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Learning from the United States' experience: Private equity and financing healthcare in Canada. 学习美国的经验：加拿大的私募股权和医疗融资。
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-02 DOI: 10.1177/08404704241268414
Maryann Feldman, Martin Kenney
{"title":"Learning from the United States' experience: Private equity and financing healthcare in Canada.","authors":"Maryann Feldman, Martin Kenney","doi":"10.1177/08404704241268414","DOIUrl":"10.1177/08404704241268414","url":null,"abstract":"<p><p>Private Equity (PE) investment in healthcare has grown substantially in recent years, raising alarm about its impact on patient care, healthcare professionals, and the overall integrity of the healthcare system. The influx of PE investments into healthcare has sparked debates regarding profit-driven motives, cost-cutting measures, and potential risks to patient safety and access to essential services. This article examines the extent and possible impacts of private equity in Canadian healthcare using data from a proprietary database. Drawing upon evidence from academic studies in the United States, this article provides evidence on the adverse impacts on the quality of care, the deterioration in working conditions, and degradation of the healthcare system. It provides suggestions to limit the predatory impacts of PE investment.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"440-444"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876256","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
Adoption of assistive technologies in long-term care homes: What the pandemic has taught us. 在长期护理院中采用辅助技术：大流行给我们的启示。
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI: 10.1177/08404704241271274
Goldie Nejat, Amos Zehavi, Cristina Getson, Hila Shoef-Kollwitz
{"title":"Adoption of assistive technologies in long-term care homes: What the pandemic has taught us.","authors":"Goldie Nejat, Amos Zehavi, Cristina Getson, Hila Shoef-Kollwitz","doi":"10.1177/08404704241271274","DOIUrl":"10.1177/08404704241271274","url":null,"abstract":"<p><p>COVID-19 increased the use of technology in everyday life and highlighted critical applications for assistive technologies. This comparative research study explores how assistive technologies, including socially assistive robots, can be adopted by long-term care homes to mitigate the lasting effects of the pandemic. In particular, we investigated the types of assistive technologies used by long-term care facilities to help with the care of older residents and for what tasks. Furthermore, we identified barriers to adoption and proposed policy measures that encourage technology adoption.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"418-422"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976908","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
Addressing unmet need for primary care in Canada. 解决加拿大初级保健需求得不到满足的问题。
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-09 DOI: 10.1177/08404704241271141
Richard H Glazier
{"title":"Addressing unmet need for primary care in Canada.","authors":"Richard H Glazier","doi":"10.1177/08404704241271141","DOIUrl":"10.1177/08404704241271141","url":null,"abstract":"<p><p>Primary care is the key health system strategy for improving health, enhancing patient and clinician experience, saving money, and promoting equity. Once a pioneer in primary care, Canada now fails to provide access to millions of people. This crisis is widely recognized, but policy responses are varied and mostly incremental and piecemeal. The goal of providing primary care to everyone seems unrealistic and elusive in Canada, yet it has long been attained in many other countries. Without an explicit policy goal of primary care for all, most likely on a geographic basis, Canada will continue to underinvest and underperform in primary care, with ramifications that include rapidly escalating costs, emergency department and hospital overcrowding and a growing and inequitable burden of preventable suffering. A commitment to work towards this goal is needed now to ensure that Canadians have access to high-quality well-organized care for everyone.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"451-456"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907921","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
Do high drug prices fund pharmaceutical innovation? 高昂的药价能否为医药创新提供资金？
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-12 DOI: 10.1177/08404704241271237
William Lazonick, Öner Tulum
{"title":"Do high drug prices fund pharmaceutical innovation?","authors":"William Lazonick, Öner Tulum","doi":"10.1177/08404704241271237","DOIUrl":"10.1177/08404704241271237","url":null,"abstract":"<p><p>Pharmaceutical companies claim that they need high drug prices to generate sufficient profits to invest in innovation. While this claim can be valid in principle, it is contradicted by the extent to which \"Big Pharma\" companies in the United States (US) distribute profits to shareholders in the form of cash dividends and stock buybacks. For 2013-2022, the 14 US-based pharmaceutical companies in the S&P 500 Index paid out 54% of net income as dividends and another 51% as buybacks. Incentivizing senior corporate executives to allocate resources in this financialized manner is, as we document, their stock-based compensation. In effect, these companies use high stock prices to boost stock yields at the expense of investing in innovation and compensating workers and taxpayers who make value-creating contributions to the corporation. Given the prominence of US-based pharmaceutical corporations in Canada, we explain how their financialization results in high Canadian drug prices and underinvestment in pharmaceutical research and development in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"457-461"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917615","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
Innovating for impact: Standards and assessments as a catalyst for safer, integrated, people-centred care. 创新产生影响：标准和评估是更安全、综合、以人为本的护理的催化剂。
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI: 10.1177/08404704241268565
Kaye Phillips, Leslee Thompson
{"title":"Innovating for impact: Standards and assessments as a catalyst for safer, integrated, people-centred care.","authors":"Kaye Phillips, Leslee Thompson","doi":"10.1177/08404704241268565","DOIUrl":"10.1177/08404704241268565","url":null,"abstract":"<p><p>In today's evolving healthcare landscape, leaders must innovate and collaborate to ensure safe, accessible, and high-quality care. Addressing complex issues like climate change, workforce resiliency crises, and the erosion of public trust, alongside equity and inclusive services, is critical. This article offers insights into the role of quality standards and assessment programs as catalysts for innovation and future collective impact. Using examples from Health Standards Organization and Accreditation Canada, it illustrates how these levers of change enable leaders to improve patient and workforce safety, advance integrated care, and strengthen the health of communities. Embracing people-centred and evidence-informed solutions to enable new mindsets and ways of working lays the foundation for sustainable, resilient learning health systems.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"434-439"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876255","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
Making hospitals innovative: Macro-level policy to sustain micro-innovations in healthcare. 让医院创新：维持医疗保健微观创新的宏观政策。
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-16 DOI: 10.1177/08404704241273965
Khalil B Ramadi, Saakshi More, Anshuman Shaji
{"title":"Making hospitals innovative: Macro-level policy to sustain micro-innovations in healthcare.","authors":"Khalil B Ramadi, Saakshi More, Anshuman Shaji","doi":"10.1177/08404704241273965","DOIUrl":"10.1177/08404704241273965","url":null,"abstract":"<p><p>Successful innovation clusters are notoriously difficult to establish, and many attempts fail. How can we go about designing such systems reliably? We describe how ecosystems can be strengthened through grassroots bottom-up efforts that empower user and community innovation, as opposed to economic policies that dictate innovation. Specifically focusing on the healthcare industry, we advocate that community hospitals which constitute 90% of all hospitals in Canada are the ideal setting for such community innovation efforts. We investigated the distribution of innovation output from hospitals over the past 13 years and found a decrease in predominance of major teaching hospitals, supporting the potential role for community hospitals in this space. We categorize different types of innovations and recommend institutional policies that can sustain bottom-up, micro-level efforts. Such policies could improve and enhance the development of micro-innovations and the creation of health innovation clusters.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"462-466"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989147","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
Artificial intelligence research in Canadian hospitals: The development of metropolitan competencies. 加拿大医院的人工智能研究：大都市能力的发展。
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-22 DOI: 10.1177/08404704241271218
Pierre Pelletier, Aldo Geuna, Daniel Souza
{"title":"Artificial intelligence research in Canadian hospitals: The development of metropolitan competencies.","authors":"Pierre Pelletier, Aldo Geuna, Daniel Souza","doi":"10.1177/08404704241271218","DOIUrl":"10.1177/08404704241271218","url":null,"abstract":"<p><p>This study explores the deployment of Artificial Intelligence (AI) in Canadian hospitals from 2000 to 2021, focusing on metropolitan areas. We investigate how local public and private research ecosystems and links to national and international AI hubs influence the adoption of AI in healthcare. Our analysis shows that AI research outputs from public institutions have a significant impact on AI competences in hospitals. In addition, collaborations between hospitals are critical to the successful integration of AI. Metropolitan areas such as Toronto, Montreal, and Vancouver are leading the way in AI deployment. These findings highlight the importance of local AI research capabilities and international hospital collaborations and provide guidance to policy-makers and health leaders to drive the diffusion of AI technology in healthcare.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"445-450"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020118","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
Getting better at getting better: Advancing quality and safety in healthcare. 在 "变得更好 "中 "变得更好"：提高医疗质量和安全。
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-29 DOI: 10.1177/08404704241271164
Jennifer Zelmer
{"title":"Getting better at getting better: Advancing quality and safety in healthcare.","authors":"Jennifer Zelmer","doi":"10.1177/08404704241271164","DOIUrl":"10.1177/08404704241271164","url":null,"abstract":"<p><p>Scaling the innovative models of care, policies, practices, and technologies that deliver true value requires deliberate, focused effort. We need to simultaneously apply practical strategies that enable change agents to drive meaningful, sustainable impact to address particular challenges that a health system is facing, alongside implementing proven, evidence-informed approaches that broadly strengthen health system foundations. Both approaches matter; it's not about choosing between them. Rather, we need to respond to the health system's specific and immediate needs, while also growing culture, capacity, systems, and tools that enable transformation in quality and safety.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"429-433"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113119","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
Ethical challenges in healthcare innovation: A leadership perspective. 医疗创新中的道德挑战：领导力视角。
Healthcare Management Forum Pub Date : 2024-11-01 Epub Date: 2024-08-19 DOI: 10.1177/08404704241273997
Renate Ilse
{"title":"Ethical challenges in healthcare innovation: A leadership perspective.","authors":"Renate Ilse","doi":"10.1177/08404704241273997","DOIUrl":"10.1177/08404704241273997","url":null,"abstract":"<p><p>Innovation is essential for advancing and sustaining healthcare systems, particularly in hospitals. While innovation offers solutions to challenges such as chronic disease management, access to care, and patient safety, it also introduces significant ethical dilemmas for health leaders. This column explores the broad ethical issues associated with healthcare innovation, focusing on resource allocation, support for diverse healthcare professions, equitable access to care, and the emphasis on technology-based innovations. It highlights the complexities of funding innovation through government, private sector, universities, donors, and the unpaid work of healthcare providers. The column also addresses the disparities in innovation support across different professions and the potential for innovation to exacerbate healthcare inequities. Potential solutions are proposed, including the establishment of interdisciplinary councils, dedicated innovation funds, and public-private partnerships. By prioritizing ethical leadership and balanced innovation strategies, health leaders can ensure that advancements benefit all stakeholders, fostering a more equitable and sustainable healthcare system in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"467-470"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001721","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 : 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":"https://doi.org/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 Health Care aides with training, tools, and processes to practice the principles of person-centred care and provide peer mentorship to the care team. After 1 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":"8404704241290777"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","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
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