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Enabling decision-making and innovation in learning health systems through simulation modelling. 通过模拟建模促进卫生系统学习的决策和创新。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-12 DOI: 10.1177/08404704251348857
Lysanne Lessard, Antoine Sauré
{"title":"Enabling decision-making and innovation in learning health systems through simulation modelling.","authors":"Lysanne Lessard, Antoine Sauré","doi":"10.1177/08404704251348857","DOIUrl":"10.1177/08404704251348857","url":null,"abstract":"<p><p>Canadian healthcare systems require profound transformations to enhance patient experience, improve population health, reduce costs, and improve the work life of healthcare providers. Learning Health Systems (LHSs) are an approach for undertaking this transformation in an effective, efficient, and sustainable manner with digital technologies as a key enabler for change. However, the successful implementation of a LHS brings with it challenging and potentially risky changes to clinical practices and operations. Simulation modelling is an advanced analytics technique particularly well-suited for informing decision-making and planning prior to and during the transformation of complex systems such as LHSs. Yet, despite the use and demonstrated benefits of simulation modelling in many different industries including healthcare, its application in the context of LHSs has received limited attention. In this article, we discuss how simulation modelling can be leveraged to support better-informed, lower-risk decisions and innovation in LHSs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"470-476"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286720","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
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 : 2025-09-01 Epub 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":"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":"477-482"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112272","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
Achieving success through ethical introduction of artificial intelligence in the healthcare ecosystem. 通过在医疗生态系统中道德地引入人工智能来取得成功。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-17 DOI: 10.1177/08404704251350766
Carolyn Petersen
{"title":"Achieving success through ethical introduction of artificial intelligence in the healthcare ecosystem.","authors":"Carolyn Petersen","doi":"10.1177/08404704251350766","DOIUrl":"10.1177/08404704251350766","url":null,"abstract":"<p><p>Just as healthcare organizations must carefully consider how to incorporate Artificial Intelligence (AI) into patient-facing apps and messaging, so must they also think about how to ethically introduce AI into the workplace. Unreasonable expectations, lack of training, insufficient AI tool maintenance, and other barriers to effective use of AI create significant challenges for leaders that can lead to lower productivity, less effectiveness at work, reduced satisfaction, and burnout. A thoughtful, measured approach to AI design and implementation that incorporates practices supporting user comfort and satisfaction is key to achieving success with AI in the workplace.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"510-513"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310546","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
Adapt to evaluate: Lessons from a multi-site trial of a digitally enabled care transition intervention. 适应评估：来自数字化护理过渡干预的多站点试验的经验教训。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-23 DOI: 10.1177/08404704251351459
Terence Tang, Michelle Nelson, Carolyn Steele Gray
{"title":"Adapt to evaluate: Lessons from a multi-site trial of a digitally enabled care transition intervention.","authors":"Terence Tang, Michelle Nelson, Carolyn Steele Gray","doi":"10.1177/08404704251351459","DOIUrl":"10.1177/08404704251351459","url":null,"abstract":"<p><p>Digital health interventions are complex, involving the interactions of organizations, people, workflows, and technology. Adaptability is needed in both implementation and evaluation strategies to meet the needs of organizations, clinicians, patients, and researchers. The Digital Bridge project aims to co-design, implement, and evaluate a digitally enabled care transition intervention for older adults with complex needs. We encountered varying ability of partners to engage at different times, alongside changes in technology infrastructure, vendor, and healthcare services offered including unanticipated emergence of other care transition interventions. Through collaboration with health system partners, implementation and evaluation strategies were adapted. In evaluating digital health interventions, adaptability and flexibility in implementation strategies and evaluation methods are needed to meet the real-world need of delivering digital health interventions at scale. The Learning Health System Action Framework may offer insights as to how to address these tensions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"506-509"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477194","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
Physicians' experiences delivering provincial real-time virtual support services: A qualitative interview study. 医生提供省级实时虚拟支持服务的经验：一项定性访谈研究。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-07-09 DOI: 10.1177/08404704251351258
Michelle Yang, Kurtis Stewart, Amrit Bhullar, Joanne Chi, Elsie Jiaxi Wang, Ivjot Samra, Kendall Ho, Joan Assali, Mina Han, Helen Novak Lauscher
{"title":"Physicians' experiences delivering provincial real-time virtual support services: A qualitative interview study.","authors":"Michelle Yang, Kurtis Stewart, Amrit Bhullar, Joanne Chi, Elsie Jiaxi Wang, Ivjot Samra, Kendall Ho, Joan Assali, Mina Han, Helen Novak Lauscher","doi":"10.1177/08404704251351258","DOIUrl":"10.1177/08404704251351258","url":null,"abstract":"<p><p>Rural, remote, and Indigenous communities in British Columbia (BC) tend to have lower access to healthcare providers and poorer health outcomes-an inequality that the COVID-19 pandemic has exacerbated. In response, Real-Time Virtual Support (RTVS) pathways were developed to advance equitable access to care for patients and provide peer support to physicians working in underserved communities. This study aimed to describe the perspectives of Virtual Physicians (VPs) who delivered the RTVS services. Forty-five RTVS VPs engaged in 30-minute semi-structured interviews about their experiences and perspectives delivering RTVS. Three themes emerged: (1) RTVS's contributions to VPs' personal and professional development; (2) impacts on communities; and (3) considerations for the availability and expansion. VPs identified incremental expansion and attaining funding stability as critical next steps for virtual healthcare in BC. This evidence informed RTVS program evaluation and may provide learnings relevant to other jurisdictions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"483-489"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592595","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 data access, quality, and use: Factors impacting physician performance. 健康数据访问、质量和使用——影响医生表现的因素。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-07-05 DOI: 10.1177/08404704251355187
Ewan Affleck, Nicole Kain, Cliff Lindeman, Iryna Hurava, Yeong-Bae Kim, Katie Kjelland, Kushagr Kumar
{"title":"Health data access, quality, and use: Factors impacting physician performance.","authors":"Ewan Affleck, Nicole Kain, Cliff Lindeman, Iryna Hurava, Yeong-Bae Kim, Katie Kjelland, Kushagr Kumar","doi":"10.1177/08404704251355187","DOIUrl":"10.1177/08404704251355187","url":null,"abstract":"<p><p>High-performing physicians are an essential attribute of quality health services and public safety. Inaccessibility to quality health data by health providers can lead to individual, population, or health system harm suggesting a relationship between health data and the delivery of high-performing health programs and services. Yet the characteristics of health data have not been considered as a factor that may impact physician performance. There is evidence that limitations in health data access, quality, and effective and appropriate use can impair the capacity of physicians to provide high-quality clinical health services and use secondary health data to generate beneficial insights. Failure to acknowledge and mitigate health data factors can potentially hinder efforts to promote patient safety, reduce physician burnout, and address broader healthcare inefficiencies including a lack of interoperability. Efforts to enhance physician performance and safeguard public well-being must include a proactive approach to improving health data access, quality, and user literacy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"425-430"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567965","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
Preparing the workforce for the non-linear implementation of health information technology. 使工作人员为卫生信息技术的非线性实施做好准备。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-07-02 DOI: 10.1177/08404704251345739
Rebecca Meehan, Julaine Clunis, Grazia Serratore, John Sharp
{"title":"Preparing the workforce for the non-linear implementation of health information technology.","authors":"Rebecca Meehan, Julaine Clunis, Grazia Serratore, John Sharp","doi":"10.1177/08404704251345739","DOIUrl":"10.1177/08404704251345739","url":null,"abstract":"<p><p>This article addresses how the dynamic, interdisciplinary, and non-linear nature of health information technology implementations require a workforce equipped with both technical competencies and an understanding of the relationships between healthcare system components. The article identifies key workforce preparation strategies including ongoing education and training for certificates or degrees through universities, professional associations, or health information technology vendors, tuition reimbursement, title changes, paid time off, and increased pay or bonuses. Helping employees to understand how their work is integrated into the overall healthcare data ecosystem creates a more efficient and effective health information technology implementation. As an example, we highlight how to prepare employees to consider clinical knowledge organization systems and standards, and how they ensure data accuracy and interoperability for data exchange of newly implemented health information systems and related artificial intelligence tools.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"490-495"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555275","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。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-08-25 DOI: 10.1177/08404704251363030
Craig Kuziemsky
{"title":"A Message from the Guest Editor.","authors":"Craig Kuziemsky","doi":"10.1177/08404704251363030","DOIUrl":"https://doi.org/10.1177/08404704251363030","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"38 5","pages":"407-409"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973156","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
Virtual care delivery in Saskatchewan: Multi-stakeholder perspectives on implementation, appropriateness, and evaluation. 萨斯喀彻温省的虚拟医疗服务：多方利益相关者对实施、适当性和评估的看法。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-18 DOI: 10.1177/08404704251348858
Sarah-Marie Durr, Abd Alras, Stacey Lovo, Hamza Dani, Laureen McIntyre, Amy Zarzeczny, Paul Babyn, Scott J Adams, Ivar Mendez
{"title":"Virtual care delivery in Saskatchewan: Multi-stakeholder perspectives on implementation, appropriateness, and evaluation.","authors":"Sarah-Marie Durr, Abd Alras, Stacey Lovo, Hamza Dani, Laureen McIntyre, Amy Zarzeczny, Paul Babyn, Scott J Adams, Ivar Mendez","doi":"10.1177/08404704251348858","DOIUrl":"10.1177/08404704251348858","url":null,"abstract":"<p><p>The purpose of this study was to provide an update on patients', clinicians', and health administrators' experiences and perspectives on opportunities, barriers, and priorities for virtual care to inform health policy and planning as virtual care programs continue to mature and develop. Three surveys were developed and distributed in Saskatchewan, Canada. Quantitative data were analyzed using descriptive statistics and chi-squared tests, and free-text responses were analyzed using thematic analysis. Chronic disease management and mental health disorders were identified as highly suitable for virtual care. Health administrators underscored cost savings and improved patient access as key advantages, though they lacked consistent frameworks to assess virtual care effectiveness. Key barriers included digital literacy, technology constraints, and compensation models not aligned with virtual service provision. Participants called for greater infrastructure investment, technical support, and integrated electronic platforms. These insights may inform policy and practice to strengthen virtual health delivery and support health equity.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"496-505"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327127","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
Characterizing the impact of a novel electronic consultation platform on access to Hepatitis C treatment in Manitoba. 表征一种新型电子咨询平台对马尼托巴省丙型肝炎治疗的影响。
Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-23 DOI: 10.1177/08404704251350064
Lauren J MacKenzie, Laurie Ireland, Javier Mignone, Luis Oppenheimer, Marissa Becker
{"title":"Characterizing the impact of a novel electronic consultation platform on access to Hepatitis C treatment in Manitoba.","authors":"Lauren J MacKenzie, Laurie Ireland, Javier Mignone, Luis Oppenheimer, Marissa Becker","doi":"10.1177/08404704251350064","DOIUrl":"10.1177/08404704251350064","url":null,"abstract":"<p><p>Access to Hepatitis C (HCV) treatment requires a specialist referral in Manitoba, Canada, with specialist availability posing barriers to HCV care. This work assessed the impact of eConsult, an electronic platform that enables Primary Care Providers (PCPs) to access specialist advice, potentially reducing face-to-face patient visits. This single case study was conducted at Nine Circles Community Health Centre in Winnipeg. Charts of individuals referred via traditional pathways (Dec. 2016-Dec. 2017) and eConsult (Dec. 2017 - Dec. 2019) were reviewed, and stakeholder interviews were conducted with PCPs and an HCV specialist. Compared to traditional referrals, eConsult patients were more likely to link to specialist care (100% vs. 69%, <i>P</i> = 0.026) and complete HCV treatment (79% vs. 36%, <i>P</i> = 0.049). The use of eConsult may improve access to HCV care in Manitoba, with outcomes shaped by system agility, adaptability across contexts, and the altruism of healthcare providers who support its use.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"464-469"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477195","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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