发布求助
文献互助 智能选刊 最新文献

Healthcare quarterly (Toronto, Ont.)最新文献

筛选
英文 中文
Ethical Decision-Making in Direct Service Funding: Lessons From a Toronto Developmental Services Organization. 直接服务资助中的道德决策：来自多伦多发展服务组织的经验教训。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27904
Andria Bianchi, Cecile Recto, Felix Camposano, Terri Hewitt
{"title":"Ethical Decision-Making in Direct Service Funding: Lessons From a Toronto Developmental Services Organization.","authors":"Andria Bianchi, Cecile Recto, Felix Camposano, Terri Hewitt","doi":"10.12927/hcq.2026.27904","DOIUrl":"10.12927/hcq.2026.27904","url":null,"abstract":"<p><p>Direct service funding is re-shaping Canada's developmental services sector and beyond, increasing individual choice while introducing new ethical challenges for providers. This paper examines one organization's transition to Ontario's needs-based autism program, where families receive direct funding to purchase services. Although the model enhances choice, it raises concerns about equity, two-tiered access and non-recommended service requests. In response, the organization used an ethics decision-making framework and developed nine ethics principles. These principles now serve as a compass that guides organizational decision-making for relevant ethical dilemmas. Sharing this experience aims to support others navigate ethical complexities associated with direct service funding.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860733","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
Addressing Canada's Pharmaceutical Research and Development Intensity Gap: The Role of Health Data Transformation. 解决加拿大药物研究和开发强度差距：卫生数据转换的作用。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27906
Thomas Mullie, Anderson Chuck
{"title":"Addressing Canada's Pharmaceutical Research and Development Intensity Gap: The Role of Health Data Transformation.","authors":"Thomas Mullie, Anderson Chuck","doi":"10.12927/hcq.2026.27906","DOIUrl":"10.12927/hcq.2026.27906","url":null,"abstract":"<p><p>The life sciences industry, and specifically the pharmaceutical sub-sector, is a major funder of private sector research and development. Canada's life sciences industry reinvests less of its revenues in research and development (R&D) activities than those in peer countries, which hinders innovation, creates supply risks and contributes to Canada's poor productivity growth. Traditional approaches to incentivizing reinvestment, including tax incentives, direct funding and public research spending, have failed. As an alternative, transforming Canada's health data systems would enable faster and more comprehensive secondary use, making R&D investments safer and more productive. Our peers are already pursuing this strategy, meaning Canada risks being left behind unless we act.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"29-36"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860734","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
Nova Scotia's Care Coordination Centre (C3): Real-Time Decision-Making for System-Wide Patient Flow. 新斯科舍省的护理协调中心（C3）：全系统患者流程的实时决策。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27905
Andrea Muenster, Logan Lawrence, Samantha Lavallée, Brittney MacKinnon, Tanya Munroe
{"title":"Nova Scotia's Care Coordination Centre (C3): Real-Time Decision-Making for System-Wide Patient Flow.","authors":"Andrea Muenster, Logan Lawrence, Samantha Lavallée, Brittney MacKinnon, Tanya Munroe","doi":"10.12927/hcq.2026.27905","DOIUrl":"10.12927/hcq.2026.27905","url":null,"abstract":"<p><p>Problems with patient access and flow can harm patients, burden providers and increase pressure on health systems. \"Command centre\" technology uses real-time data to prioritize and expedite care, enhancing coordination and system planning. However, evidence is confined to individual sites or small groups of facilities, so the feasibility of the approach at a jurisdictional scale remains unclear. This paper documents Nova Scotia's implementation of the province-wide Care Coordination Centre to describe key activities and challenges from inception to sustainment. We offer insights and considerations for policy makers and decision-makers interested in establishing jurisdiction-wide command centre models.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860562","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
No Older Adults Left Behind: Why Home-Based Primary Care is Critical to Integrated Health Systems. 不让老年人掉队：为什么家庭初级保健对综合卫生系统至关重要。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27907
Susan Ng, Elizabeth Mui, Andrew LoGiudice, Donya Razavi
{"title":"No Older Adults Left Behind: Why Home-Based Primary Care is Critical to Integrated Health Systems.","authors":"Susan Ng, Elizabeth Mui, Andrew LoGiudice, Donya Razavi","doi":"10.12927/hcq.2026.27907","DOIUrl":"10.12927/hcq.2026.27907","url":null,"abstract":"<p><p>In response to province-wide reforms to advance integrated care, the Eastern York Region North Durham Ontario Health Team launched an innovative integrated home-based primary care (IHBPC) program for frail homebound seniors in Markham and Stouffville. Findings from patient, caregiver and provider surveys - along with hospital avoidance data - demonstrate that utlizing a team of family physicians and interdisciplinary providers working across community and hospital sectors is an effective approach to addressing the complex needs of high-cost users of health services. A key feature of the program's success is embedding person-centred care across the macro, meso and micro levels of integration, providing lessons learned that can be applied to other integrated care initiatives. To ensure equitable access to high-quality care, IHBPC programs must be a core component of health systems in every jurisdiction where homebound older adults live - not merely an afterthought.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860259","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
From the Editors. 来自编辑。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27912
Anne Wojtak, Richard Lewanczuk
{"title":"From the Editors.","authors":"Anne Wojtak, Richard Lewanczuk","doi":"10.12927/hcq.2026.27912","DOIUrl":"10.12927/hcq.2026.27912","url":null,"abstract":"<p><p>At the time this editorial was being drafted, Team Canada had just completed its best-ever performance in the 2026 FIFA World Cup. This led us to consider the parallels between the worlds of sports and healthcare, with both existing in spaces with high-stakes performance, significant public attention and limited margins for error. In keeping with our <i>Healthcare Quarterly</i> focus on healthcare leadership, additional reflections on the sports versus healthcare analogy include the importance of shared purpose over star power, the value of great coaching, the importance of careful planning and preparation and the role of culture in teamwork. As we think about the work to transform healthcare, there are valuable lessons to be learned from within and outside of healthcare. Our <i>Healthcare Quarterly</i> editorial team is pleased to continue bringing our readers new and innovative reflections on healthcare leadership and how we \"coach\" our teams to even higher levels of performance.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860296","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
High and Repeated Hospital and Emergency Department Use for Mental Health and Substance Use in Canada. 加拿大医院和急诊科对精神健康和物质使用的高频率和重复使用。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27910
Allie Chen, Pardis Noormohammadpour, Alexey Dudevich, Babita Gupta, Derek Lefebvre, Cheryl Chui
{"title":"High and Repeated Hospital and Emergency Department Use for Mental Health and Substance Use in Canada.","authors":"Allie Chen, Pardis Noormohammadpour, Alexey Dudevich, Babita Gupta, Derek Lefebvre, Cheryl Chui","doi":"10.12927/hcq.2026.27910","DOIUrl":"10.12927/hcq.2026.27910","url":null,"abstract":"<p><p>Individuals with mental health and substance use (MHSU) conditions account for a disproportionate share of hospital and emergency department (ED) service use in Canada. This analysis draws on three Canadian Institute for Health Information indicators: 30-day readmissions, repeat hospitalizations and frequent ED visits for help with MHSU. Results show that rates across all indicators remained persistently elevated and, in 2024-2025, were approximately 8-9% higher than those in pre-pandemic baseline years. Higher rates are consistently observed among individuals living in lower-income neighbourhoods, adults aged 25-44 years and those with substance use-related conditions. Taken together, these indicator results point to recurring patterns of acute care use that reflect gaps in continuity, access to community-based care and integration across services. Strengthening transitions of care, expanding community-based supports and improving integration for individuals with complex and co-occurring conditions are critical to reducing avoidable acute care use.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"10-13"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860289","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
Rethinking Environmentally Sustainable Chronic Care: A Canadian Case Study of Funded Small House Models. 对环境可持续慢性病护理的再思考：加拿大资助小型住宅模式的案例研究。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27903
Danish Zahid, Russell J de Souza, Myles Sergeant
{"title":"Rethinking Environmentally Sustainable Chronic Care: A Canadian Case Study of Funded Small House Models.","authors":"Danish Zahid, Russell J de Souza, Myles Sergeant","doi":"10.12927/hcq.2026.27903","DOIUrl":"10.12927/hcq.2026.27903","url":null,"abstract":"<p><p>Canada's healthcare system faces increasing strain as patients who could be managed in alternative levels of care (ALCs) occupy acute hospital beds. The small house model (SHM) offers an opportunity to alleviate the growing burden on hospitals and long-term care facilities while supporting environmentally sustainable care. This case study quantifies the greenhouse gas (GHG) footprint of two facilities in Hamilton, Ontario. Annual emissions were 1,612 kg CO<sub>2</sub>e/bed and 512 kg CO<sub>2</sub>e/bed, respectively, with travel contributing significantly to emissions. Our study provides a baseline GHG footprint of the SHM, allowing for comparison to traditional methods of ALC.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"46-53"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860569","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
Building on Routinely Collected Health Data for Precision Population Care in Inflammatory Bowel Disease. 基于常规收集的健康数据对炎症性肠病人群进行精准护理。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27911
Gemma Postill, Eric I Benchimol
{"title":"Building on Routinely Collected Health Data for Precision Population Care in Inflammatory Bowel Disease.","authors":"Gemma Postill, Eric I Benchimol","doi":"10.12927/hcq.2026.27911","DOIUrl":"10.12927/hcq.2026.27911","url":null,"abstract":"<p><p>The growing burden of multimorbidity among individuals with inflammatory bowel disease (IBD) presents a critical challenge for health systems, as it signals the need to shift from single-disease-focused care to integrated multimorbidity-focused care. Recent Canadian population-based research has demonstrated that multimorbidity in IBD follows distinct patterns and that these patterns can be leveraged using machine learning (ML) to predict premature mortality. This column draws on two recent studies evaluating populations with IBD - one identifying multimorbidity clustering among individuals with IBD and another applying ML to predict premature death from non-IBD chronic conditions - to explore how these findings can inform health system planning, clinical care and policy decision-making.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860738","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
Thank God He Lived: Always, Do No Harm. 感谢上帝，他一直活着，没有伤害。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27909
Neil Seeman
{"title":"Thank God He Lived: Always, Do No Harm.","authors":"Neil Seeman","doi":"10.12927/hcq.2026.27909","DOIUrl":"10.12927/hcq.2026.27909","url":null,"abstract":"<p><p>This paper critiques an expansion of Medical Assistance in Dying for psychiatric illnesses in Canada, utilizing Orlando Da Silva's memoir, <i>Thank God I Failed</i>, as a central case study. It argues that severe depression impairs cognitive autonomy, making consent impossible and exposing patients to structural coercion within an underfunded healthcare system. By analyzing the intersection of physical and mental suffering, the text challenges health system utilitarianism and the artificial segregation of pain. Ultimately, it calls for rigorous evidentiary standards in healthcare policy, emphasizing the system's fundamental obligation to protect vulnerable patients and prioritize comprehensive care over expedited assisted death.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860539","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
Accrediting Together: Lessons From Canada's First Multi-Governed Ontario Health Team Accreditation Collaborative. 共同认证：来自加拿大第一个多管理安大略省卫生团队认证合作的经验教训。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-07-01 DOI: 10.12927/hcq.2026.27908
Joëlle Lamport Lewis, Megan Partridge
{"title":"Accrediting Together: Lessons From Canada's First Multi-Governed Ontario Health Team Accreditation Collaborative.","authors":"Joëlle Lamport Lewis, Megan Partridge","doi":"10.12927/hcq.2026.27908","DOIUrl":"https://doi.org/10.12927/hcq.2026.27908","url":null,"abstract":"<p><p>This paper describes how the Huron Perth and Area Ontario Health Team implemented a multi-partner, single-survey accreditation collaborative across independently governed organizations. By reframing accreditation as a system-level integration strategy, the collaborative aligned governance, policies and quality improvement efforts across sectors. Key lessons highlight the importance of shared governance, trust, continuous improvement and coordinated leadership. Evidence shows reduced duplication, improved policy consistency and enhanced system-level risk visibility. The model demonstrates how collaborative accreditation can strengthen integration, support leadership capacity and advance high-quality, patient-centred care in complex health systems.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 2","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860729","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
下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信
小红书