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An end to the "muffin meeting": Conceptualizing power and navigating tokenism in patient engagement for health leaders. 结束 "松饼会议"：健康领导者在患者参与过程中的权力概念化与象征性导航。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-03-29 DOI: 10.1177/08404704241239862
Steven Slowka
{"title":"An end to the \"muffin meeting\": Conceptualizing power and navigating tokenism in patient engagement for health leaders.","authors":"Steven Slowka","doi":"10.1177/08404704241239862","DOIUrl":"10.1177/08404704241239862","url":null,"abstract":"<p><p>Patient engagement is emerging as a priority for Canadian health leaders. Alongside the proliferation of patient engagement efforts in healthcare organizations and networks, awareness that tokenism can potentially occur within such efforts, as well as strategies to mitigate it, are gaining increased attention. While many actions associated with more tokenistic forms of patient engagement have been identified, this article posits there is a need to pay critical attention to the concept and role of power in enabling these actions in the first place. Of particular importance is how power and knowledge work to shape healthcare organizations and can create unequal relations with the patients they seek to engage. Drawing on the literature, this article serves as a theoretical roadmap for health leaders to think critically about power, as well as a set of prompts that can be used to reflexively consider their role in navigating power dynamics in the context of patient engagement efforts. This article contends that building awareness of power is a critical step for health leaders and organizations and that navigating power differences is a necessary leadership competency for engaging patients in decision-making throughout all stages of healthcare improvement and organizational change efforts.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"296-300"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327228","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
An adaptive approach to developing a Long COVID rehabilitation program. 以适应性方法制定长 COVID 康复计划。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-04-01 DOI: 10.1177/08404704241239867
Sonya Torreiter, Peggy So
{"title":"An adaptive approach to developing a Long COVID rehabilitation program.","authors":"Sonya Torreiter, Peggy So","doi":"10.1177/08404704241239867","DOIUrl":"10.1177/08404704241239867","url":null,"abstract":"<p><p>As more people became infected with the SARS-CoV-2 virus, it was anticipated that 10-20% of these individuals would develop a post-viral illness that would affect their ability to work and participate in daily activities and reduce quality of life. To support these patients, Unity Health Toronto opened the Outpatient Post-COVID Condition Rehabilitation Program in June 2021, with the aim of teaching patients how to manage their ongoing symptoms, and to maximize their independence and function. The program incorporated a multidisciplinary, patient-centred approach that leveraged group education and a virtual platform to allow patients from across Ontario to learn from one another and share experiences. Over the two years of the program, the multidisciplinary team continuously adapted to the new research on Long COVID and evolving needs of patients. This article will outline the development and evolution of the program.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"276-282"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337122","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
The benefits and opportunities: Engaging patients in identifying and reporting patient safety incidents. 好处和机会：让患者参与识别和报告患者安全事件。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2023-10-13 DOI: 10.1177/08404704231203593
Laura Danielle Pozzobon, Thomas Rotter, Kim Sears
{"title":"The benefits and opportunities: Engaging patients in identifying and reporting patient safety incidents.","authors":"Laura Danielle Pozzobon, Thomas Rotter, Kim Sears","doi":"10.1177/08404704231203593","DOIUrl":"10.1177/08404704231203593","url":null,"abstract":"<p><p>There is growing recognition that patients can and should be engaged in the identification of patient safety incidents arising during their experiences across health systems. In this article, we describe the benefits that can be harnessed from engaging patients in reporting patient safety incidents; identify opportunities to support patient engagement in reporting and learning from patient safety incidents; and describe the potential role of health leaders in connecting patient experience and patient safety using patient-reported patient safety incident data.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"196-201"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215403","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
Bringing experiences of healthcare in custody into quality improvement. 将羁押期间的医疗保健经验引入质量改进。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-03-01 DOI: 10.1177/08404704241235891
Yoko Murphy, Andrea Winzer, Linda Ogilvie, Melanie Mayoh, Katherine E McLeod
{"title":"Bringing experiences of healthcare in custody into quality improvement.","authors":"Yoko Murphy, Andrea Winzer, Linda Ogilvie, Melanie Mayoh, Katherine E McLeod","doi":"10.1177/08404704241235891","DOIUrl":"10.1177/08404704241235891","url":null,"abstract":"<p><p>Patient experience is an essential component of safe and high-quality healthcare, yet rarely examined in the context of carceral settings. This article describes a project undertaken by the Ontario Ministry of the Solicitor General to collect evidence and perspectives on how to bring patient experiences of healthcare services delivered in provincial correctional facilities into ongoing quality improvement work. We first conducted a scoping review and jurisdictional scan to learn from existing processes and experiences. We then engaged frontline healthcare providers delivering services in custody and people with recent experience of incarceration regarding priority measures and processes for data collection and mechanisms for implementing evidence-based change. This article describes methods used to engage stakeholders, including a survey and focus groups, as well as key lessons learned. This work is relevant to readers experiencing barriers to patient engagement, interested in collaborative research processes, and developing services for people who have experienced incarceration.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"263-267"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013403","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
Evaluating the cost of NP-led vs. GP-led primary care in British Columbia. 评估不列颠哥伦比亚省以护士为主导与以全科医生为主导的初级保健的成本。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-01-30 DOI: 10.1177/08404704241229075
Damien Contandriopoulos, Katherine Bertoni, Rita McCracken, Lindsay Hedden, Ruth Lavergne, Gurprit K Randhawa
{"title":"Evaluating the cost of NP-led vs. GP-led primary care in British Columbia.","authors":"Damien Contandriopoulos, Katherine Bertoni, Rita McCracken, Lindsay Hedden, Ruth Lavergne, Gurprit K Randhawa","doi":"10.1177/08404704241229075","DOIUrl":"10.1177/08404704241229075","url":null,"abstract":"<p><p>In 2020, British Columbia (BC) opened four pilot Nurse Practitioner Primary Care Clinics (NP-PCCs) to improve primary care access. The aim of this economic evaluation is to compare the average cost of care provided by Nurse Practitioners (NPs) working in BC's NP-PCCs to what it would have cost the government to have physicians provide equivalent care. Comparisons were made to both the Fee-For-Service (FFS) model and BC's new Longitudinal Family Physician (LFP) model. The analyses relied on administrative data, mostly from the Medical Services Plan (MSP) and Chronic Disease Registry (CDR) via BC's Health Data Platform. Results show the cost of NPs providing care in the NP-PCCs is slightly lower than what it would cost to provide similar care in medical clinics staffed by physicians paid through the LFP model. This suggests that the NP-PCC model is an efficient approach to increase accessibility to primary care services in BC and should be considered for expansion across the province.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"244-250"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643101","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
Investigating the unique service and treatment needs of women with alcohol use disorder: Literature review and key informant perspectives in British Columbia. 调查酗酒妇女的独特服务和治疗需求：不列颠哥伦比亚省的文献综述和主要信息提供者的观点。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-02-08 DOI: 10.1177/08404704241229973
Hayley Ross, Stefan Kurbatfinski, Izabela Szelest
{"title":"Investigating the unique service and treatment needs of women with alcohol use disorder: Literature review and key informant perspectives in British Columbia.","authors":"Hayley Ross, Stefan Kurbatfinski, Izabela Szelest","doi":"10.1177/08404704241229973","DOIUrl":"10.1177/08404704241229973","url":null,"abstract":"<p><p>Alcohol Use Disorder (AUD) is a medical condition uniquely affecting the female population, requiring widespread restructuring of current services to increase treatment utilization and efficacy. This review synthesizes the literature on the service and treatment needs of women with AUD. A literature search and review were conducted following PRISMA guidelines. Key informant information was collected during interviews with health leaders. Data from literature searches and interviews were analyzed to identify common themes. Results found women face more barriers when accessing and receiving AUD treatment. Major barriers include stigma, location, transportation, and childcare, which contribute to the AUD treatment gap among women. Recommendations to reduce barriers include (1) implementing universal screening, (2) improving care provider education and awareness, (3) providing childcare services, (4) establishing a strong client-clinician relationship, (5) building a community approach for Indigenous clients, (6) improving Managed Alcohol Programs, and (7) expanding virtual substance use prescribing practices.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"237-243"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708145","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. 特邀编辑的致辞
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2024-02-28 DOI: 10.1177/08404704241237566
Ronald R Lindstrom
{"title":"A Message from the Guest Editor.","authors":"Ronald R Lindstrom","doi":"10.1177/08404704241237566","DOIUrl":"https://doi.org/10.1177/08404704241237566","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"37 3","pages":"119-120"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548163","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
Future leaders in a learning health system: Exploring the Health System Impact Fellowship. 学习型卫生系统的未来领导者:探索卫生系统影响奖学金。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-28 DOI: 10.1177/08404704231216951
Samuel Petrie, Ivy Cheng, Meghan McMahon, John N Lavis
{"title":"Future leaders in a learning health system: Exploring the Health System Impact Fellowship.","authors":"Samuel Petrie, Ivy Cheng, Meghan McMahon, John N Lavis","doi":"10.1177/08404704231216951","DOIUrl":"10.1177/08404704231216951","url":null,"abstract":"<p><p>The Canadian health system is reeling following the COVID-19 pandemic. Strains have become growing cracks, with long emergency department wait times, shortage of human health resources, and growing dissatisfaction from both clinicians and patients. To address long-needed health system reform in Canada, a modernization of training is required for the next generation health leaders. The Canadian Institutes of Health Research Health System Impact Fellowship (HSIF) is an example of a well-funded and connected training program which prioritizes embedded research and embedding technically trained scholars with health system partners. The program has been successful in the scope and impact of its training outcomes as well as providing health system partners with a pool of connected and capable scholars. Looking forward, integrating aspects of evidence synthesis from both domestic and international sources and adapting a general contractor approach to implementation within the HSIF could help catalyze learning health system reform in Canada.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"151-155"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452778","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
Navigating the narrowing effect of public discourse for a healthier future. 驾驭公共话语的缩小效应，创造更健康的未来。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-06 DOI: 10.1177/08404704231208597
Hugh MacLeod
{"title":"Navigating the narrowing effect of public discourse for a healthier future.","authors":"Hugh MacLeod","doi":"10.1177/08404704231208597","DOIUrl":"10.1177/08404704231208597","url":null,"abstract":"<p><p>This article explores the concerning phenomenon of the narrowing effect in public discourse, particularly in the context of healthcare and Medicare. It discusses the challenges posed by this narrowing effect, the impact of cognitive biases, and the ethical dilemmas faced by healthcare providers and organizations when patients take their concerns public. The article also emphasizes the importance of responsible leadership and offers navigation for overcoming the narrowing of public discourse.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"187-190"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487127","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
The impact of cognitive biases, mental models, and mindsets on leadership and change in the health system. 认知偏见、心理模式和心态对卫生系统领导和变革的影响。
Healthcare Management Forum Pub Date : 2024-05-01 Epub Date: 2023-11-27 DOI: 10.1177/08404704231215750
David A Petrie, Ronald R Lindstrom, Samuel G Campbell
{"title":"The impact of cognitive biases, mental models, and mindsets on leadership and change in the health system.","authors":"David A Petrie, Ronald R Lindstrom, Samuel G Campbell","doi":"10.1177/08404704231215750","DOIUrl":"10.1177/08404704231215750","url":null,"abstract":"<p><p>Understanding how cognitive biases, mental models, and mindsets impact leadership in health systems is essential. This article supports the notion of cognitive biases as flawed thinking or cognitive traps which negatively influence leadership. Mental models that do not fit with current evidence limit our ability to comprehend and respond to system issues. Resulting mindsets affect cognition, behaviour, and decision-making. Metacognition is critical. The wicked problems in today's complex health system require leaders and everyone involved to elevate their personal, organizational, and disciplinary perspectives to a systems level. Three examples of mental models/mindsets are reviewed. They do not change simply because we wish or will them to. The first step is being aware of what they are and how they impact our thinking and decision-making. Some tips for managing these traps are offered as examples of how to challenge our leadership approach in the health system.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"121-127"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446559","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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