure is open to criticism and difficulties and raises ethical issues such as fears of being blamed and fears of the consequences for users. These criticisms and difficulties are linked to ethical values and principles, as is disclosure itself. Thus, many ethical dilemmas are experienced by staff. Fortunately, it is possible to optimize the disclosure process by examining the possibilities offered by organizational ethics to optimize the disclosure process. Using the concepts and tools of organizational ethics helps to overcome the limitations of the risk management process as a whole and to optimize it. It is therefore reasonable to hypothesize that organizational ethics can help to do the same for disclosure.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"268-275"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094579","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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