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A Message from the Guest Editor. 客座编辑的留言。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-07-29 DOI: 10.1177/08404704261470501
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引用次数: 0
Health Data Literacy in Canada: The Missing Metric in a Data-Rich Era. 加拿大的健康数据素养：数据丰富时代的缺失指标。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-05-07 DOI: 10.1177/08404704261447696
Cliff Lindeman, Ewan Affleck, Nigel Ashworth, Ed Jess, Nicole Kain, Katie Kjelland, Quyen Lam, Glynda Rees
{"title":"Health Data Literacy in Canada: The Missing Metric in a Data-Rich Era.","authors":"Cliff Lindeman, Ewan Affleck, Nigel Ashworth, Ed Jess, Nicole Kain, Katie Kjelland, Quyen Lam, Glynda Rees","doi":"10.1177/08404704261447696","DOIUrl":"10.1177/08404704261447696","url":null,"abstract":"<p><p>Health data are essential for improving care, guiding decisions, and shaping health policy, but many people in Canada lack the knowledge needed to use them effectively. This article suggests that health data literacy, understanding what data are, why they matter, and how they should be used, is a critical foundation of a well-functioning health system. Without a shared level of literacy across the public, healthcare providers, decision-makers, and researchers, even advanced systems may result in fragmented care, poor decisions, wasted resources, and reduced public trust. Currently, there is no consistent definition of, nor comprehensive approach to, the measurement of health data literacy in Canada and efforts to improve the situation are limited. Evidence shows significant gaps across all groups from low public awareness to challenges among clinicians and policy-makers in interpreting and using data effectively. A coordinated approach to define, measure, and improve health data literacy is needed to strengthen Canada's health system.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"406-412"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844313","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
Innovation and Our Data: This Does Not Need to Be Scary. 创新和我们的数据：这并不可怕。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-05-28 DOI: 10.1177/08404704261454317
Philip Boyer, Idan Roifman
{"title":"Innovation and Our Data: This Does Not Need to Be Scary.","authors":"Philip Boyer, Idan Roifman","doi":"10.1177/08404704261454317","DOIUrl":"10.1177/08404704261454317","url":null,"abstract":"<p><p>The rapid emergence of artificial intelligence has unveiled the clinical, public health, and economic value of Canada's health data assets. However, the Canadian industry developing technologies to improve the standard and quality of Canadian healthcare has limited, and often dysfunctional, access to data. The eighth principle of the Pan-Canadian Health Data Charter calls for data-driven social and technological innovation through partnership, invention, discovery, value creation, and international best practice. Trustworthy and efficient innovation data access is essential for realizing a data ecosystem that improves the health and clinical outcomes for Canadians. This article examines the innovation data access landscape in Canada and identifies structural and cultural challenges. It proposes governance mechanisms in the context of current legislation to address challenges and promote trust in ethical data use while looking internationally for inspiration, and reinforces that achieving the eighth principle is structurally dependant on addressing the other nine in turn.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"442-447"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057485","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
Timely Availability and Accessibility of Health Data: Meeting the Challenge of Pan-Canadian Health Charter Principle 6. 及时提供和获取卫生数据：迎接《泛加拿大卫生宪章》原则6的挑战。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-06-18 DOI: 10.1177/08404704261455456
Kimberlyn M McGrail, David L Buckeridge
{"title":"Timely Availability and Accessibility of Health Data: Meeting the Challenge of Pan-Canadian Health Charter Principle 6.","authors":"Kimberlyn M McGrail, David L Buckeridge","doi":"10.1177/08404704261455456","DOIUrl":"10.1177/08404704261455456","url":null,"abstract":"<p><p>Pan-Canadian Health Data Charter Principle 6 envisions health data that are timely, accessible, meaningful, and comprehensive. This article examines three dimensions of this principle: what is envisioned for health data, for whom, and for what purposes. Comprehensive data include publicly funded care, privately paid services, patient-reported outcomes, and social determinants. To be meaningful, data require standardization and quality assurance. Timely access ranges from real-time clinical use to dependable research access. Accessibility depends on interoperable systems and secure environments. Current practices fall short across all dimensions, with fragmented, incomplete, and delayed data limiting timely access and effective use. Access and coverage remain uneven, reflecting structural and policy barriers. Despite these challenges, there are promising initiatives such as efforts to enhance national data stewardship. Advancing Principle 6 will require involvement of all interests in health data, including data stewards, policy-makers, providers, data users, and members of the public.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"448-453"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279170","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
From Ego-Centric to Eco-Centric: Realizing Principle 1 of the Pan-Canadian Health Data Charter. 从以自我为中心到以生态为中心：实现《泛加拿大健康数据宪章》原则1。
IF 2.4
Healthcare Management Forum Pub Date : 2026-09-01 Epub Date: 2026-06-01 DOI: 10.1177/08404704261453785
Claire Snyman, Alies Maybee, Teri Price, Glynda Rees, Anna Schamper
{"title":"From Ego-Centric to Eco-Centric: Realizing Principle 1 of the Pan-Canadian Health Data Charter.","authors":"Claire Snyman, Alies Maybee, Teri Price, Glynda Rees, Anna Schamper","doi":"10.1177/08404704261453785","DOIUrl":"10.1177/08404704261453785","url":null,"abstract":"<p><p>The Canadian healthcare landscape's deep fragmentation of service-centric data silos is causing harm to patients, providers, and the overall healthcare system. This article examines Principle 1 of the Pan-Canadian Health Data Charter: Person-Centric Health Information Design (PCHID). Unlike traditional models, PCHID creates a technical architecture organizing data around individuals to ensure continuity of information across the care continuum. Canada can realize significant gains in health equity, clinical safety, and population health and innovation by moving from an \"ego-centric\" system of institutional data control to an \"eco-centric\" model of shared stewardship. This article outlines pathways for health leaders to operationalize PCHID. These include governance and public engagement, harmonized policies and legislation, investment in health data literacy, culture change, and embedding Indigenous data sovereignty. Ultimately, PCHID serves as the foundational blueprint for a trusted, integrated health ecosystem that prioritizes the well-being and agency of all people in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"413-419"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145001","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
Financing Hospital Emergency Preparedness: A Leadership Framework for Sustained Readiness. 资助医院应急准备：持续准备的领导框架。
IF 2.4
Healthcare Management Forum Pub Date : 2026-08-16 DOI: 10.1177/08404704261478133
Tracy L Buchman, Russell Kashian
{"title":"Financing Hospital Emergency Preparedness: A Leadership Framework for Sustained Readiness.","authors":"Tracy L Buchman, Russell Kashian","doi":"10.1177/08404704261478133","DOIUrl":"https://doi.org/10.1177/08404704261478133","url":null,"abstract":"<p><p>Hospitals must maintain essential services during disasters, although routine funding rarely covers the staff, supplies, backup systems, and regional coordination required for readiness. This article examines emergency preparedness as a leadership and financing responsibility. A narrative review considered Canadian, United States, and international policy documents and research on hospital resilience, emergency management, coalitions, supply continuity, and preparedness investment. Preparedness requires recurring expenditures that compete with operating priorities, while benefits often extend beyond the hospital that pays for them. Leaders can strengthen readiness through governance, budgeting, lifecycle planning, workforce decisions, regional agreements, risk monitoring, and emergency spending authority. Public support remains necessary for shared capabilities and extreme events. Sustainable readiness combines hospital financing for core capability, regional arrangements for shared resources, public investment where community benefits are broad, and rapid access to funds when demand exceeds normal capacity.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261478133"},"PeriodicalIF":2.4,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759732","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
Alignment Before Apology: Transactional and Relational Dimensions of Reconciliation in Canadian Healthcare. 道歉前的一致性：加拿大医疗保健中和解的交易和关系维度。
IF 2.4
Healthcare Management Forum Pub Date : 2026-08-07 DOI: 10.1177/08404704261471471
Alika T Lafontaine, Paula Cashin, Santanna Hernandez, Chris J Lafontaine
{"title":"Alignment Before Apology: Transactional and Relational Dimensions of Reconciliation in Canadian Healthcare.","authors":"Alika T Lafontaine, Paula Cashin, Santanna Hernandez, Chris J Lafontaine","doi":"10.1177/08404704261471471","DOIUrl":"10.1177/08404704261471471","url":null,"abstract":"<p><p>The purpose of this article is to introduce the Social Dynamics of Change (SDoC), a framework for institutional transformation, and examine the Canadian Medical Association's (CMA) 2024 Apology to the Indigenous Peoples of Canada as a case study in institutional reconciliation. Converging social, political, and institutional forces exposed the CMA's maladaptive relationship with Indigenous Peoples. Through the SDoC framework, reconciliation involved movement from crisis through denial, resistance, exploration, and commitment. Progress required relational accountability, trust, co-design, and sustained engagement between Indigenous and non-Indigenous leaders. The case highlights the importance of Indigenous leadership in senior governance, as three authors in distinct leadership roles helped create the enabling environment that supported the CMA's reconciliation journey. The CMA case suggests that meaningful institutional reconciliation is achieved when relational alignment precedes transactional milestones. The SDoC framework helps explain how healthcare organizations navigate change and translate reconciliation commitments into lasting shifts in governance and culture.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261471471"},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689977","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
Reconciliation in Practice: How First Nations Health Directors Enact the TRC Calls to Action Through Everyday Health Leadership in British Columbia. 实践中的和解：第一民族卫生主任如何通过不列颠哥伦比亚省的日常卫生领导制定TRC行动呼吁。
IF 2.4
Healthcare Management Forum Pub Date : 2026-08-06 DOI: 10.1177/08404704261469780
Daniel Manson, Lauren Marshall, James Rout
{"title":"Reconciliation in Practice: How First Nations Health Directors Enact the TRC Calls to Action Through Everyday Health Leadership in British Columbia.","authors":"Daniel Manson, Lauren Marshall, James Rout","doi":"10.1177/08404704261469780","DOIUrl":"10.1177/08404704261469780","url":null,"abstract":"<p><p>Since the transfer of federal health programs to the First Nations Health Authority (FNHA) in 2013, First Nations Health Directors have played a central role within British Columbia's evolving health governance landscape. Health Directors are community health leads who oversee programs and service development in First Nations health centres and work with health partners to address community health needs. This mixed-methods study draws on a province-wide survey of Health Directors and five sharing circles to examine how Health Directors engage in reconciliation work through their everyday decision-making and relationship-building. Findings demonstrate that this daily community and governance related work contributes to incremental shifts that drive long-term system change, while persistent funding constraints, workload-related burnout, and anti-First Nations racism continue to shape and constrain these efforts.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261469780"},"PeriodicalIF":2.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680333","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
Intersectional Influences and Global Expertise: Vaccine Views of Internationally Educated Healthcare Professionals. 交叉影响和全球专业知识：国际教育卫生保健专业人员的疫苗观点。
IF 2.4
Healthcare Management Forum Pub Date : 2026-08-01 DOI: 10.1177/08404704261473248
Farimah HakemZadeh, Elena Neiterman, Krithika Subbiah, Bridget Beggs, Melanie Bedard
{"title":"Intersectional Influences and Global Expertise: Vaccine Views of Internationally Educated Healthcare Professionals.","authors":"Farimah HakemZadeh, Elena Neiterman, Krithika Subbiah, Bridget Beggs, Melanie Bedard","doi":"10.1177/08404704261473248","DOIUrl":"https://doi.org/10.1177/08404704261473248","url":null,"abstract":"<p><p>Internationally Educated Healthcare Professionals (IEHPs) represent a significant part of Canada's health workforce, yet limited evidence exists on vaccine attitudes in this group. This study examined vaccine perceptions among IEHPs in Canada and their roles in promoting vaccination within their communities. Semi-structured interviews were conducted with 22 IEHPs and analyzed using thematic analysis through an intersectional lens. Participants generally expressed strong pro-vaccine attitudes and believed that gender/sex, religion, ethnicity/race, and employment precarity, particularly in relation to vaccine mandates, influence vaccine attitudes, and decision-making. Participants viewed IEHPs as ambassadors who can promote vaccine uptake, especially among culturally and ethnically similar populations. IEHPs demonstrated overall support for vaccination and identified themselves as contributors to vaccine promotion in communities historically underserved by public health. These findings highlight their potential role in culturally tailored vaccine communication and public health outreach in Canada as well as in policy development and implementation efforts.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261473248"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654650","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
Self and System Transformation: Leadership Competencies for Advancing Indigenous Health. 自我与系统转型：促进原住民健康的领导能力。
IF 2.4
Healthcare Management Forum Pub Date : 2026-08-01 DOI: 10.1177/08404704261468564
Marcia Anderson, Lisa Richardson
{"title":"Self and System Transformation: Leadership Competencies for Advancing Indigenous Health.","authors":"Marcia Anderson, Lisa Richardson","doi":"10.1177/08404704261468564","DOIUrl":"https://doi.org/10.1177/08404704261468564","url":null,"abstract":"<p><p>The Truth and Reconciliation Commission of Canada released its Calls to Action in 2015, including the seven health-related Calls. Progress has been variable and slow, including in the health-related Calls to Action. Drawing on our combined experience as Indigenous health leaders, we propose new leadership competencies for supporting Indigenous health workers and emerging Indigenous leaders. We envision these competencies as uniquely necessary to advance antiracism and decolonization approaches that will move the dial from interim progress to meaningful differences in Indigenous health and health workforce outcomes.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704261468564"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649410","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
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