Healthcare Management Forum最新文献_第9页

Integrating Data on Workforce Capacity and Population Needs to Map Access to Maternity Care Providers in Ontario's Champlain Region. 整合劳动力能力和人口需求数据，绘制安大略省尚普兰地区产科护理提供者的访问地图。

Healthcare Management Forum Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1177/08404704251365829

Caroline Chamberland-Rowe, Ivy Lynn Bourgeault

引用次数: 0

The OnSPARK Data Platform: A Sector-Governed Infrastructure for Workforce Data for Planning and Quality Improvement in Long-Term Care. OnSPARK数据平台：部门管理的劳动力数据基础设施，用于长期护理的规划和质量改进。

Healthcare Management Forum Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1177/08404704251363911

Michaella Miller, Jeff Poss, Jaimie Killingbeck, Arthur Sweetman, Andrew P Costa

{"title":"The OnSPARK Data Platform: A Sector-Governed Infrastructure for Workforce Data for Planning and Quality Improvement in Long-Term Care.","authors":"Michaella Miller, Jeff Poss, Jaimie Killingbeck, Arthur Sweetman, Andrew P Costa","doi":"10.1177/08404704251363911","DOIUrl":"https://doi.org/10.1177/08404704251363911","url":null,"abstract":"The Long-Term Care (LTC) sector in Canada faces persistent challenges in staffing, including limited data to support workforce planning, quality improvement, and policy evaluation. The OnSPARK Data Platform was established in 2023 as a sector-governed, province-wide infrastructure to address these challenges. OnSPARK aggregates de-identified electronic health records from over 200 LTC homes in Ontario, representing approximately one-third of the sector. Many homes also submit shift-level payroll and scheduling-based staffing data to be linked to facility unit-level quality metrics. Near real-time, unit-level insights are provided through an interactive portal, while aggregated data support embedded research, performance benchmarking, and policy simulation. This article introduces the structure and functionality of the OnSPARK platform, describes its unique approach to staffing data collection and use, and outlines its potential to generate operational, clinical, and policy-relevant insights. By enabling ongoing access to workforce and care data, OnSPARK supports a learning health system model that strengthens decision-making.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"38 1_suppl","pages":"S28-S34"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394027","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

Count Us In: Development and Insights From Ontario's Equity and Inclusion Data Initiative in Social Work and Social Service Work Regulation. 把我们算进去：安大略省社会工作和社会服务工作法规中的公平和包容数据倡议的发展和见解。

Healthcare Management Forum Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1177/08404704251372073

Uppala Chandrasekera, Sarah Choudhury

引用次数: 0

Healing Through Etuaptmumk: Paths to Wellness for Indigenous Youth of Newfoundland and Labrador. 疗愈透过Etuaptmumk：纽芬兰和拉布拉多原住民青年的健康之路。

Healthcare Management Forum Pub Date : 2025-09-15 DOI: 10.1177/08404704251359615

Tianna M Bennett, Matthew Cooper, Nivethine Mahendran

引用次数: 0

Re-imagining breast care: Cost-effective innovations for Canadian healthcare. 重塑乳房护理：加拿大医疗保健的成本效益创新。

Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-08-25 DOI: 10.1177/08404704251348812

Casandra Gardner, Kevin Ibach, Crystal Su, Elaine McKevitt

{"title":"Re-imagining breast care: Cost-effective innovations for Canadian healthcare.","authors":"Casandra Gardner, Kevin Ibach, Crystal Su, Elaine McKevitt","doi":"10.1177/08404704251348812","DOIUrl":"https://doi.org/10.1177/08404704251348812","url":null,"abstract":"With an anticipated increase in breast screening volume, provincial healthcare systems and health leaders must identify innovative technologies and care pathways that can alleviate the burden of an already resource-constrained healthcare system. The solution explored here utilizes vacuum-assisted technology that is clinically equivalent and a more cost-effective alternative care pathway, as successfully demonstrated in many other countries. This article reviews the clinical efficacy of Vacuum-Assisted Biopsy (VAB) and Vacuum-Assisted Excision (VAE) and calculates the potential Canadian direct cost savings by implementing VAE for the management of benign and high-risk breast lesions in place of Surgical Diagnostic Excision (SDE): calculated to be $1,607,769 to $11,341,107 (2025 CAD) annually in Canada, or $2,208 (2025 CAD) per-patient procedural savings from avoiding SDEs. Additional non-quantifiable patient benefits are also explored: avoiding unnecessary surgery; preventing the associated anxiety and time off work; and greater patient autonomy over their diagnosis journey, helping maintain their quality of life. Finally, barriers to adoption are identified, and an Implementation Leadership Action Plan is proposed, to help support the successful integration of this practice shift. The plan includes procedural reimbursement and policy changes, and multidisciplinary engagement targeting radiology, surgery, and pathology stakeholders.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"38 5","pages":"410-417"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973170","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

Physician assistants working in primary care in Canada: Findings from a national survey. 在加拿大初级保健工作的医师助理：来自全国调查的结果。

Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-12 DOI: 10.1177/08404704251347908

Kristen Burrows, Leslie Nickell, Paul Krueger

{"title":"Physician assistants working in primary care in Canada: Findings from a national survey.","authors":"Kristen Burrows, Leslie Nickell, Paul Krueger","doi":"10.1177/08404704251347908","DOIUrl":"10.1177/08404704251347908","url":null,"abstract":"Physician Assistants (PAs) are increasingly recognized as part of the solution to addressing Canada's primary care shortage. This study reports findings from a national survey of 386 Canadian PAs with primary care experience. Respondents described delivering a broad scope of care, including direct patient management, teaching, mentorship, and quality improvement across settings such as elderly care, mental health, Indigenous health, refugee health, and rural communities. Most PAs reported high confidence in core competencies and effective integration into interprofessional teams. Despite this, systemic barriers persist including inadequate funding, role ambiguity, and resistance from other providers. Many PAs (71%) expressed job satisfaction, and 75% would recommend primary care practice. The study highlights opportunities to improve PA utilization and access to care through policy reform, better funding models, and expanded educational supports. These insights are valuable for policy-makers, administrators, and educators aiming to strengthen primary care delivery and PA role optimization.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"456-463"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286721","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

Developing and implementing a new health information technology innovation to improve patient safety in the Canadian context. 开发和实施一项新的卫生信息技术创新，以改善加拿大的患者安全。

Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-05 DOI: 10.1177/08404704251346951

Corinne M Hohl, Arnold Ikedichi Okpani, Craig Kuziemsky

引用次数: 0

The research activities of Canadian community hospitals: A bibliometric analysis. 加拿大社区医院的研究活动：文献计量分析。

Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-06-05 DOI: 10.1177/08404704251345312

Kian Rego, Prey Patel, Alexandra Binnie, Jennifer Tsang

引用次数: 0

Incorporating digital health into organizational health literacy: An updated definition, tools, and recommendations. 将数字健康纳入组织健康素养：更新的定义、工具和建议。

Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-07-08 DOI: 10.1177/08404704251356518

Helen Monkman, Blake J Lesselroth

{"title":"Incorporating digital health into organizational health literacy: An updated definition, tools, and recommendations.","authors":"Helen Monkman, Blake J Lesselroth","doi":"10.1177/08404704251356518","DOIUrl":"10.1177/08404704251356518","url":null,"abstract":"Health literacy is important from two perspectives: the individuals (personal health literacy) and the organizations providing information and services (organizational health literacy). While research has addressed digitalization in healthcare and associated barriers and enablers in personal health literacy (e.g., digital health literacy), these developments have not been paraleled in organizational health literacy. In this article, we proposed an augmented definition of organizational health literacy and conducted a gap analysis of the Health Literacy Universal Precautions Toolkit to expand it for digital health. Important advancements, specifically for virtual care, have been made, yet a broader approach must be adopted for all digital health technology. We proposed a series of modifications to emphasize the importance of digital health in organizational health literacy. Organizations must equitably enable individuals to understand and use digital information and services. In this monograph, we describe the current informatics gap and the required competencies, policies, and infrastructure to close the gap.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"437-448"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592594","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 patient engagement in mental health: Exploring the potential of pre-visit notes in Canadian care settings. 提高患者对心理健康的参与度：探索加拿大医疗机构中就诊前记录的潜力。

Healthcare Management Forum Pub Date : 2025-09-01 Epub Date: 2025-02-10 DOI: 10.1177/08404704251316424

Karishini Ramamoorthi, Iman Kassam, Brian Lo, Sarah Kimball, Gillian Strudwick

{"title":"Improving patient engagement in mental health: Exploring the potential of pre-visit notes in Canadian care settings.","authors":"Karishini Ramamoorthi, Iman Kassam, Brian Lo, Sarah Kimball, Gillian Strudwick","doi":"10.1177/08404704251316424","DOIUrl":"10.1177/08404704251316424","url":null,"abstract":"OurNotes is a movement that advocates for patient engagement by encouraging patients to contribute to their care through a pre-visit note, where they can comment on their health progress and prioritize topics for discussion with their clinicians. To date, pre-visit notes have been implemented in primary and acute care settings internationally, and their reception has generally been positive. However, their use in Canada and in mental health settings is limited. To address this gap, we conducted semi-structured interviews with 26 mental health clinicians, patients, and care partners. Barriers, facilitators, and recommendations to implementing pre-visit notes in Canadian mental health settings were identified. Overall, clinicians, patients, and care partners had positive perceptions towards pre-visit notes, indicating that they may serve as an innovative model for improving patient engagement and satisfaction in mental health settings. The barriers and facilitators identified, provide guidance for mental health organizations considering the implementation of pre-visit notes.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"431-436"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392014","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