发布求助
文献互助 智能选刊 最新文献

Healthcare Management Forum最新文献

筛选
英文 中文
Gender and healthcare leadership: Addressing critical knowledge gaps by explicitly considering the gendered concept of care. 性别与医疗保健领导力：通过明确考虑护理中的性别概念，填补关键知识空白。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-11-03 DOI: 10.1177/08404704241293947
Yvonne James, Billie Jane Hermosura, Ruth Decady, Ivy L Bourgeault
{"title":"Gender and healthcare leadership: Addressing critical knowledge gaps by explicitly considering the gendered concept of care.","authors":"Yvonne James, Billie Jane Hermosura, Ruth Decady, Ivy L Bourgeault","doi":"10.1177/08404704241293947","DOIUrl":"10.1177/08404704241293947","url":null,"abstract":"<p><p>This scoping review of gender and healthcare leadership synthesized the barriers and facilitators at multiple levels employing a framework that integrates a specific focus on the concept of care. The 71 sources identified focus predominantly on barriers to women's leadership at the individual and team level and, to a lesser extent, at the organizational and system level. Facilitators tend to be presented as recommended actions than evaluated interventions. Healthcare leadership tends to ignore the gendered context of care elevating leaders who are least likely to provide such care. Where personal caregiving circumstances are considered, they are individualized, reflecting the literature in general. More critical analysis is needed to focus on women's experiences and how their gender can predetermine their success in achieving and being in leadership positions. Healthcare leadership researchers are encouraged to include gender and care-focused analyses and interventions to address the under-representation of women in healthcare leadership.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"141-147"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570030","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 the COVID-19 pandemic shaped Canadians' preferences for setting of dying: Comparison of two panel surveys. COVID-19 大流行如何影响加拿大人对死亡环境的偏好：两项小组调查的比较。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-11-06 DOI: 10.1177/08404704241297037
Laura M Funk, Corey S Mackenzie, Li-Elle Rapaport, Maria Cherba, S Robin Cohen, Marian Krawczyk, Andrea Rounce, Kelli I Stajduhar
{"title":"How the COVID-19 pandemic shaped Canadians' preferences for setting of dying: Comparison of two panel surveys.","authors":"Laura M Funk, Corey S Mackenzie, Li-Elle Rapaport, Maria Cherba, S Robin Cohen, Marian Krawczyk, Andrea Rounce, Kelli I Stajduhar","doi":"10.1177/08404704241297037","DOIUrl":"10.1177/08404704241297037","url":null,"abstract":"<p><p>The purpose of this article is to assess whether COVID-19 shaped Canadians' preferred settings of dying. We compared data collected using the same survey from two independent but comparable sets of panel respondents, prior to and after the onset of the pandemic. A vignette methodology was used to assess preferences for dying in each of four settings: home, acute/intensive care, palliative care, and long-term residential care. Although preferences for dying at home, in acute/intensive care and palliative care units did not change, preferences for dying in nursing homes significantly declined. In the pandemic's first and second waves, the spread of knowledge about problems of poor care, visitation restrictions, and fears of contagion in Canadian long-term residential care may have shaped public perceptions of and preferences for dying these settings. If this change persists, it may influence advance care planning decisions. That preferences for dying at home did not shift is noteworthy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"135-140"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591776","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
Implementation of the admission transfer unit to reduce emergency department boarding: A quality improvement initiative. 实施入院转运单元，减少急诊科住院人数：质量改进措施。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-07-22 DOI: 10.1177/08404704241267317
Faisal Khan, Andreea Popescu, Nyla Chattergoon, Francesca Fiumara, Navneet Thandi, Hojat Galeh
{"title":"Implementation of the admission transfer unit to reduce emergency department boarding: A quality improvement initiative.","authors":"Faisal Khan, Andreea Popescu, Nyla Chattergoon, Francesca Fiumara, Navneet Thandi, Hojat Galeh","doi":"10.1177/08404704241267317","DOIUrl":"10.1177/08404704241267317","url":null,"abstract":"<p><p>Emergency Department (ED) boarding crowds the emergency department, strains resources, leads to higher hospital costs, and is associated with increased morbidity/mortality, a negative patient experience, and patient adverse events. The time Ontario patients wait in emergency departments for inpatient beds continues to rise, with the average time admitted patients spend in the ED increasing between 2015 and 2019 from 13.8 hours to 16.2 hours. As reported in this quality improvement initiative, one potential solution is to repurpose short-stay medical assessment units for complex admitted medicine patients using an objective patient selection tool. Objectively selecting admitted ED patients with the highest risk for adverse events and prioritizing them to move to a transitional unit advances safe quality patient care and decreases Time-to-Inpatient Bed (TIB). Results from this quality improvement initiative include reducing the organization's TIB by 13 hours.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749255","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
Discharge communication during transitions from emergency care to home. 从急救护理到居家护理过渡期间的出院沟通。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-16 DOI: 10.1177/08404704241289252
Janet Curran, Holly McCulloch
{"title":"Discharge communication during transitions from emergency care to home.","authors":"Janet Curran, Holly McCulloch","doi":"10.1177/08404704241289252","DOIUrl":"10.1177/08404704241289252","url":null,"abstract":"<p><p>The healthcare system in Canada is overwhelmed and requires reform. Good discharge communication is a cornerstone of patient safety and quality care. In the Emergency Department (ED), good discharge communication means that patients leave with a clear understanding of their health condition, and the steps they need to take to continue their recovery at home. The fragmented nature of communication in the ED coupled with long wait times and high noise levels pose significant risks to the continuity of information exchange. Additional communication barriers arise for many patients due to a lack of control, language differences, low health literacy, and feelings of fear and uncertainty. Multiple interventions have been evaluated to improve ED discharge communication, but further work is needed to engage all end users in a theory-based approach. Addressing challenges related to successful discharge communication requires a multifaceted approach that includes improving institutional policies, adopting innovative co-designed interventions, and leveraging technology.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"114-119"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477042","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
Accountability frameworks: A critical evolution in healthcare. 问责制框架：医疗保健领域的重要演变。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-25 DOI: 10.1177/08404704241290794
Grant Innes
{"title":"Accountability frameworks: A critical evolution in healthcare.","authors":"Grant Innes","doi":"10.1177/08404704241290794","DOIUrl":"10.1177/08404704241290794","url":null,"abstract":"<p><p>Canadians face prolonged waits for primary care, specialist care, hospital care, elective surgery, and advanced imaging relative to peer countries. A root problem is unclear queue management expectations. If programs have no mandate to provide timely care, the intuitive approach to demand challenges is not to innovate and improve, but to block access, create a queue, and force patients elsewhere. Patient care accountability frameworks define program expectations and accountability zones, clarifying that every patient has an accountable healthcare home and every program has a population (accountability zone). Program accountabilities include timely patient assessment and disposition; budget, space, and nursing care for program patients; and contingency plans for surges and queues. Accountability frameworks are an evolutionary stressor that would drive strategies to expedite appropriate care in the right place, to move patients out of queues into care. This article discusses accountability, accountability frameworks, and accountability strategies to improve system-wide access.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"84-90"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516696","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
Artificial intelligence governance framework for healthcare. 医疗保健领域的人工智能治理框架。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-29 DOI: 10.1177/08404704241291226
Masooma Hassan, Elizabeth M Borycki, Andre W Kushniruk
{"title":"Artificial intelligence governance framework for healthcare.","authors":"Masooma Hassan, Elizabeth M Borycki, Andre W Kushniruk","doi":"10.1177/08404704241291226","DOIUrl":"10.1177/08404704241291226","url":null,"abstract":"<p><p>Recent advancements in the field of Artificial Intelligence (AI) provide promising applications of this technology with the aim of solving complex healthcare challenges. These include optimizing operational efficiencies, supporting clinical administrative functions, and improving care outcomes. Numerous AI models are validated in research settings but few make their way into useful applications due to challenges associated with implementation and adoption. In this article, we describe some of these challenges, along with the need for a facilitating entity to safely translate AI systems into practical use. The authors propose a new AI governance framework to enable healthcare organizations with a mechanism to implement and adopt AI systems.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"125-130"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523323","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
Considerations for emergency department virtual triage. 急诊科虚拟分诊的注意事项。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-11-08 DOI: 10.1177/08404704241298643
Laila Nasser, Emily Morris, Irene Mathias, Justin N Hall
{"title":"Considerations for emergency department virtual triage.","authors":"Laila Nasser, Emily Morris, Irene Mathias, Justin N Hall","doi":"10.1177/08404704241298643","DOIUrl":"10.1177/08404704241298643","url":null,"abstract":"<p><p>Health leaders are increasingly interested in harnessing Artificial Intelligence (AI) to remotely conduct virtual triage for Emergency Department (ED) patients. This study explores equity considerations and patient attitudes to virtual triage in a Canadian ED. A cross-sectional study surveyed 150 ED patients, with 32 additional patients interviewed in-depth. Descriptive statistics and qualitative descriptive methodology were employed: 84.7% of patients would consider virtual triage, 71.3% were comfortable following advice to seek alternate care, including their General Practitioner or virtual ED. Approximately 38.2% of patients >60 years would require assistance using virtual triage, with confidence in using technology to direct care decreasing with age. Thematic analysis revealed five key themes: value of decision support; care access expectations; technological literacy demographics; trust in AI; and confidentiality. In conclusion, virtual triage is a viable and promising tool if barriers to technological literacy are addressed, and tools are endorsed by health providers and patients.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"108-113"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630288","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
From fragmentation to functionality: Enhancing coherence of digital health integration in health systems. 从分散到功能：加强卫生系统数字卫生整合的一致性。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-28 DOI: 10.1177/08404704241294255
Samuel Petrie, Shelley McLeod, Kendall Ho
{"title":"From fragmentation to functionality: Enhancing coherence of digital health integration in health systems.","authors":"Samuel Petrie, Shelley McLeod, Kendall Ho","doi":"10.1177/08404704241294255","DOIUrl":"10.1177/08404704241294255","url":null,"abstract":"<p><p>Digital health programs continue to be implemented within Canadian health systems at a steady pace. The effectiveness of digital health initiatives has been rigorously analyzed, with both benefits and drawbacks extensively commented on. While the discussion about digital health continues, both positive and negative perspectives of it are approaching saturation in their themes. Accepting that digital health is here to stay post-pandemic, the focus should shift to strategies and supports needed to avoid the fragmentation of care through digital health implementation. This short article poses three questions which policy-makers and decision-makers should explore as part of a level-setting exercise with involved stakeholders at the outset of a digital health program's consideration. An implementation team should design the digital health program to have equity as its foundational focus, conduct value-based evaluations, and position the program in a learning health system framework to guard against the fragmentation of care.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"120-124"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523335","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
Unlocking the potential: Responsibly embracing artificial intelligence to advance the use of health data and analytics at the Canadian Institute for Health Information. 释放潜能：加拿大健康信息研究所（Canadian Institute for Health Information）以负责任的方式利用人工智能推进健康数据和分析的使用。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-10 DOI: 10.1177/08404704241271196
Shez Daya, Babita Gupta, Nasir Kenea
{"title":"Unlocking the potential: Responsibly embracing artificial intelligence to advance the use of health data and analytics at the Canadian Institute for Health Information.","authors":"Shez Daya, Babita Gupta, Nasir Kenea","doi":"10.1177/08404704241271196","DOIUrl":"10.1177/08404704241271196","url":null,"abstract":"<p><p>Canadian Institute for Health Information (CIHI) is looking to modernize and adopt new ways of working. This incudes the use of new technology, including the application of Artificial Intelligence (AI). To begin in a purposeful manner, the organization developed an AI strategy which was informed through feedback from key stakeholders and partners, from its staff and from a review of international research. The research informed several ways AI could add value to CIHI's internal operations and to the external role CIHI could play in advancing responsible AI adoption in health systems across Canada. This article describes the strategy development process and the areas of focus within the strategy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"131-134"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113120","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
Mapping the landscape of front door frailty in the United Kingdom: Lessons for further afield. 绘制英国前门虚弱状况图：为更远的地方提供借鉴。
Healthcare Management Forum Pub Date : 2025-03-01 Epub Date: 2024-10-28 DOI: 10.1177/08404704241293317
Elinor Burn, Amy Armstrong, Natalie Offord
{"title":"Mapping the landscape of front door frailty in the United Kingdom: Lessons for further afield.","authors":"Elinor Burn, Amy Armstrong, Natalie Offord","doi":"10.1177/08404704241293317","DOIUrl":"10.1177/08404704241293317","url":null,"abstract":"<p><p>The ageing global population is posing a significant challenge to healthcare systems worldwide. Healthcare needs have become more complex and the demand for services is ever increasing. Identification of frailty at the front door of hospitals can prompt comprehensive geriatric assessment and streamline patients to the most suitable clinical area. The United Kingdom has set a priority to develop front door services given the pressure on the National Health Service. A British Geriatrics Society survey has demonstrated that the majority of frailty assessments occur in the emergency department using the Clinical Frailty Scale. This survey prompted the creation of the setting up services guide and its key principles using a collaboration of experience from across the country. Understanding the systems that already exist and creating a network to enable a flow of care towards community teams is crucial to the successful provision of modern frailty attuned care.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"102-107"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523337","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信