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Integrating Indigenous midwives into a comprehensive primary care setting. 将土著助产士纳入综合初级保健机构。
Healthcare Management Forum Pub Date : 2024-09-01 DOI: 10.1177/08404704241259906
Cecilia Benoit, Andrea Mellor, Brett Koenig, Nathalie Pambrun, Melanie Mason
{"title":"Integrating Indigenous midwives into a comprehensive primary care setting.","authors":"Cecilia Benoit, Andrea Mellor, Brett Koenig, Nathalie Pambrun, Melanie Mason","doi":"10.1177/08404704241259906","DOIUrl":"10.1177/08404704241259906","url":null,"abstract":"<p><p>Canada has been unique in the modern era for limiting midwives from providing sexual health and perinatal care to families. Prohibitions on midwifery practice were finally lifted in Prince Edward Island in 2024, yet midwives' scope of practice continues to be restricted in most jurisdictions. The Canadian Midwifery Regulators Council recently recommended midwives should be able to practice their full scope. Our midwifery pilot project, located in the city of Victoria, British Columbia, implemented this recommendation in 2023-2024. Below we demonstrate the benefits of integrating midwifery into a primary healthcare clinic and the continued challenges midwives and their teams face in securing salaried employment long-term. We focus on the specialized cultural and clinical skillset that Indigenous registered midwives in particular bring to primary care, and the life-saving outcomes that can occur for youth clients if interprofessional collaboration and cooperation are well-established.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"37 1_suppl","pages":"14S-18S"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11360271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082115","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
Shaping the future of healthcare in British Columbia: Establishing provincial clinical governance for responsible deployment of artificial intelligence tools. 塑造不列颠哥伦比亚省医疗保健的未来：建立省级临床治理，负责任地部署人工智能工具。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-07-20 DOI: 10.1177/08404704241264819
Angel Arnaout, Prabjot Gill, Alice Virani, Alexandra Flatt, Natasha Prodan-Balla, David Byres, Megan Stowe, Alireza Saremi, Michael Coss, Michael Tatto, May Tuason, Shannon Malovec, Sean Virani
{"title":"Shaping the future of healthcare in British Columbia: Establishing provincial clinical governance for responsible deployment of artificial intelligence tools.","authors":"Angel Arnaout, Prabjot Gill, Alice Virani, Alexandra Flatt, Natasha Prodan-Balla, David Byres, Megan Stowe, Alireza Saremi, Michael Coss, Michael Tatto, May Tuason, Shannon Malovec, Sean Virani","doi":"10.1177/08404704241264819","DOIUrl":"10.1177/08404704241264819","url":null,"abstract":"<p><p>As healthcare embraces the transformative potential of Artificial Intelligence (AI), it is imperative to safeguard patient and provider safety, equity, and trust in the healthcare system. This article outlines the approach taken by the British Columbia (BC) Provincial Health Services Authority (PHSA) to establish clinical governance for the responsible deployment of AI tools in healthcare. Leveraging its province-wide mandate and expertise, PHSA establishes the infrastructure and processes to proactively and systematically intake, assess, prioritize, and evaluate AI tools. PHSA proposes a coordinated approach in AI tool deployment in collaboration with regional health authorities to prevent duplication of efforts and ensure equitable access to existing and emerging AI tools across the province of BC, incorporating principles of anti-Indigenous racism, cultural safety, and humility. The proposed governance structure underscores the identification of clinical needs, proactive ethics review, rigorous risk assessment, data validation, transparent communication, provider training, and ongoing evaluation to ensure success.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"320-328"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731494","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 a Canadian federal organization integrated synoptic reporting and quality improvement tools to drive a national learning health system in cancer surgery. 加拿大联邦机构如何整合同步报告和质量改进工具，推动全国癌症手术学习保健系统的发展。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-03-14 DOI: 10.1177/08404704241236761
Angel Arnaout, Jamie Brehaut, Christopher Hillis, Justin Presseau, Andrew Seely, Corinne Daly, Gavin Stuart, Michael Fung Kee Fung
{"title":"How a Canadian federal organization integrated synoptic reporting and quality improvement tools to drive a national learning health system in cancer surgery.","authors":"Angel Arnaout, Jamie Brehaut, Christopher Hillis, Justin Presseau, Andrew Seely, Corinne Daly, Gavin Stuart, Michael Fung Kee Fung","doi":"10.1177/08404704241236761","DOIUrl":"10.1177/08404704241236761","url":null,"abstract":"<p><p>Accurate and complete surgical and pathology reports are the cornerstone of treatment decisions and cancer care excellence. Synoptic reporting is a process for reporting specific data elements in a specific format in surgical and pathology reports. Since 2007, the Canadian Partnership Against Cancer has led the implementation of synoptic reporting mechanisms across multiple cancer disease sites and jurisdictions across Canada. While the implementation of synoptic reporting has been successful, its use to drive improvements in the quality of cancer care delivery has been lacking. Here we describe the 4-year, national multi-jurisdictional quality improvement initiative to catalyse the use synoptic data to drive cancer system improvements. Resources provided to the jurisdictions included operational funding, training in quality improvement methodology, national forums, expert coaches, and ad hoc monitoring and support. The program emphasized foundational concepts including data literacy, audit and feedback reports, communities of practice, and positive deviance methodology.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"309-319"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140120993","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 ethics of artificial intelligence in healthcare: From hands-on care to policy-making. 医疗保健领域的人工智能伦理：从实际护理到政策制定。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI: 10.1177/08404704241253985
E-H Kluge
{"title":"The ethics of artificial intelligence in healthcare: From hands-on care to policy-making.","authors":"E-H Kluge","doi":"10.1177/08404704241253985","DOIUrl":"10.1177/08404704241253985","url":null,"abstract":"<p><p>Contemporary healthcare at all levels increasingly uses Artificial Intelligence (AI). However, since the various levels involve different tasks, have different data needs, and different ethical obligations, the AIs that are used have to be differently structured. Also, since healthcare construed as a commodity involves different ethical parameters from healthcare construed as a right, and different ethical systems entail logically distinct considerations, this also necessitates the need for differently structured AIs. This column sketches how and why this is the case. It concludes with a brief look at why AIs programmed into quantum computers would not change this.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"406-408"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072168","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
Healthcare procurement in the race to net-zero: Practical steps for healthcare leadership. 实现零净排放的医疗采购竞赛：医疗保健领导层的实用步骤。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-07-21 DOI: 10.1177/08404704241258152
Declan C T Lavoie, Anika Maraj, Gigi Y C Wong, Fiona Parascandalo, Myles Sergeant
{"title":"Healthcare procurement in the race to net-zero: Practical steps for healthcare leadership.","authors":"Declan C T Lavoie, Anika Maraj, Gigi Y C Wong, Fiona Parascandalo, Myles Sergeant","doi":"10.1177/08404704241258152","DOIUrl":"10.1177/08404704241258152","url":null,"abstract":"<p><p>Although it is challenging to assess the greenhouse gas emission footprint associated with individual products and services, health leaders can play a pivotal role in emissions reduction by understanding and utilizing available tools and certifications that measure suppliers' operational environmental performance. Integrating environmental standards into procurement and supplier selection has the potential to greatly impact emissions production across the healthcare landscape as it will pressure suppliers to improve their operations in order to be selected. The purpose of this article is to emphasize the importance of the supply chain in addressing healthcare-related greenhouse gas emissions. We provide an overview of the types of tools available that can be used to evaluate the carbon footprints of individual companies and rate their performances, as well as certifications that formally recognize companies' sustainability practices and commitments.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"384-389"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735297","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
Health system structure and its influence on outcomes: The Canadian experience. 医疗系统结构及其对治疗效果的影响：加拿大的经验。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-05-13 DOI: 10.1177/08404704241248559
Braden J Manns, Stephanie Hastings, Greg Marchildon, Tom Noseworthy
{"title":"Health system structure and its influence on outcomes: The Canadian experience.","authors":"Braden J Manns, Stephanie Hastings, Greg Marchildon, Tom Noseworthy","doi":"10.1177/08404704241248559","DOIUrl":"10.1177/08404704241248559","url":null,"abstract":"<p><p>Healthcare delivery systems in Canada are structured using three models: individual institutions, health regions, and single provincial systems, usually with smaller geographic zones. The comparative ability of these models to improve care, outcomes, and the Quadruple Aim is largely unstudied. We reviewed Canadian studies examining outcomes of provincial healthcare delivery system restructuring. Across models, results were inconsistent, and quality of evidence was low. For all provinces, primary care sits outside healthcare delivery systems, with limited governance and integration. The single provincial model can reduce costs of non-clinical support functions like finance, human resources, and analytics. This model may also be best at reducing variations in care, improving electronic information integration that enables clinical decision support and reporting, and supporting the provincial spread and scale of innovations, but further refinements are required and existing studies have major limitations, limiting definitive conclusions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"340-350"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917170","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
"What got you here, won't get you there": Students as leaders of the change we need. "让你来到这里的，不会让你到达那里"：学生是我们需要的变革的领导者。
Healthcare Management Forum Pub Date : 2024-09-01 DOI: 10.1177/08404704241259917
Kathryn Parker, Amanda Binns, Cooper Dupre, Farah Friesen, Dean Lising, Lynne Sinclair, Stella Ng
{"title":"\"What got you here, won't get you there\": Students as leaders of the change we need.","authors":"Kathryn Parker, Amanda Binns, Cooper Dupre, Farah Friesen, Dean Lising, Lynne Sinclair, Stella Ng","doi":"10.1177/08404704241259917","DOIUrl":"10.1177/08404704241259917","url":null,"abstract":"<p><p>Lack of access, system inequities, and inefficiencies plague our current healthcare system. With a challenge this complex, no one intervention is sufficient; all will be necessary. The primary care system needs a strong health workforce prepared in bold new ways. Students represent an important voice, given their role as future leaders of health education and healthcare. For students to lead, educators must leverage education paradigms that position current students as leaders of transformation. Yet, in current health education systems, students are often seen as passive recipients of knowledge and skill. Transformative education seeks to foster critical reflection (an ongoing process of questioning unhelpful assumptions and power relations) and informed action in students to enable them to challenge and change norms and change practices, structures, and society. This article highlights the value of transformative education in cultivating thoughtful change agents and provides one tangible example of a new education/practice model that puts this paradigm into action.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"37 1_suppl","pages":"38S-42S"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11360273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082105","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
Improving staff wellness via an after-hours healthy sustainable meals program: A general surgery residency pilot. 通过下班后健康可持续膳食计划改善员工健康：普外科住院医师试点项目。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-06-03 DOI: 10.1177/08404704241253284
Annie Lalande, Stephanie Alexis, Neha Gadhari, Sunny Mak, Jiaying Zhao, Andrea J MacNeill
{"title":"Improving staff wellness via an after-hours healthy sustainable meals program: A general surgery residency pilot.","authors":"Annie Lalande, Stephanie Alexis, Neha Gadhari, Sunny Mak, Jiaying Zhao, Andrea J MacNeill","doi":"10.1177/08404704241253284","DOIUrl":"10.1177/08404704241253284","url":null,"abstract":"<p><p>Healthcare worker wellness is foundational to delivering quality care. Yet, healthcare facilities often lack access to healthy and sustainable food overnight and on weekends. Healthy, low-carbon meals were provided free of charge after hours to on-call General Surgery residents at the University of British Columbia and the impact on resident well-being assessed using pre- and post-intervention surveys. Financial and time stress reduced significantly with the provision of meals (<i>P</i>'s < .01), while emotional and physical stress levels did not change. Average meal expenses decreased from $33 to $10 (<i>P</i> < .001). Increasing food access on call is an impactful intervention to improve resident health and well-being.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"390-394"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238029","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
Artificial intelligence, robotics, and automation viewed through the context of the previous four decades. 从过去四十年的背景看人工智能、机器人技术和自动化。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-06-13 DOI: 10.1177/08404704241257141
Susan Anderson
{"title":"Artificial intelligence, robotics, and automation viewed through the context of the previous four decades.","authors":"Susan Anderson","doi":"10.1177/08404704241257141","DOIUrl":"10.1177/08404704241257141","url":null,"abstract":"<p><p>Computers and applications of computers into our world have changed dramatically during the past five decades, from early days of minimal central processing unit capacity, limited memory and without advantage of global networking. In this article, the author highlights the application of predictive artificial intelligence in use globally over the last 40 years in process industries. It discusses the novel application of process automation and robotics in health clinical high-volume laboratory use that began as a Canadian innovation initiative and followed by similar innovation extending to other countries.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"359-362"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318544","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
Taking action towards climate-resilient, low-carbon, health systems: Perspectives from Canadian health leaders and healthcare professionals. 采取行动，建立适应气候变化的低碳卫生系统：加拿大卫生领导人和卫生保健专业人员的观点。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-05-13 DOI: 10.1177/08404704241252032
Brittany Barber, Daniel G Rainham, Peter Tyedmers, Trevor Vandertuin, Gillian Ritcey, Sean D Christie
{"title":"Taking action towards climate-resilient, low-carbon, health systems: Perspectives from Canadian health leaders and healthcare professionals.","authors":"Brittany Barber, Daniel G Rainham, Peter Tyedmers, Trevor Vandertuin, Gillian Ritcey, Sean D Christie","doi":"10.1177/08404704241252032","DOIUrl":"10.1177/08404704241252032","url":null,"abstract":"<p><p>Climate change poses significant public health and health system challenges including increased demand for health services due to chronic and acute health impacts from vector-borne diseases, heat-related illness, and injury from severe weather. As climate change worsens, so do its effects on health systems such as increasing severity of weather extremes causing damage to healthcare infrastructure and interference with supply chains. Ironically, health sectors globally are significant contributors to climate change, generating an estimated 5% of global emissions. Achieving \"net zero\" health systems require large-scale change with shared decision-making to coordinate a pan-Canadian approach to creating climate-resilient and low-carbon healthcare. In this article, we discuss healthcare professionals' and health leaders' perceptions of responsibility for practicing and advocating for climate-resilient and low-carbon healthcare in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"395-400"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917171","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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