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On the pathway to health equity: Creating a harm reduction strategy for a large academic acute care hospital. 健康公平之路：为一家大型学术性急症护理医院制定减少伤害战略。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-22 DOI: 10.1177/08404704241264243
Heather Lokko, Wisdom M K Avor
{"title":"On the pathway to health equity: Creating a harm reduction strategy for a large academic acute care hospital.","authors":"Heather Lokko, Wisdom M K Avor","doi":"10.1177/08404704241264243","DOIUrl":"10.1177/08404704241264243","url":null,"abstract":"<p><p>An urban centre in southwestern Ontario continues to be faced with the extensive impacts of high rates of substance use. To more effectively meet the Quintuple Aim, in a way that authentically considers patients who use substances, the need for a cohesive, comprehensive organizational harm reduction strategy at the large academic acute care hospital providing community and regional healthcare services was clear. Community-based harm reduction expertise was leveraged to support the development work. Information gathered through literature review and interviews with patients, internal staff and leaders, partner healthcare agencies, and Canadian hospitals leading in harm reduction work provided key insights and supported the formulation of emerging recommendations that will be used to shape the acute care hospital's formal organizational harm reduction strategy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"23-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735298","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
How immigration shapes health disadvantages and what healthcare organizations can do to deliver more equitable care. 移民如何造成健康方面的不利条件，医疗机构如何才能提供更加公平的医疗服务。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-24 DOI: 10.1177/08404704241265675
Mei-Ling Wiedmeyer, Stefanie Machado, Elmira Tayyar, Cecilia Sierra-Heredia, Yasmin Bozorgi, Selamawit Hagos, Shira Goldenberg, Ruth Lavergne
{"title":"How immigration shapes health disadvantages and what healthcare organizations can do to deliver more equitable care.","authors":"Mei-Ling Wiedmeyer, Stefanie Machado, Elmira Tayyar, Cecilia Sierra-Heredia, Yasmin Bozorgi, Selamawit Hagos, Shira Goldenberg, Ruth Lavergne","doi":"10.1177/08404704241265675","DOIUrl":"10.1177/08404704241265675","url":null,"abstract":"<p><p>That immigration is a determinant of health and that immigration systems themselves contribute to structural disadvantage remains under-addressed within healthcare in Canada. This article offers context for how immigration shapes health, and recommendations for how health systems can be better prepared to respond to the diverse needs of immigrants and migrants (together referred to as im/migrants), based on a community-based research project in British Columbia. Findings call attention to the varied and intersecting ways in which immigration status, access to health insurance, language, experiences of trauma and discrimination, lack of support for health system limits access to healthcare, and the roles community-based organizations play in supporting access. Recommendations are intended to help make sure that all health services are accessible to everyone, and move beyond a homogenizing category of \"newcomers\" into practical, meaningful strategies that attend to diverse and intersecting community needs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752977","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
How national healthcare change initiatives balance emergent and deliberate change: A principles-focused evaluation. 国家医疗保健变革倡议如何平衡突发变革和蓄意变革：以原则为重点的评估。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-09-12 DOI: 10.1177/08404704241279501
Tavis Apramian, Allia Karim, Kathryn Parker, Lynne Sinclair, Zeenat Ladak, Cheryl Ku, Sarah Gregor, Lily Winnebota, Denise Ponte, Stella Ng
{"title":"How national healthcare change initiatives balance emergent and deliberate change: A principles-focused evaluation.","authors":"Tavis Apramian, Allia Karim, Kathryn Parker, Lynne Sinclair, Zeenat Ladak, Cheryl Ku, Sarah Gregor, Lily Winnebota, Denise Ponte, Stella Ng","doi":"10.1177/08404704241279501","DOIUrl":"10.1177/08404704241279501","url":null,"abstract":"<p><p>Principles-focused evaluation reflects on the change process itself through examination of its underlying principles. The Centre for Advancing Collaborative Healthcare & Education (CACHE) worked to build interprofessional education programs and tools that attended to the Team Primary Care (TPC) principles. Our internally directed principles-focused evaluation, presented here, asks how CACHE adhered to these principles in the programs and tools it delivered to the TPC project. The article's main contribution is the creation of a new concept, organizational critically reflective practice, which describes an approach health leaders can use to mitigate the limitations of short-term initiatives while pursuing transformational change. We propose specific tools and steps that will help health leaders attempting to enact organizational critically reflective practice.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"52-57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297793","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
Innovation Pipeline: A framework for value-based decision making. 创新管道：基于价值的决策框架。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-08-12 DOI: 10.1177/08404704241271186
Arianna Waye, Barbara Hughes, Kelly Mrklas, Nancy Fraser, Tracy Wasylak, Marc Leduc, Anderson Chuck
{"title":"Innovation Pipeline: A framework for value-based decision making.","authors":"Arianna Waye, Barbara Hughes, Kelly Mrklas, Nancy Fraser, Tracy Wasylak, Marc Leduc, Anderson Chuck","doi":"10.1177/08404704241271186","DOIUrl":"10.1177/08404704241271186","url":null,"abstract":"<p><p>The concept of value-based healthcare and focus on health outcomes is not new. While these ideas have been shared for decades, health systems still struggle to implement value-based decision making. This article describes the Innovation Pipeline, a framework that embeds value-based decision making in a healthcare organization. The Innovation Pipeline outlines the measurable evidence requirements needed to demonstrate organizational definitions of value. This evidence of value allows health leaders to make decisions supported by rigorous data, evidence, and evaluation, ensuring initiatives that bring organizational value progress from good ideas that require testing to evidence-based services embedded and sustained in operational workflows. The Innovation Pipeline is rigorous and customizable to all levels of the health system and designed to streamline evidence-generation activities, focusing on collecting evidence needed to demonstrate value and inform funding and resource allocation decisions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972037","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 call for an evidence-based integrated funding and service delivery system for newcomers. 呼吁为新移民建立以证据为基础的综合资助和服务提供系统。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-22 DOI: 10.1177/08404704241267243
Eileen Florence Pepler, Lorraine Kinsman
{"title":"The call for an evidence-based integrated funding and service delivery system for newcomers.","authors":"Eileen Florence Pepler, Lorraine Kinsman","doi":"10.1177/08404704241267243","DOIUrl":"10.1177/08404704241267243","url":null,"abstract":"<p><p>As immigration continues to drive Canada's growth, the newcomer serving sector remains pivotal in facilitating newcomers' integration into communities. However, this sector grapples with ongoing challenges, exacerbated by the federal government's priority to increase immigration levels, thereby complicating the settlement landscape. This article examines the funding and service delivery difficulties organizations encounter. It underscores a system that fosters funding competition, impedes interorganizational collaboration, complicates program outcome reporting, and entails high administrative costs. Additionally, it addresses the specific challenges faced by newcomer children, youth, and families settling in Canada. The recommendations emphasize that no single agency can resolve the settlement sector crisis alone. Urgent actions include piloting integrated networks over integrated services and adopting a new Immigration, Refugees and Citizenship Canada funding model that aligns with population and cultural needs. Moreover, eliminating silos is essential to establish a cohesive and efficient service delivery network committed to public outcomes and accountability.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749256","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 evaluation of pathology laboratory workforce performance during mergers and acquisitions. 并购期间病理实验室员工绩效评估。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-22 DOI: 10.1177/08404704241266104
Paul Z Chiou, R Patti Herring, Yuane Jia
{"title":"An evaluation of pathology laboratory workforce performance during mergers and acquisitions.","authors":"Paul Z Chiou, R Patti Herring, Yuane Jia","doi":"10.1177/08404704241266104","DOIUrl":"10.1177/08404704241266104","url":null,"abstract":"<p><p>The effects of laboratory mergers and acquisitions on the clinical performance of its workforce remain largely unknown. This study examined laboratory professionals' work engagement and productivity, and investigated the role of social support as a moderator during mergers and acquisitions. A 51 question on-line survey was designed to cover demographics, work engagement, productivity, and levels of social support. A sample <i>t</i> test was used to measure work engagement levels between laboratory professionals with higher social support to others with lower support. The finding that laboratory professionals with higher levels of social support are more engaged and productive at the workplace has important policy implications for leaders managing laboratories in times of mergers and acquisitions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735295","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
Health optimization of older people in prison. 优化监狱中老年人的健康。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-05-28 DOI: 10.1177/08404704241255284
Ian Chan
{"title":"Health optimization of older people in prison.","authors":"Ian Chan","doi":"10.1177/08404704241255284","DOIUrl":"10.1177/08404704241255284","url":null,"abstract":"<p><p>This article examines the leadership challenges of prison healthcare, specifically focusing on the ageing inmate population. It highlights the distinct health burdens faced by this demographic, including higher disease prevalence and an accelerated ageing process. The concept of prison activities of daily living is central to addressing these challenges, emphasizing the need to tailor health assessments and care plans to the unique prisoner-environment interactions. This article advocates for inclusive person-centred care. It suggests that involving older prisoners in their care planning, aligned with the \"ageing in the right place\" principle, can significantly improve their quality of life. Additionally, it explores strategies to combat social isolation and loneliness among older prisoners, such as intergenerational activities and prison-community partnerships. Health leaders can echo these findings in policy development and incorporate collaborative, inclusive, diverse, and intergenerational models that address the complex health needs of older prisoners.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159232","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
Social accountability and improving care for sexual and gender diverse patients. 社会责任和改善对不同性取向和性别患者的护理。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-06-07 DOI: 10.1177/08404704241256533
Amanda Bolderston
{"title":"Social accountability and improving care for sexual and gender diverse patients.","authors":"Amanda Bolderston","doi":"10.1177/08404704241256533","DOIUrl":"10.1177/08404704241256533","url":null,"abstract":"<p><p>Social Accountability (SA) in healthcare includes understanding and responding to how social determinants affect patient health. Altruistic healthcare professionals can improve socially accountable patient care at the individual patient or family level (micro), the population or community level (meso), and/or provincial, federal, or international levels (macro). There is a well-established healthcare equity gap for Sexual and Gender Diverse (SGD) people affected by cancer. In this article, I discuss how SA has played a role in my career. As a SGD healthcare professional, I offer some personal examples of SA in action that have made a difference. For socially accountable healthcare professionals, there is almost always something to contribute to improve care, from the patient to the policy level.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284920","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
Self-identification and workplace experience surveys for equity and inclusion in healthcare. 医疗保健领域平等与包容的自我认同和工作场所经验调查。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-24 DOI: 10.1177/08404704241266139
Naomi Mumbi Maina, Neila Miled, Melissa Crump
{"title":"Self-identification and workplace experience surveys for equity and inclusion in healthcare.","authors":"Naomi Mumbi Maina, Neila Miled, Melissa Crump","doi":"10.1177/08404704241266139","DOIUrl":"10.1177/08404704241266139","url":null,"abstract":"<p><p>Data and evaluation have become integral to efforts aimed at transforming organizational cultures. This is true in Diversity, Equity, and Inclusion (DEI), where organizations are assessing their employee make-up and the impact of their programs and services on systematically marginalized communities. This article presents a case study of a self-identification and workplace experience survey that was the first of its kind at the Provincial Health Services Authority in British Columbia. With a 30.7% response rate, we share an overview of the survey, lessons learned, and recommendations for other healthcare institutions embarking on their DEI journey. Key takeaways include engaging leaders early and allowing adequate time and resources for planning and executing the survey. Confidentiality is a crucial element to ensure that everyone feels confident to take the survey. Ultimately, adequate implementation of actions from survey results will build trust among staff and advance DEI priorities in organizations.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761580","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
Developing a system response to health and homelessness: The important role of health leaders. 针对健康和无家可归问题制定系统对策：健康领导者的重要作用。
Healthcare Management Forum Pub Date : 2025-01-01 Epub Date: 2024-07-24 DOI: 10.1177/08404704241266497
Kate Graham, Matthew Meyer
{"title":"Developing a system response to health and homelessness: The important role of health leaders.","authors":"Kate Graham, Matthew Meyer","doi":"10.1177/08404704241266497","DOIUrl":"10.1177/08404704241266497","url":null,"abstract":"<p><p>This article examines the role of health leaders in the early stages of a community response to address health and homelessness in London, Ontario. Specifically, we explore how leaders from large healthcare-providing organizations have influenced the dynamics of the entire community response. We argue that the high level of engagement from health leaders has been a key ingredient in the early successes of the new approach in London, in part because it validated the reframing of homelessness as a healthcare issue-importantly, changing perceptions about who shares the responsibility to address it.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761579","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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