Healthcare Management Forum最新文献_第4页

Leading public sector interorganizational collaboration in healthcare: Lessons from the intersection of climate and health. 领导公共部门在卫生保健方面的组织间合作：气候与卫生交叉的经验教训。

Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2025-02-03 DOI: 10.1177/08404704241311911

Amy Zidulka, Ingrid Kajzer Mitchell

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":"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% (P = 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.","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

引用次数: 0

Attendance, Wellness, and Engagement: The AWE Model of Workplace Satisfaction. 出勤、健康和参与：工作场所满意度 AWE 模型。

Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-10-13 DOI: 10.1177/08404704241289095

Loren Tisdelle

引用次数: 0

Determining skill mix and optimal multidisciplinary team composition: A scoping review. 确定技能组合和最佳多学科团队组成：范围审查。

Healthcare Management Forum Pub Date : 2025-05-01 Epub Date: 2024-11-05 DOI: 10.1177/08404704241293095

Donna Meadows, Joanne Maclaren, Alec Morton, Darcy Ross

{"title":"Determining skill mix and optimal multidisciplinary team composition: A scoping review.","authors":"Donna Meadows, Joanne Maclaren, Alec Morton, Darcy Ross","doi":"10.1177/08404704241293095","DOIUrl":"10.1177/08404704241293095","url":null,"abstract":"Holistic care models aligned to population care needs are needed to help leaders shed pre-existing mindsets when determining skill mix and Multidisciplinary Team (MDT) composition. Using a PRISMA flowchart, a narrow eligibility criterion, and a research question, this scoping review resulted in 9 frameworks/models published between January 2000 and September 2023. Analysis showed common methodological elements such as a population needs-based approach, a systematic process, engagement, three or more professions reporting task or competency level analysis, change advocacy, and reliance on population and workforce supply data. Key system enablers were sponsorship, access to population needs-based and workforce supply data, a learning management system for MDT development, and health human resource policies and governance to drive health system redesign to distribute an equitable workforce. This scoping review offers health leaders and policy-makers options and next-step considerations to inspire fresh thinking for making evidence-informed decisions about skill mix and MDT composition.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"278-285"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584324","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

A balanced approach to using organizational patient safety incident data for research. 使用组织患者安全事件数据进行研究的平衡方法。

Healthcare Management Forum Pub Date : 2025-04-29 DOI: 10.1177/08404704251331179

Laura D Pozzobon, Ashley Tattersall, Sarah Tosoni, AnnMarie Edward, Ann Heesters, Carole Garmaise, Michael W Caesar, Tara Marshman, Lucas B Chartier

{"title":"A balanced approach to using organizational patient safety incident data for research.","authors":"Laura D Pozzobon, Ashley Tattersall, Sarah Tosoni, AnnMarie Edward, Ann Heesters, Carole Garmaise, Michael W Caesar, Tara Marshman, Lucas B Chartier","doi":"10.1177/08404704251331179","DOIUrl":"10.1177/08404704251331179","url":null,"abstract":"Reported patient safety incidents offer high-value perspectives on safety threats but can be an untapped source of learning due to their sensitive nature and the presence of potential data protected under Quality Assurance (QA) legislations. There are no published guidelines for leaders to enable ethical use of data protected under QA legislation in reported patient safety incidents within the Canadian context. Liberating this data requires understanding the appropriate purposes for use, which draws on ethical and privacy-related considerations. We describe the approach followed to balance the duty to protect relevant privacy interests with the moral obligation to conduct research, and the proactive prevention of patient harm at our Canadian multi-site academic health sciences centre. Overall, we developed guidelines and discovered leaders must commit to establishing connections between organizational governance, legal structures, and privacy experts to support research enabling learning from patient safety incidents.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251331179"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052810","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

Supporting learning health systems through patient-oriented practice-based research: A provincial collaboration. 通过以患者为导向的基于实践的研究支持学习型卫生系统：一项省级合作。

Healthcare Management Forum Pub Date : 2025-04-27 DOI: 10.1177/08404704251334931

Dennis R Louie, Perla Araiza, Miranda M M Amundsen, Kimberly J Miller, Kristi Coldwell, Lawrence W Mróz, María-José Torrejón, John Ward, Agnes T Black, Amanda E Chisholm

{"title":"Supporting learning health systems through patient-oriented practice-based research: A provincial collaboration.","authors":"Dennis R Louie, Perla Araiza, Miranda M M Amundsen, Kimberly J Miller, Kristi Coldwell, Lawrence W Mróz, María-José Torrejón, John Ward, Agnes T Black, Amanda E Chisholm","doi":"10.1177/08404704251334931","DOIUrl":"10.1177/08404704251334931","url":null,"abstract":"Learning health systems are promoted as solutions in Canada to bridge the disconnect between research and care delivery by integrating applied research and evidence supports within healthcare. Patients and clinicians see and experience healthcare system gaps and are therefore uniquely positioned as co-producers and partners in research to advance learning health systems. Practice-based research programs provide point-of-care healthcare professionals with training, mentorship, and nominal seed funding to conduct small research projects in their clinical contexts to address gaps in practice and care. Patient-oriented research engages patients, caregivers, and family with lived experience as partners in the process of identifying gaps, generating knowledge, and applying evidence to inform healthcare delivery. This article describes the benefits gained from unifying patient-oriented research programs in British Columbia, Canada, under a provincial collaboration to standardize practice and advance collective priorities, including the foundation to cultivate and support learning health systems transformation.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251334931"},"PeriodicalIF":0.0,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057175","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 impact of a mentorship program on burnout and work engagement in healthcare workers in a community hospital setting. 指导计划对社区医院医护人员职业倦怠和工作投入的影响。

Healthcare Management Forum Pub Date : 2025-04-24 DOI: 10.1177/08404704251337952

Samantha Rutherford, Aakriti Chawla, Daniel P Edgcumbe

引用次数: 0

Climate-resilient acute care clinical operations: A framework that informs how operations within acute care build climate-resilient health systems. 适应气候变化的急症护理临床业务：一个框架，告知急症护理业务如何建立适应气候变化的卫生系统。

Healthcare Management Forum Pub Date : 2025-04-24 DOI: 10.1177/08404704251334920

Denise Thomson, Gabrielle L Zimmermann, Bhavini Gohel

{"title":"Climate-resilient acute care clinical operations: A framework that informs how operations within acute care build climate-resilient health systems.","authors":"Denise Thomson, Gabrielle L Zimmermann, Bhavini Gohel","doi":"10.1177/08404704251334920","DOIUrl":"10.1177/08404704251334920","url":null,"abstract":"Increasingly, health leaders recognize climate change as a crucial issue for healthcare operations, requiring a whole-of-system approach to mobilizing governance, leadership, and resources to respond appropriately. Granular-level guidance is needed to guide the operationalization of adaptation, resiliency, and mitigation strategies specific to acute-care clinical operations within Canadian health facilities. We present the Climate-Resilient Acute Care Clinical Operations Framework to guide the development, implementation, and evaluation of strategies within clinical operations to build more climate-resilient acute care systems. The experience of Alberta Health Services, which is currently the largest provider responsible for the delivery of acute care within Alberta, is highlighted as a case study to demonstrate the practical adoption of this framework. As more health systems adopt similar strategies, sharing data and insights generated will contribute to ongoing iterations and adaptations, ensuring the framework evolves to meet the dynamic needs of healthcare sustainability.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251334920"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054123","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

A leadership ethics curriculum: Bringing mixed-methods interdisciplinary insights to the ethical complexities of healthcare leadership. 领导伦理课程：为医疗保健领导的伦理复杂性带来混合方法跨学科的见解。

Healthcare Management Forum Pub Date : 2025-04-09 DOI: 10.1177/08404704251329480

Schuyler Pringle, Randi Zlotnik Shaul, Ema Rosa, Bonnie Au, Lennox Huang

{"title":"A leadership ethics curriculum: Bringing mixed-methods interdisciplinary insights to the ethical complexities of healthcare leadership.","authors":"Schuyler Pringle, Randi Zlotnik Shaul, Ema Rosa, Bonnie Au, Lennox Huang","doi":"10.1177/08404704251329480","DOIUrl":"10.1177/08404704251329480","url":null,"abstract":"In response to the increasingly complex ethical issues facing health leaders, the Bioethics Department at The Hospital for Sick Children (a Canadian quaternary care paediatric research institution) was asked by senior leadership to develop a leadership ethics curriculum that would further develop the ability of its institution's leaders to deliberate and make morally defensible decisions in their roles. Insights from an interdisciplinary literature review suggest that the general objectives and structure of leadership ethics teaching remain constant, with specifics changing depending on the organization and intended participants. Implementing findings from an institutional needs assessment, our modular leadership ethics curriculum, which engages participants in asynchronous and synchronous learning, was designed to support (1) understanding of personal and organizational values, (2) recognizing the significance of attending to the ethical dimensions of decisions, (3) familiarity with leadership and organizational expectations, and (4) practicing application of ethical analysis, enhancing abilities and confidence to engage with ethical issues.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251329480"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016860","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