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Determinants associated with receiving a medical appointment through the primary care access points for unattached adults in Quebec: A cross-sectional study. 魁北克无人陪伴的成年人通过初级医疗访问点接受医疗预约的相关决定因素：一项横断面研究。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-24 DOI: 10.1177/08404704241301773
Mylaine Breton, Catherine Lamoureux-Lamarche, Véronique Deslauriers, Djamal Berbiche, Maude Laberge, Mélanie Ann Smithman, Annie Talbot, Isabelle Gaboury, Marie-Pascale Pomey, Marie Beauséjour
{"title":"Determinants associated with receiving a medical appointment through the primary care access points for unattached adults in Quebec: A cross-sectional study.","authors":"Mylaine Breton, Catherine Lamoureux-Lamarche, Véronique Deslauriers, Djamal Berbiche, Maude Laberge, Mélanie Ann Smithman, Annie Talbot, Isabelle Gaboury, Marie-Pascale Pomey, Marie Beauséjour","doi":"10.1177/08404704241301773","DOIUrl":"10.1177/08404704241301773","url":null,"abstract":"<p><p>Canada is experiencing an unprecedented primary care crisis, with 6.5 million Canadians reporting lacking a family physician, including 31% of the Quebec population. To address this problem, the province of Quebec implemented primary care access points (in French, they are <i>Guichets d'accès à la première ligne</i>, or GAPs) to help unattached patients navigate and access primary care services while awaiting attachment. We aimed to examine the determinants associated with unattached patients receiving a medical appointment compared to another service through the GAP. Cross-sectional data (n = 13,291) from two GAPs were collected (June 2022 to March 2023). Multivariable logistic regression was carried out. Being younger, calling for an acute health problem, medication renewal or to have administrative documentation filled, having a physical or mental health problem, and using GAP A (compared to GAP B) were associated with an increased likelihood of receiving a medical appointment. This study is the first to document the characteristics of patients using the GAP and their needs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"178-185"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711184","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
Art of leadership and science of implementation for sustainable impact of organizational model of care. 领导的艺术和实施的科学，促进组织关怀模式的可持续影响。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-09-04 DOI: 10.1177/08404704241271235
Kaiyan Fu, Sarah Tam Lee
{"title":"Art of leadership and science of implementation for sustainable impact of organizational model of care.","authors":"Kaiyan Fu, Sarah Tam Lee","doi":"10.1177/08404704241271235","DOIUrl":"10.1177/08404704241271235","url":null,"abstract":"<p><p>Necessitated by the healthcare crisis and exacerbated by the pandemic, and building on model of care experimentation over the last decade, SE Health executed on an organizational change to bring the innovative model to life. This model is titled H.O.P.E. MODEL™ of Care-Home, Opportunity, People, Empowerment. The innovation in model of care design and implementation is guided by the Integrated-Promoting Action on Research Implementation in Health Services (i-PARiHS) Framework. Our journey highlights the art of leadership and science of implementation for sustainable impact on care excellence and health system transformation. This implementation experience has also generated the following insights: reinforce the foundation, operationalizing practice, what gets measured gets done, technology enabling practice, and all roads lead to H.O.P.E.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"211-215"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134130","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
Preventing healthcare worker burnout in primary care settings through the trauma-informed CARES Leadership Competency Model. 通过创伤知情的 CARES 领导能力模型，预防初级医疗机构中医护人员的职业倦怠。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-12 DOI: 10.1177/08404704241297074
Christopher Eastmond, Samantha Fernandes
{"title":"Preventing healthcare worker burnout in primary care settings through the trauma-informed CARES Leadership Competency Model.","authors":"Christopher Eastmond, Samantha Fernandes","doi":"10.1177/08404704241297074","DOIUrl":"10.1177/08404704241297074","url":null,"abstract":"<p><p>Staff burnout, a pervasive and persistent issue in the Canadian primary care environment, demands urgent and immediate attention. The managerial response to this problem has been largely reactive, especially in the post-COVID era. The need for proactive approaches to equip health leaders to detect early signs of burnout in healthcare workers and intervene effectively is more pressing than ever. Health leaders are beginning to acknowledge the significant role that trauma plays in impacting workers' propensity to experience burnout, leading to the growing recognition of trauma-informed best practices in healthcare management. This article will introduce the CARES Model, a leadership competency framework that underscores the connections between leadership competencies and employee-leader engagement to detect early signs of burnout in primary care workers. The model, along with the proposed CARES toolkit, strongly emphasizes trauma-informed best practices and will enable health leaders to better proactively prevent burnout through appropriate, empathetic, and efficient interventions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"221-228"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630290","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 : 2025-05-01 Epub Date: 2025-04-23 DOI: 10.1177/08404704251324366
{"title":"A Message from the Guest Editor.","authors":"","doi":"10.1177/08404704251324366","DOIUrl":"https://doi.org/10.1177/08404704251324366","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"38 3","pages":"154-155"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049325","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
HCA PIECESTM Care Coach Program: Peer-to-peer approach to promote person-centred care in long-term care. HCA PIECESTM 护理教练计划：在长期护理中推广以人为本的护理方法。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-10-28 DOI: 10.1177/08404704241290777
Jae Yon Jones, Amanda Leddy, Gloria Real
{"title":"HCA PIECES<sup>TM</sup> Care Coach Program: Peer-to-peer approach to promote person-centred care in long-term care.","authors":"Jae Yon Jones, Amanda Leddy, Gloria Real","doi":"10.1177/08404704241290777","DOIUrl":"10.1177/08404704241290777","url":null,"abstract":"<p><p>In Long-Term Care (LTC) settings, the potentially inappropriate use of antipsychotics for behavioural and psychological symptoms of dementia is a persistent issue, with high rates despite limited benefit and serious risk. Best practice is a non-pharmacological, person-centred approach to care, though this can be challenging in LTC settings. To help address this gap, we developed the PIECES<sup>TM</sup> HCA Care Coach Program and described its implementation and outcomes observed at 13 LTC homes. This program empowers healthcare aides with training, tools, and processes to practice the principles of person-centred care and provide peer mentorship to the care team. After one year, we found declining antipsychotics use (by 4.4%) and positive indicators of improved staff experience and improved resident quality of life. The Care Coach Program can be adapted and spread to a variety of LTC settings to help reduce potentially inappropriate antipsychotic use and better support people living with dementia.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"172-177"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523336","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
Integrating informal and formal care: An innovative, scalable program blueprint. 整合非正规和正规护理：创新、可扩展的计划蓝图。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-16 DOI: 10.1177/08404704241292329
Deborah Sattler, Michelle Howard, Doris Nessim, Marg McAlister, Lisa Dolovich
{"title":"Integrating informal and formal care: An innovative, scalable program blueprint.","authors":"Deborah Sattler, Michelle Howard, Doris Nessim, Marg McAlister, Lisa Dolovich","doi":"10.1177/08404704241292329","DOIUrl":"10.1177/08404704241292329","url":null,"abstract":"<p><p>People have infinite needs, including illness prevention, wellness, self-care, practical support, and quality of life. This article describes community-based, informal care programs that help people identify their needs, set goals, and organize networks of care to address their needs holistically in a way that can also significantly reduce healthcare costs. Approaches can be customized for primary care, home and community, hospice, and other care sectors to facilitate low-cost, high impact adoption. We provide a blueprint for programs that integrate informal and formal care across social, physical, and mental health domains as a key part of healthcare system transformation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"273-277"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644677","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
Exploring the impact of a clinical extern program on readiness to practice. 探索临床实习计划对实习准备的影响。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-04 DOI: 10.1177/08404704241293050
Charissa Cordon, Dianne Norman, Alison Fox-Robichaud, Joanna Pierazzo, Natasha Marzilli, Marium Alvi, Charlotte Blakely, Mary Anne Aliazon
{"title":"Exploring the impact of a clinical extern program on readiness to practice.","authors":"Charissa Cordon, Dianne Norman, Alison Fox-Robichaud, Joanna Pierazzo, Natasha Marzilli, Marium Alvi, Charlotte Blakely, Mary Anne Aliazon","doi":"10.1177/08404704241293050","DOIUrl":"10.1177/08404704241293050","url":null,"abstract":"<p><p>The COVID-19 pandemic created an increased demand for healthcare professionals across all healthcare sectors globally. Attrition, retirement, delayed graduations, and sick leaves resulted in an inadequate supply of knowledgeable, skilled, and experienced nurses to care for hospitalized patients and help address hospital capacity pressures. In response to this health human resource crisis in Canada, the Ontario Ministry of Health offered hospitals funding to support the employment of Clinical Externs (CEs), that is, students in nursing, respiratory therapy, physiotherapy, occupational therapy medicine, and paramedicine, hired to work as unregulated staff, alongside an inter-professional team. This mixed-methods study evaluated the CE program that was implemented in one large academic hospital. The primary aim was to identify the outcomes of the clinical extern program from the perspectives of CEs, CE coordinators, and clinical leaders. Findings indicate the clinical extern program reinforces student confidence and supports their transition to formal nursing and respiratory therapy roles.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"216-220"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570017","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 new patient navigation model of care to support older adults in transitions of care: Key considerations for implementation for policy-makers and health leaders. 支持老年人护理过渡的新患者导航护理模式：供政策制定者和医疗系统领导者参考的实施要点。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-10-06 DOI: 10.1177/08404704241288458
Grace Liu, Kristina Kokorelias, Amanda Knoepfli, Tracey DasGupta, Naomi Ziegler, Emma Elliot, Sara J T Guilcher, Sander L Hitzig
{"title":"A new patient navigation model of care to support older adults in transitions of care: Key considerations for implementation for policy-makers and health leaders.","authors":"Grace Liu, Kristina Kokorelias, Amanda Knoepfli, Tracey DasGupta, Naomi Ziegler, Emma Elliot, Sara J T Guilcher, Sander L Hitzig","doi":"10.1177/08404704241288458","DOIUrl":"10.1177/08404704241288458","url":null,"abstract":"<p><p>A Patient Navigation (PN) Model of Care was introduced in a large metropolitan hospital in Ontario (Canada) to support transitions in care for older adults in 2019. The patient navigator is a community social worker or \"community transitional lead\" embedded in the hospital's in care teams to assist with discharge planning and provide follow-up care to older adults, their families, and/or care partners for up to 90 days. Initially, the PN program supported acute care patients and has since expanded in the Emergency Department and Reactivation Care Centre. In this cohort retrospective observational study, we described the new PN Model of Care by analyzing the clinical notes collected by the patient navigator. This article provides preliminary insights for health leaders who are interested in implementing this novel PN model to improve transitions of care in a hospital setting. Funding was provided by the SLAIGHT Family Foundation.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"186-191"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381944","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
The Integrated Care Team: A primary care based-approach to support older adults with complex health needs. 综合护理小组：以初级保健为基础，为有复杂健康需求的老年人提供支持。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/08404704241293051
George A Heckman, Sarah Gimbel, Chantelle Mensink, Brittany Kroetsch, Aaron Jones, Anooshah Nasim, Melissa Northwood, Jacobi Elliott, Adam Morrison
{"title":"The Integrated Care Team: A primary care based-approach to support older adults with complex health needs.","authors":"George A Heckman, Sarah Gimbel, Chantelle Mensink, Brittany Kroetsch, Aaron Jones, Anooshah Nasim, Melissa Northwood, Jacobi Elliott, Adam Morrison","doi":"10.1177/08404704241293051","DOIUrl":"10.1177/08404704241293051","url":null,"abstract":"<p><p>Many older adults have complex needs and experience high rates of acute care use and institutionalization. Comprehensive Geriatric Assessment (CGA) is a specialized multidimensional interprofessional intervention to prevent such outcomes, but access to CGA in the community is limited. The Integrated Care Team (ICT) is a proactive case-finding intervention to support older adults with complex needs in primary care. The ICT provides nurse practitioner-led shared-care supported by a pharmacist, family physician, and geriatrician. Patients undergo a CGA, and a person-centred plan of care is implemented. We conducted a mixed-methods evaluation of the ICT. Patients were 81 ± 9.2 years old, 71% were women. Patients had a high burden of dementia and multimorbidity and received 12.8 ± 5.8 prescriptions daily. The ICT improved prescribing and reduced emergency department visits by 49.5% (<i>P</i> = 0.0001). Patients, care partners, and referring physicians reported high satisfaction with care. The ICT is currently being expanded to support additional primary care providers.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"192-199"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477044","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
Rehabilitation in emergency departments: A regional scan and future opportunities. 急诊科的康复治疗：区域扫描与未来机遇。
Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-19 DOI: 10.1177/08404704241292240
Sharon A Ocampo-Chan, Charissa Levy
{"title":"Rehabilitation in emergency departments: A regional scan and future opportunities.","authors":"Sharon A Ocampo-Chan, Charissa Levy","doi":"10.1177/08404704241292240","DOIUrl":"10.1177/08404704241292240","url":null,"abstract":"<p><p>Emergency Departments (EDs) have faced mounting pressures in recent years as greater volumes of patients seek care, many with increasingly complex clinical and social needs. However, the potential contributions of rehabilitation professionals to help alleviate these pressures in the ED are not well understood or leveraged. To address this knowledge gap, the authors conducted a literature review of rehabilitation models of care and the impact of rehabilitation professionals in the ED, as well as an environmental scan to understand rehabilitation models of care across two large regions in Ontario. This article outlines these findings, as well as future opportunities related to leading care and patient flow practices based on rehabilitation models in the ED.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"263-272"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677151","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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