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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
Advancing equity, diversity, inclusivity, and accessibility in primary care: The development of an integrated educational experience model. 促进初级保健的公平性、多样性、包容性和可及性：开发综合教育体验模式。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI: 10.1177/08404704241264236
Cassandra Barber, L Jayne Beselt, Jade Alcantara, Bizav Jaffer, Kelly Bute-Seaton, Wendy Chong, Tamara Carver, Heather MacNeill, Bukola Salami, Lyn K Sonnenberg, J Cristian Rangel, Constance LeBlanc, Kannin Osei-Tutu, Aimée Bouka, Arun Radhakrishnan, Jerry M Maniate
{"title":"Advancing equity, diversity, inclusivity, and accessibility in primary care: The development of an integrated educational experience model.","authors":"Cassandra Barber, L Jayne Beselt, Jade Alcantara, Bizav Jaffer, Kelly Bute-Seaton, Wendy Chong, Tamara Carver, Heather MacNeill, Bukola Salami, Lyn K Sonnenberg, J Cristian Rangel, Constance LeBlanc, Kannin Osei-Tutu, Aimée Bouka, Arun Radhakrishnan, Jerry M Maniate","doi":"10.1177/08404704241264236","DOIUrl":"10.1177/08404704241264236","url":null,"abstract":"<p><p>This article presents the development of the Equity, Diversity, Inclusivity, and Accessibility (EDIA) Cross-Cutting Theme Project within the Team Primary Care (TPC) initiative, aimed at addressing systemic inequities through innovative educational strategies. Grounded in the social accountability of health professions framework, this project aims to equip primary care teams with the knowledge, skills, and attitudes necessary to promote health equity. The EDIA Integrated Educational Experience (IEE) model includes a self-assessment tool, digital learning space, and national mentorship network, providing a comprehensive approach for primary care teams to promote health equity. The IEE model utilizes a layered micro, meso, and macro approach to support cultural transformation within highly complex healthcare environments. Key lessons learned involve trust- and relationship-building processes to help dismantle historical silos and encourage open dialogue. Future efforts focus on implementation, ensuring adaptability, scalability, and sustainability, positioning the model as a catalyst for equitable primary care delivery.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"371-376"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761578","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
Academic hospitals in the Toronto region collaborate to optimize occupational health and safety. 多伦多地区的学术医院合作优化职业健康与安全。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-06-03 DOI: 10.1177/08404704241252910
Anum Aftab, Tamara Dus, Christopher Aiken, Arlene Gladstone, Wendy Morgan, Nicholas Tomiczek, Laura Alexander
{"title":"Academic hospitals in the Toronto region collaborate to optimize occupational health and safety.","authors":"Anum Aftab, Tamara Dus, Christopher Aiken, Arlene Gladstone, Wendy Morgan, Nicholas Tomiczek, Laura Alexander","doi":"10.1177/08404704241252910","DOIUrl":"10.1177/08404704241252910","url":null,"abstract":"<p><p>In March 2020, as the COVID-19 cases began to rise in Ontario, Canada, the central role of Occupational Health and Safety (OHS) to ensure the well-being of hospital workforce became highly visible. While Ontario's hospitals concentrated efforts to meet each challenging and uncertain wave stressing the system, it was apparent that there is a lack of consistency in best practices and policy response across the healthcare sector. Additionally, the unprecedented pressure on healthcare workforce as they attempted to meet the pandemic's new surging demands resulted in workforce shortages and increased levels of burnout, making it difficult to engage, support, and retain the staff necessary for delivering highest quality of services. The Toronto Academic Health Science Network (TAHSN), a dynamic consortium of 14 healthcare organizations, established a collaborative to implement an integrated effort and align on structure, processes, and standards that will increase strength and defensibility of TAHSN programs. To foster community building, identify areas of common concern, and co-create practices during and beyond the COVID-19 pandemic, a structured network of 14 OHS directors across the healthcare organizations was established. This article discusses the origin of the TAHSN collaborative, the thriving community vision for partnership, and the case study methodology used to combine capabilities to showcase innovation and excellence in care together.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"351-358"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200538","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
Cultivating a psychological health and safety culture for interprofessional primary care teams through a co-created evidence-informed toolkit. 通过共同创建的循证工具包，培养跨专业初级保健团队的心理健康和安全文化。
Healthcare Management Forum Pub Date : 2024-09-01 Epub Date: 2024-07-23 DOI: 10.1177/08404704241263918
Jelena Atanackovic, Melissa Corrente, Sophia Myles, Houssem Eddine Ben-Ahmed, Karina Urdaneta, Kamlesh Tello, Magdalena Baczkowska, Ivy L Bourgeault
{"title":"Cultivating a psychological health and safety culture for interprofessional primary care teams through a co-created evidence-informed toolkit.","authors":"Jelena Atanackovic, Melissa Corrente, Sophia Myles, Houssem Eddine Ben-Ahmed, Karina Urdaneta, Kamlesh Tello, Magdalena Baczkowska, Ivy L Bourgeault","doi":"10.1177/08404704241263918","DOIUrl":"10.1177/08404704241263918","url":null,"abstract":"<p><p>The psychological health and safety of healthcare workers workplaces and learning environments impacts the quality of healthcare services. To facilitate the psychological health and safety of interprofessional primary care teams, we curated a bilingual toolkit of 122 psychological health and safety resources comprising a multi-level categorization addressing individual, team, organization, and system-level interventions. The resources in the toolkit are organized by 7 themes, based on a clustering of the 15 psychosocial factors. Adopting the framework built on the 7 themes, this article describes the toolkit development process and how it addresses the key factors for psychologically healthy and safe workplaces to foster interprofessional collaboration. Implementation of the interventions in the toolkit is an important next step for which health system leadership is critical. Additionally, we identify several gaps and call on researchers, educators, and health leaders to address them in their future work.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"334-339"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752976","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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