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Health system structure and its influence on outcomes: The Canadian experience. 医疗系统结构及其对治疗效果的影响：加拿大的经验。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-05-13 DOI: 10.1177/08404704241248559
Braden J Manns, Stephanie Hastings, Greg Marchildon, Tom Noseworthy
{"title":"Health system structure and its influence on outcomes: The Canadian experience.","authors":"Braden J Manns, Stephanie Hastings, Greg Marchildon, Tom Noseworthy","doi":"10.1177/08404704241248559","DOIUrl":"10.1177/08404704241248559","url":null,"abstract":"<p><p>Healthcare delivery systems in Canada are structured using three models: individual institutions, health regions, and single provincial systems, usually with smaller geographic zones. The comparative ability of these models to improve care, outcomes, and the Quadruple Aim is largely unstudied. We reviewed Canadian studies examining outcomes of provincial healthcare delivery system restructuring. Across models, results were inconsistent, and quality of evidence was low. For all provinces, primary care sits outside healthcare delivery systems, with limited governance and integration. The single provincial model can reduce costs of non-clinical support functions like finance, human resources, and analytics. This model may also be best at reducing variations in care, improving electronic information integration that enables clinical decision support and reporting, and supporting the provincial spread and scale of innovations, but further refinements are required and existing studies have major limitations, limiting definitive conclusions.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"340-350"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917170","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
"What got you here, won't get you there": Students as leaders of the change we need. "让你来到这里的，不会让你到达那里"：学生是我们需要的变革的领导者。
Healthcare Management Forum Pub Date : 2024-09-01 DOI: 10.1177/08404704241259917
Kathryn Parker, Amanda Binns, Cooper Dupre, Farah Friesen, Dean Lising, Lynne Sinclair, Stella Ng
{"title":"\"What got you here, won't get you there\": Students as leaders of the change we need.","authors":"Kathryn Parker, Amanda Binns, Cooper Dupre, Farah Friesen, Dean Lising, Lynne Sinclair, Stella Ng","doi":"10.1177/08404704241259917","DOIUrl":"10.1177/08404704241259917","url":null,"abstract":"<p><p>Lack of access, system inequities, and inefficiencies plague our current healthcare system. With a challenge this complex, no one intervention is sufficient; all will be necessary. The primary care system needs a strong health workforce prepared in bold new ways. Students represent an important voice, given their role as future leaders of health education and healthcare. For students to lead, educators must leverage education paradigms that position current students as leaders of transformation. Yet, in current health education systems, students are often seen as passive recipients of knowledge and skill. Transformative education seeks to foster critical reflection (an ongoing process of questioning unhelpful assumptions and power relations) and informed action in students to enable them to challenge and change norms and change practices, structures, and society. This article highlights the value of transformative education in cultivating thoughtful change agents and provides one tangible example of a new education/practice model that puts this paradigm into action.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"37 1_suppl","pages":"38S-42S"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11360273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082105","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
Improving staff wellness via an after-hours healthy sustainable meals program: A general surgery residency pilot. 通过下班后健康可持续膳食计划改善员工健康：普外科住院医师试点项目。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-06-03 DOI: 10.1177/08404704241253284
Annie Lalande, Stephanie Alexis, Neha Gadhari, Sunny Mak, Jiaying Zhao, Andrea J MacNeill
{"title":"Improving staff wellness via an after-hours healthy sustainable meals program: A general surgery residency pilot.","authors":"Annie Lalande, Stephanie Alexis, Neha Gadhari, Sunny Mak, Jiaying Zhao, Andrea J MacNeill","doi":"10.1177/08404704241253284","DOIUrl":"10.1177/08404704241253284","url":null,"abstract":"<p><p>Healthcare worker wellness is foundational to delivering quality care. Yet, healthcare facilities often lack access to healthy and sustainable food overnight and on weekends. Healthy, low-carbon meals were provided free of charge after hours to on-call General Surgery residents at the University of British Columbia and the impact on resident well-being assessed using pre- and post-intervention surveys. Financial and time stress reduced significantly with the provision of meals (<i>P</i>'s < .01), while emotional and physical stress levels did not change. Average meal expenses decreased from $33 to $10 (<i>P</i> < .001). Increasing food access on call is an impactful intervention to improve resident health and well-being.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"390-394"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238029","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, robotics, and automation viewed through the context of the previous four decades. 从过去四十年的背景看人工智能、机器人技术和自动化。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-06-13 DOI: 10.1177/08404704241257141
Susan Anderson
{"title":"Artificial intelligence, robotics, and automation viewed through the context of the previous four decades.","authors":"Susan Anderson","doi":"10.1177/08404704241257141","DOIUrl":"10.1177/08404704241257141","url":null,"abstract":"<p><p>Computers and applications of computers into our world have changed dramatically during the past five decades, from early days of minimal central processing unit capacity, limited memory and without advantage of global networking. In this article, the author highlights the application of predictive artificial intelligence in use globally over the last 40 years in process industries. It discusses the novel application of process automation and robotics in health clinical high-volume laboratory use that began as a Canadian innovation initiative and followed by similar innovation extending to other countries.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"359-362"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318544","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
Taking action towards climate-resilient, low-carbon, health systems: Perspectives from Canadian health leaders and healthcare professionals. 采取行动，建立适应气候变化的低碳卫生系统：加拿大卫生领导人和卫生保健专业人员的观点。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-05-13 DOI: 10.1177/08404704241252032
Brittany Barber, Daniel G Rainham, Peter Tyedmers, Trevor Vandertuin, Gillian Ritcey, Sean D Christie
{"title":"Taking action towards climate-resilient, low-carbon, health systems: Perspectives from Canadian health leaders and healthcare professionals.","authors":"Brittany Barber, Daniel G Rainham, Peter Tyedmers, Trevor Vandertuin, Gillian Ritcey, Sean D Christie","doi":"10.1177/08404704241252032","DOIUrl":"10.1177/08404704241252032","url":null,"abstract":"<p><p>Climate change poses significant public health and health system challenges including increased demand for health services due to chronic and acute health impacts from vector-borne diseases, heat-related illness, and injury from severe weather. As climate change worsens, so do its effects on health systems such as increasing severity of weather extremes causing damage to healthcare infrastructure and interference with supply chains. Ironically, health sectors globally are significant contributors to climate change, generating an estimated 5% of global emissions. Achieving \"net zero\" health systems require large-scale change with shared decision-making to coordinate a pan-Canadian approach to creating climate-resilient and low-carbon healthcare. In this article, we discuss healthcare professionals' and health leaders' perceptions of responsibility for practicing and advocating for climate-resilient and low-carbon healthcare in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"395-400"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917171","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
Towards abundant intelligences: Considerations for Indigenous perspectives in adopting artificial intelligence technology. 走向丰富的智能：在采用人工智能技术时对土著观点的考虑。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-06-03 DOI: 10.1177/08404704241257144
Julia A Silano
{"title":"Towards abundant intelligences: Considerations for Indigenous perspectives in adopting artificial intelligence technology.","authors":"Julia A Silano","doi":"10.1177/08404704241257144","DOIUrl":"10.1177/08404704241257144","url":null,"abstract":"<p><p>Artificial Intelligence (AI) applications in healthcare are evolving rapidly. The integration of AI into the Canadian healthcare system has demonstrated significant potential for enhancing the efficiency of care and improving patient outcomes. However, as this transformative technology continues to advance, it is crucial to take into account the unique perspectives and requirements of Indigenous Peoples in Canada. This article delves into the political, ethical, and practical considerations associated with introducing AI into Indigenous healthcare, emphasizing the paramount importance of equity and inclusion, which are rooted in the Two-Eyed AI framework. It also underscores the significance of co-creating AI technology in collaboration with Indigenous communities and multidisciplinary development teams. To illustrate these principles, this article spotlights an international AI epistemology-focused working group example. Healthcare professionals who engage with AI, whether it be through research, management, development, or leadership are implicated with this contemporary paradigm shift in decolonizing novel AI technology.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"329-333"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238030","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
Engagement with partners is a leading practice in health workforce planning: What health leaders need to know. 与合作伙伴共同参与是卫生人力规划中的一种领先做法：卫生领导者需要了解什么。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-07-21 DOI: 10.1177/08404704241263015
Zeenat Ladak, Henrietta Akuamoah-Boateng, Cynthia Damba, Rachel Frohlich, Shelly-Ann Hall, Joy Ikeh, Renata Khalikova, Sarah Simkin, Ruth Trainor, Catherine Yu, Ivy Lynn Bourgeault
{"title":"Engagement with partners is a leading practice in health workforce planning: What health leaders need to know.","authors":"Zeenat Ladak, Henrietta Akuamoah-Boateng, Cynthia Damba, Rachel Frohlich, Shelly-Ann Hall, Joy Ikeh, Renata Khalikova, Sarah Simkin, Ruth Trainor, Catherine Yu, Ivy Lynn Bourgeault","doi":"10.1177/08404704241263015","DOIUrl":"10.1177/08404704241263015","url":null,"abstract":"<p><p>Workforce planning ensures that the health workforce is aligned with current and future population needs. Engagement with partners and knowledge users is a leading practice in planning and is essential for planning to be successful. The goal of this study was to explore the considerations and processes involved in integrating engagement into workforce planning. Through a case study of primary care workforce planning in Toronto, we address the role of engagement, how it can be integrated into planning, and how lessons from engagement support spread and scale of effective workforce planning. In the course of engagement with five Ontario Health Teams between September 2023 and February 2024, we learned that there is considerable enthusiasm for planning, but that support is needed, and that engagement guides investment and strengthens relationships. We offer guidance for leaders with respect to actualizing engagement and building capacity for health workforce planning across the health system.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"377-383"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735296","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
Healthcare innovations: Enhancing patient privacy and security in the digital era. 医疗创新：在数字时代加强病人的隐私和安全。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-05-22 DOI: 10.1177/08404704241254820
Patrick Lo
{"title":"Healthcare innovations: Enhancing patient privacy and security in the digital era.","authors":"Patrick Lo","doi":"10.1177/08404704241254820","DOIUrl":"10.1177/08404704241254820","url":null,"abstract":"<p><p>Technology integration in the healthcare industry has resulted in unparalleled efficiency and accessibility to healthcare services. However, this digital transformation has also created new vulnerabilities, particularly in cyberattacks, which pose significant patient safety and privacy threats. To address this issue, healthcare providers must proactively safeguard patient data and mitigate cybersecurity risks. This includes implementing robust security protocols, adhering to established privacy regulations, and selecting digital health solutions from vendors prioritizing privacy and security. By doing so, the healthcare industry can ensure that patients' personal and personal health information remains private and secure while maintaining the efficiency and accessibility of healthcare services.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"363-365"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077109","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
Developing a comprehensive curriculum program for nurse practitioners delivering primary care in the long-term care setting. 为在长期护理环境中提供初级护理的执业护士制定综合课程计划。
Healthcare Management Forum Pub Date : 2024-09-01 DOI: 10.1177/08404704241259900
Adhiba Nilormi, Carrier Heer, Erin Ziegler
{"title":"Developing a comprehensive curriculum program for nurse practitioners delivering primary care in the long-term care setting.","authors":"Adhiba Nilormi, Carrier Heer, Erin Ziegler","doi":"10.1177/08404704241259900","DOIUrl":"10.1177/08404704241259900","url":null,"abstract":"<p><p>In the Long-Term Care (LTC) setting, comprehensive primary care is often provided by Nurse Practitioners (NPs). NPs are uniquely positioned to meet the evolving primary care needs of LTC residents. However, caring for this population requires additional education and training due to its special considerations. To meet the learning needs of NPs entering the LTC workplace, a Certificate Program was designed to enhance primary care competencies within the LTC setting. The aim of the program is to increase knowledge, capacity, and confidence of NPs to deliver quality, evidence-based, integrated, and interprofessional primary care to LTC residents. This curriculum is anticipated to address the growing need for LTC services and improve the delivery of high-quality primary care.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"37 1_suppl","pages":"62S-67S"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11360272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082108","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
Bioplastics: No solution to healthcare's plastic pollution problem. 生物塑料：无法解决医疗塑料污染问题。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-06-17 DOI: 10.1177/08404704241259652
Jasmine T Yu, Miriam L Diamond, Brittany Maguire, Fiona A Miller
{"title":"Bioplastics: No solution to healthcare's plastic pollution problem.","authors":"Jasmine T Yu, Miriam L Diamond, Brittany Maguire, Fiona A Miller","doi":"10.1177/08404704241259652","DOIUrl":"10.1177/08404704241259652","url":null,"abstract":"<p><p>As Canadian policy-makers recognize the urgency for concerted actions to reduce plastics (e.g., Canada's involvement in the international plastics treaty negotiations, zero plastic waste strategy, and single-use plastics regulations), the healthcare sector must also consider a more sustainable plastics system. In this context, the potential for novel bioplastics to mitigate healthcare's substantial plastic waste problem must be carefully interrogated. Our analysis examines the complexities of bioplastics, highlighting the technical challenges of identifying legitimate sustainable alternatives, and the practical barriers for implementing bioplastics as substitutes for consumable plastics in healthcare. We focus on the Canadian healthcare sector and regulatory landscape with the insights gained being applicable to other sectors and countries. Given the limitations identified, the focus on reducing consumption should remain the priority.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"401-405"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332038","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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