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Cost-analysis and rationale for implementing semi-urgent laparoscopic cholecystectomy programs in a public healthcare system. 在公共医疗系统中实施半紧急腹腔镜胆囊切除术的成本分析和理由。
Healthcare Management Forum Pub Date : 2025-05-21 DOI: 10.1177/08404704251338668
Matthew Cornacchia, Victoria Ivankovic, Dexter Choi, Shahad Abdulkhaleq Mamalchi, Peter Glen, Maher Matar, Fady Balaa
{"title":"Cost-analysis and rationale for implementing semi-urgent laparoscopic cholecystectomy programs in a public healthcare system.","authors":"Matthew Cornacchia, Victoria Ivankovic, Dexter Choi, Shahad Abdulkhaleq Mamalchi, Peter Glen, Maher Matar, Fady Balaa","doi":"10.1177/08404704251338668","DOIUrl":"https://doi.org/10.1177/08404704251338668","url":null,"abstract":"<p><p>Wait times for elective surgical procedures in publicly funded healthcare systems impede patient well-being and resource efficiency. Patients with gallstone disease requiring semi-urgent intervention are often treated via inpatient emergency pathways due to limited elective surgery access. This study aimed to evaluate the rationale and cost-effectiveness of providing timely outpatient semi-urgent cholecystectomy. We retrospectively reviewed 512 patients with urgent biliary disease (excluding cholecystitis) who underwent surgery between July 2019 and December 2022. The primary outcome was time from booking to operating room; the secondary was the estimated cost of prolonged hospital stays. Patients waited an average of 26.45 hours; 19.1% waited 48 hours or longer, and 6.2% waited 72 hours or more. The associated cost was $405,785 over 40 months. Implementing semi-urgent surgical resources could reduce costs, improve efficiency, and enhance patient quality of life. Future work should involve stakeholders to address barriers and facilitators in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251338668"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112272","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 low-carbon fruit tree for primary care. 初级保健的低碳果树。
Healthcare Management Forum Pub Date : 2025-05-14 DOI: 10.1177/08404704251333639
Myles Sergeant, Danish Zahid, Elizaveta Zvereva, Rebecca Douglass, Laura Kroeker, Martin Tieu, Brian Mckenna, W Scott Nash
{"title":"The low-carbon fruit tree for primary care.","authors":"Myles Sergeant, Danish Zahid, Elizaveta Zvereva, Rebecca Douglass, Laura Kroeker, Martin Tieu, Brian Mckenna, W Scott Nash","doi":"10.1177/08404704251333639","DOIUrl":"https://doi.org/10.1177/08404704251333639","url":null,"abstract":"<p><p>Primary care practitioners are optimally positioned to reduce the Greenhouse Gas (GHG) emissions produced by the healthcare system, which pose great risk to the health of people and the environment. This narrative review discusses 19 initiatives that can be implemented into primary care practices to reduce GHG emissions and financial costs through decreasing highly intensive emergency room visits and hospitalizations. This article also summarizes the time it may take for primary care practitioners to embed each of these initiatives into their care delivery. Lastly, this article demonstrates how best practice initiatives in primary care may show a higher GHG reduction than commonly conducted initiatives aimed at reducing GHGs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251333639"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080628","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
Retraction: Integrating Indigenous midwives into a comprehensive primary care setting. 撤回：将土著助产士纳入综合初级保健环境。
Healthcare Management Forum Pub Date : 2025-05-05 DOI: 10.1177/08404704251334177
{"title":"Retraction: Integrating Indigenous midwives into a comprehensive primary care setting.","authors":"","doi":"10.1177/08404704251334177","DOIUrl":"https://doi.org/10.1177/08404704251334177","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251334177"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040161","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
Policy options for a pan-Canadian mental health and substance use health workforce strategy. 泛加拿大精神卫生和物质使用卫生人力战略的政策选择。
Healthcare Management Forum Pub Date : 2025-05-03 DOI: 10.1177/08404704251329040
Jelena Atanackovic, Mary Bartram, Micheala Slipp, Sophia Myles, Ivy Lynn Bourgeault, Colby Fraser, Kathleen Leslie
{"title":"Policy options for a pan-Canadian mental health and substance use health workforce strategy.","authors":"Jelena Atanackovic, Mary Bartram, Micheala Slipp, Sophia Myles, Ivy Lynn Bourgeault, Colby Fraser, Kathleen Leslie","doi":"10.1177/08404704251329040","DOIUrl":"https://doi.org/10.1177/08404704251329040","url":null,"abstract":"<p><p>Canada needs a systematically developed, fit-for-purpose Mental Health and Substance Use Health (MHSUH) workforce strategy to improve and coordinate planning across jurisdictions, provider types, and the public and private sectors. Guided by a pan-Canadian advisory committee, our project synthesized evidence and refined key priorities through a virtual policy dialogue. This article describes the insights generated at this dialogue and highlights the coordinated priority actions for a MHSUH workforce strategy for Canada. Specific actions are recommended under the following five priorities: (1) collect data for planning; (2) support the workforce; (3) target recruitment; (4) optimize and diversify roles; and (5) close policy gaps. This proposed strategy can inform effective workforce planning, foster the well-being of the MHSUH workforce, and facilitate retention and recruitment. Engagement from MHSUH system partners, including leaders from government, provider, and lived experience organizations, is essential to advancing this workforce strategy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251329040"},"PeriodicalIF":0.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989978","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
Comprehensive redesign of a rehabilitation program at Runnymede Healthcare Centre. 全面重新设计 Runnymede 医疗保健中心的康复计划。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-07 DOI: 10.1177/08404704241294220
Karimah Alidina, Phuntsok Namgyal, Joanna Armatys, Kerry-Ann Flowers
{"title":"Comprehensive redesign of a rehabilitation program at Runnymede Healthcare Centre.","authors":"Karimah Alidina, Phuntsok Namgyal, Joanna Armatys, Kerry-Ann Flowers","doi":"10.1177/08404704241294220","DOIUrl":"10.1177/08404704241294220","url":null,"abstract":"<p><p>The redesign of the rehabilitation program at Runnymede Healthcare Centre (RHC) was designed to enhance patient care, staff satisfaction, and rehabilitation capacity. Aligned with RHC's strategic vision to become a centre of excellence for ageing and wellness, the initiative introduced a range of initiatives such as group therapy models, specific, measurable, achievable, relevant and time-bound rehabilitation goals, and enhanced leadership practices under the healthy engagement of older adults in rehabilitation therapy philosophy. Evaluation was integral to the initiative, with patient satisfaction, staff engagement, and key performance indicators continuously measured. Patient satisfaction scores, operational efficiency metrics, and staff engagement scores improved considerably. This project exemplifies how structured change management and embedded evaluation can lead to sustained improvements in patient care, staff experience, and rehabilitation outcomes.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"255-262"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606679","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 perpetual pilots to sustainable transformation: Scaling up geriatric care. 从永久试点到可持续转型：扩大老年护理规模。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-14 DOI: 10.1177/08404704241299341
Jacobi Elliott, George Heckman, Karli Chalmers, Humberto Omana, Brad Hiebert, Sheri-Lynn Kane
{"title":"From perpetual pilots to sustainable transformation: Scaling up geriatric care.","authors":"Jacobi Elliott, George Heckman, Karli Chalmers, Humberto Omana, Brad Hiebert, Sheri-Lynn Kane","doi":"10.1177/08404704241299341","DOIUrl":"10.1177/08404704241299341","url":null,"abstract":"<p><p>With an ageing population, there is an increasing need to focus on the care of older adults, particularly those who are more medically complex. Frail older adults are more likely to require care from multiple providers across multiple settings. It is well recognized that the current Canadian healthcare system is not well-designed for this complex population. To address the health system challenges, health leaders are rapidly developing and implementing programs to better support the ageing population. Unfortunately, this often means that organizations are implementing and scaling health and social care programs with limited evidence or understanding of the specific context in which it was implemented. Drawing on regional experiences, this article will explore challenges and offer solutions related to the implementation, spread, and scale of healthcare programs for older adults.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"200-205"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630289","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
An ecological approach to humanizing healthcare organizations for patients, providers, and communities. 为患者、医疗服务提供者和社区提供一种使医疗机构人性化的生态方法。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-18 DOI: 10.1177/08404704241293596
Andrea Frolic, Diana Tikasz, Kirsten Krull
{"title":"An ecological approach to humanizing healthcare organizations for patients, providers, and communities.","authors":"Andrea Frolic, Diana Tikasz, Kirsten Krull","doi":"10.1177/08404704241293596","DOIUrl":"10.1177/08404704241293596","url":null,"abstract":"<p><p>Healthcare delivery exposes care providers and leaders to suffering, loss, moral dilemmas, conflicts, and overwhelm. The cumulative effects of workplace stress and trauma have organizational impacts (turnover, cynicism, and conflict), personal impacts (burnout, mental illness, and traumatic stress), and patient care impacts (reduced empathy, poor communication, and errors). Organizations have attempted to address these issues largely through individual wellness offerings. A systematic approach is needed to create environmental conditions that support people to remain resilient, engaged, and compassionately connected in the face of constant trauma exposure. This article describes an ecological model for developing and sustaining resilience based in neuro and social science. It includes practical strategies to reshape leaders' understanding, perspectives, and competencies to enhance systemic well-being.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"247-254"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669569","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
Long term care-acute system integration and transformation: Innovations in models of care. 长期护理-急诊系统整合与转型：护理模式的创新。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-10-27 DOI: 10.1177/08404704241293316
Beatrise Edelstein, Denise Scott, Kathleen Kirk
{"title":"Long term care-acute system integration and transformation: Innovations in models of care.","authors":"Beatrise Edelstein, Denise Scott, Kathleen Kirk","doi":"10.1177/08404704241293316","DOIUrl":"10.1177/08404704241293316","url":null,"abstract":"<p><p>The article discusses innovations in integrating Long-Term Care (LTC) and acute systems, focusing on Humber River Health's (HRH) model. Older adults in LTC homes are vulnerable to avoidable Emergency Department (ED) visits due to frailty and medical complexity. HRH developed an integrated care model centred on LTC Remote Monitoring (RM) with LTC partners, leveraging nurse-led care models, digital tools, and virtual care hub to reduce avoidable ED transfers. Key components include the PREVIEW-ED© tool for early detection of clinical deterioration, LTC+ Hub and LTC++ Diagnostic Imaging and Transportation, supporting improved access to healthcare services. The program aligns with the Quintuple Aim, emphasizing patient and provider experiences, population health, cost reduction, and health equity. Results show significant reductions in ED visits, hospital lengths of stay, and associated costs, while enhancing resident and provider experiences. The LTC RM Model is positioned as a scalable solution for system transformation in integrated care.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"166-171"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509922","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
Resilience among family physicians during the COVID-19 pandemic in Canada. 加拿大COVID-19大流行期间家庭医生的复原力
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-28 DOI: 10.1177/08404704241302717
Anne Snowdon, Cindy Ly, Alexandra Wright
{"title":"Resilience among family physicians during the COVID-19 pandemic in Canada.","authors":"Anne Snowdon, Cindy Ly, Alexandra Wright","doi":"10.1177/08404704241302717","DOIUrl":"10.1177/08404704241302717","url":null,"abstract":"<p><p>The purpose of this study was to investigate how the COVID-19 pandemic's inaugural wave impacted the professional autonomy of family physicians in Canada. This study highlights how family physicians' resilience enabled them to overcome the many challenges they faced to provide health services to patients and has enabled them to rebuild their sense of purpose and duty of care. Four themes were found to summarize physician experiences: (1) loss of clinical autonomy and control; (2) abandonment and neglect by the health system; (3) a fear of patients \"falling through the cracks\" and moral injury; and (4) building resilience to support duty of care in family practice. These results highlight the emergence of resilience among family physicians to restore professional autonomy in family practice, overcoming moral injury in order to fulfil their \"duty of care\" to their patients. Physicians believe the health system's crisis preparedness efforts need to be dedicated to protecting the autonomy of practicing physicians to maintain the continuity of quality patient care in future health crises.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"234-240"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751973","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
Implementing the pillars of value-based care: Leadership lessons from the CIUSSS Centre Ouest de l'Ile de Montreal. 实施基于价值的护理的支柱：来自蒙特利尔岛西部中心的领导经验。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2025-02-07 DOI: 10.1177/08404704251317872
Jennifer Gutberg, Erin Cook, Lawrence Rosenberg
{"title":"Implementing the pillars of value-based care: Leadership lessons from the CIUSSS Centre Ouest de l'Ile de Montreal.","authors":"Jennifer Gutberg, Erin Cook, Lawrence Rosenberg","doi":"10.1177/08404704251317872","DOIUrl":"10.1177/08404704251317872","url":null,"abstract":"<p><p>The Canadian healthcare landscape is characterized by its ambitious pursuit of innovation in response to challenges such as resource limitations and system restructuring. However, meaningful innovations cannot be sustained without leadership that empowers a patient-first integrated model of care. This article will explore the transformative changes of CIUSSS Centre Ouest de l'Île de Montréal directed to implanting the pillars of a value-based health system. We showcase our \"Hospital-at-Home\" program as an example to highlight the critical role of leadership in setting our vision of \"Care Everywhere,\" empowering our healthcare workforce, and in ensuring successful implementation and sustainment. Our manuscript aims to provide insights into the leadership strategies that have underpinned these achievements, focusing on how these innovations have anticipated emerging healthcare demands, and highlighting a sustainable model for health leaders and policy-makers who are addressing similar challenges.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"206-210"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374576","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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