Healthcare Management Forum最新文献

Understanding and Addressing Wait Times in Specialized Geriatric Services: Findings From a Multi-Phase Engagement Process. 理解和解决老年专科服务的等待时间：来自多阶段参与过程的发现。

IF 2.4

Healthcare Management Forum Pub Date : 2026-10-20 DOI: 10.1177/08404704261496452

Hinna Hasan, Christopher Gabor, Loretta M Hillier, Pamela Chan, Sharon Marr, Barbara Liu

{"title":"Understanding and Addressing Wait Times in Specialized Geriatric Services: Findings From a Multi-Phase Engagement Process.","authors":"Hinna Hasan, Christopher Gabor, Loretta M Hillier, Pamela Chan, Sharon Marr, Barbara Liu","doi":"10.1177/08404704261496452","DOIUrl":"https://doi.org/10.1177/08404704261496452","url":null,"abstract":"Persistent wait times in Specialized Geriatric Services increase risks for older adults living with frailty and place additional pressure on primary care. While workforce shortages contribute to delays, variation across programs suggests that access is also influenced by how referral, triage, assessment, follow-up, and care integration are organized. The Regional Geriatric Program of Toronto conducted a multi-phase engagement initiative including a targeted literature scan, stakeholder interviews and surveys, and a regional summit to identify system-level barriers and prioritize opportunities for improvement. Findings converged on four interconnected domains: referral and triage, comprehensive geriatric assessment design, follow-up and discharge, and integration with primary and community care. Stakeholders prioritized clinically guided triage, tailored assessment pathways, clearer follow-up accountability, strengthened shared care models, and enhanced data infrastructure. These findings identify opportunities to strengthen access through coordinated system planning, operational improvements, and regional leadership within existing resource constraints.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261496452"},"PeriodicalIF":2.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229027","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 Access and Removing Barriers to Mental Health Services for Rural, Remote, and Northern Veterans and Families. 改善农村、偏远地区和北方退伍军人及其家庭获得精神卫生服务的机会并消除障碍。

IF 2.4

Healthcare Management Forum Pub Date : 2026-10-20 DOI: 10.1177/08404704261493158

Ashlee Mulligan, Leo Goudal, Robin Dziekan, Gabby Dupuis, Cara Kane, MaryAnn Notarianni

引用次数: 0

Rebuilding the Leadership Pipeline: A Framework for Advancing Leadership Competencies and Operational iNtegration (FALCON) for Health System Resilience. 重建领导管道：推进领导能力和业务整合框架（猎鹰）卫生系统弹性。

IF 2.4

Healthcare Management Forum Pub Date : 2026-10-19 DOI: 10.1177/08404704261493886

Mike Nader

引用次数: 0

Cardiology Support Utilization Patterns and Associated Barriers Across Northwestern Ontario. 安大略省西北部心脏病学支持使用模式和相关障碍。

IF 2.4

Healthcare Management Forum Pub Date : 2026-10-18 DOI: 10.1177/08404704261492943

Jamal Al-Atawneh, Paige H Stevenson, Kelvi Toskovich

{"title":"Cardiology Support Utilization Patterns and Associated Barriers Across Northwestern Ontario.","authors":"Jamal Al-Atawneh, Paige H Stevenson, Kelvi Toskovich","doi":"10.1177/08404704261492943","DOIUrl":"https://doi.org/10.1177/08404704261492943","url":null,"abstract":"The Thunder Bay Regional Health Sciences Centre On-Call Cardiology Support Service serves a geographically vast region across Northwestern Ontario where cardiovascular disease is a major burden. The objective is to analyze service utilization patterns including locations, indications, interventions, and barriers. In this 6-month prospective study, cardiologists collected data via survey on calls from rural and remote providers. Descriptive statistics and Fisher's exact test were used. The Canadian Institute for Health Information's Rural Health Systems Model was used for interpretation. Two hundred and six responses across 19 locations identified: common consultations-chest pain, dyspnea, and atrial fibrillation; frequent interventions-medical recommendations, education, and transfer decisions; key barriers-limited personnel knowledge and infrastructure. Significant associations were identified. This study characterized cardiology support service utilization across Northwestern Ontario, identifying key barriers and opportunities to strengthen rural health systems planning and cardiovascular care. These findings can inform targeted initiatives and support future evaluations.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261492943"},"PeriodicalIF":2.4,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216926","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

Clinical AI in Canadian Community Hospitals: A Framework for Implementation Readiness. 加拿大社区医院的临床人工智能：一个实施准备框架。

IF 2.4

Healthcare Management Forum Pub Date : 2026-10-15 DOI: 10.1177/08404704261494446

Changiz Mohiyeddini

{"title":"Clinical AI in Canadian Community Hospitals: A Framework for Implementation Readiness.","authors":"Changiz Mohiyeddini","doi":"10.1177/08404704261494446","DOIUrl":"https://doi.org/10.1177/08404704261494446","url":null,"abstract":"Clinical Artificial Intelligence (AI) tools are frequently developed in academic centres yet deployed in community hospitals with different workflows, staffing, and oversight. In Canada, where community hospitals constitute approximately 90% of hospitals, this creates a validation-to-implementation gap. Health Canada's 2026 pre-market guidance for machine learning-enabled medical devices addresses manufacturer responsibilities but leaves hospital implementation responsibilities under-specified. This article proposes a framework for community hospital AI implementation readiness organized around four dimensions (contextual validity, sociotechnical workflow integration, calibrated human-AI reliance, and adaptive safety, equity, and governance), operationalized through simulation-based systems testing. The framework specifies what a community hospital must build to deploy a specific AI tool safely, extending an established Canadian tradition of simulation-based systems testing to the lifecycle risks of AI. A real Canadian deployment, the CHARTwatch early warning system, illustrates the dimensions in practice. Safe AI deployment in community hospitals is an institutional capacity, not a procurement decision. Leaders should treat implementation readiness as core infrastructure investment.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261494446"},"PeriodicalIF":2.4,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196978","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

Toward a Holistic Framework for the Integration of Internationally Educated Nurses Into the Canadian Nursing Workforce: Insights From Key Partners in Nova Scotia. 迈向国际教育护士融入加拿大护理队伍的整体框架：新斯科舍省主要合作伙伴的见解。

IF 2.4

Healthcare Management Forum Pub Date : 2026-09-28 DOI: 10.1177/08404704261479566

Damilola Iduye, Jennifer Boone, Apple Hermosisima, Joshna Shrestha, Manju Kochukunju, Steve Iduye

{"title":"Toward a Holistic Framework for the Integration of Internationally Educated Nurses Into the Canadian Nursing Workforce: Insights From Key Partners in Nova Scotia.","authors":"Damilola Iduye, Jennifer Boone, Apple Hermosisima, Joshna Shrestha, Manju Kochukunju, Steve Iduye","doi":"10.1177/08404704261479566","DOIUrl":"https://doi.org/10.1177/08404704261479566","url":null,"abstract":"Recruiting internationally educated nurses (IENs) has been recognized as a policy strategy to address Canada's longstanding nursing shortage. Despite collective efforts, IENs continue to face challenges in integrating into the Nova Scotia workforce. A key gap is the paucity of data on the integration experiences of IENs from both IENs' and systems partners' perspectives in Nova Scotia. Using the socioecological model as a theoretical underpinning, our mixed methods study addresses this gap by identifying key priorities and support strategies to address barriers to IENs' integration into the Nova Scotia health workforce. This article presents the findings of qualitative interviews with Nova Scotia key partners on their perspectives and key priorities for promoting IENs' integration and retention. Lastly, we introduced a framework outlining the components and sub-components of IEN integration and retention, with individual, interpersonal, organizational, and systems levels of intervention at the core.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261479566"},"PeriodicalIF":2.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070380","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 Message from the Guest Editor. 客座编辑的留言。

IF 2.4

Healthcare Management Forum Pub Date : 2026-09-20 DOI: 10.1177/08404704261486947

引用次数: 0

A Message from the Guest Editor. 客座编辑的留言。

IF 2.4

Healthcare Management Forum Pub Date : 2026-09-17 DOI: 10.1177/08404704261485732

引用次数: 0

Ethical Tensions in Formalizing Substance Use Disorder as a Chronic Disease: A Health Systems Leadership Perspective. 将物质使用障碍形式化为慢性疾病的伦理紧张：卫生系统领导视角。

IF 2.4

Healthcare Management Forum Pub Date : 2026-09-16 DOI: 10.1177/08404704261481985

Donna Meadows, Le Khanh Ngan Nguyen, Amanda Lemon, Lisa Diamond, Elizabeth Driver, Ingrid van Kesteren

{"title":"Ethical Tensions in Formalizing Substance Use Disorder as a Chronic Disease: A Health Systems Leadership Perspective.","authors":"Donna Meadows, Le Khanh Ngan Nguyen, Amanda Lemon, Lisa Diamond, Elizabeth Driver, Ingrid van Kesteren","doi":"10.1177/08404704261481985","DOIUrl":"https://doi.org/10.1177/08404704261481985","url":null,"abstract":"Substance Use Disorder (SUD) is widely recognized as a chronic, relapsing medical condition by major authorities, including the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC), supported by clinical and neuroscientific evidence. Despite this recognition, health systems often respond through episodic, crisis-driven, or punitive models of care. Like other chronic diseases, SUD unfolds through stability, relapse, and recovery, requiring sustained, coordinated, person-centred care. Formalizing SUD as a chronic disease may reduce stigma, attract resources, normalize treatment, and shift systems away from crisis-oriented responses. However, Chronic Disease Management (CDM) is grounded in principlism, emphasizing autonomy, beneficence, non-maleficence, and justice. When applied to SUD, these principles can conflict. Respecting autonomy may challenge efforts to promote beneficence, while preventing harm can limit individual choice. Commitments to justice may also be constrained by finite resources. The chronic disease framing is double-edged: it can foster hope by emphasizing recovery and long-term support yet may reinforce perceptions of permanence. Equity remains foundational, as housing, income, and trauma shape vulnerability and recovery. Reliance on coercive or mandated treatment raises additional ethical concerns given limited evidence of benefit and potential harm. We argue that formalizing SUD as a chronic disease can strengthen CDM by demanding continuity, humility, proportionality, and care systems for people as they are, not as we wish them to be.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261481985"},"PeriodicalIF":2.4,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983781","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

Affected Psychological Safety, Micromanagement, and the Risks of Full Time Return to Office Policies. 受影响的心理安全、微观管理和全职返回办公室政策的风险。

IF 2.4

Healthcare Management Forum Pub Date : 2026-09-11 DOI: 10.1177/08404704261481843

Iouliana Pillai, Kateryna Metersky

引用次数: 0