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An Integrated Rapid Response Model for Pediatric Patients Requiring In-Patient Medical Stabilization: Lessons Learned to Enable Regional Capacity Building. 针对需要住院医疗稳定的儿科病人的综合快速反应模式：汲取经验教训，促进地区能力建设。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/hcq.2024.27486
Natasha Bruno, Kayla Esser, Paul Davis, Debra K Katzman, Peter J Azzopardi, Joseph Wiley, Sarah Barker, Sarah Kearney, Leah Bartlett, Cheryl Hoare, Jonathan Sam, Ryan W Smith, Arif Manji, Maria Psihogios, Joan Abohweyere, Zeba Ansari, Samantha Martin, Sheri Ferkl, Ronik Kanani, Michelle Gordon, Celia Atkinson, Julia Orkin
{"title":"An Integrated Rapid Response Model for Pediatric Patients Requiring In-Patient Medical Stabilization: Lessons Learned to Enable Regional Capacity Building.","authors":"Natasha Bruno, Kayla Esser, Paul Davis, Debra K Katzman, Peter J Azzopardi, Joseph Wiley, Sarah Barker, Sarah Kearney, Leah Bartlett, Cheryl Hoare, Jonathan Sam, Ryan W Smith, Arif Manji, Maria Psihogios, Joan Abohweyere, Zeba Ansari, Samantha Martin, Sheri Ferkl, Ronik Kanani, Michelle Gordon, Celia Atkinson, Julia Orkin","doi":"10.12927/hcq.2024.27486","DOIUrl":"https://doi.org/10.12927/hcq.2024.27486","url":null,"abstract":"<p><p>There was an unprecedented surge in admissions for medical stabilization of pediatric patients with eating disorders during the COVID-19 pandemic in Ontario. Eleven hospitals established an integrated rapid response model to ensure timely in-patient access for these patients. This population was cared for in re-allocated community hospital beds as a result of engaging hospital leadership, strengthening partnerships, consulting experts, leveraging existing resources and developing regional bed access strategies. Innovative healthcare system changes were sustained, demonstrating how hospitals can partner to increase capacity and dynamically address crises. Our model can be applied to other populations requiring urgent and collaborative response.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 3","pages":"56-63"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848756","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
Accounting for Cognitive Impairment in Concurrent Disorders Treatment: Practical Resources to Meet the Needs of Our Most Complex Clients. 在并发症治疗中考虑认知障碍：满足最复杂客户需求的实用资源》。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27431
Carolyn Lemsky, Tim Godden
{"title":"Accounting for Cognitive Impairment in Concurrent Disorders Treatment: Practical Resources to Meet the Needs of Our Most Complex Clients.","authors":"Carolyn Lemsky, Tim Godden","doi":"10.12927/hcq.2024.27431","DOIUrl":"https://doi.org/10.12927/hcq.2024.27431","url":null,"abstract":"<p><p>Much has been written about the interplay between mental health and substance use disorders. However, there is a third dimension, which often complicates the provision of care and renders many mainstream approaches less effective. Cognitive impairments, including those that arise from traumatic brain injury, are increasingly being recognized as an important consideration in addictions programming. This article will discuss the findings from a cross-sectorial partnership between the Centre for Addiction and Mental Health (CAMH) and Community Head Injury Resource Services of Toronto (CHIRS). Four recommendations for program administrators are proposed: (1) support screening for brain injury; (2) use free resources to train staff members to recognize, accommodate and address neurocognitive impairment; (3) establish cross-sector partnerships to facilitate collaborative programming and cross training for the most complex clients being served; (4) when developing new programming, include structures and behavioural interventions that have been shown to benefit individuals with cognitive impairment.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570912","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 Mental Health of Healthcare Workers: Navigating the New Normal. 医护人员的心理健康：驾驭新常态。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27451
Michael Cooper, Shauna Major
{"title":"The Mental Health of Healthcare Workers: Navigating the New Normal.","authors":"Michael Cooper, Shauna Major","doi":"10.12927/hcq.2024.27451","DOIUrl":"https://doi.org/10.12927/hcq.2024.27451","url":null,"abstract":"<p><p>Increased workloads, fear of illness, social disconnection and high burnout rates during the COVID-19 pandemic caused significant trauma throughout the medical community. Using evidence-based insights from Mental Health Research Canada's quantitative and qualitative data, this article explores how the healthcare community was impacted by the COVID-19 pandemic. Recent trends in national mental health indicators support a theory of a new normal, but some Canadians continue to fall behind. Overall, these insights highlight the need for sustained efforts from leaders, policy makers and researchers that are crucial to supporting the rebuilding of the healthcare sector in Canada.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"22-27"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570921","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
Observing Healthcare With Mary in Her Final Weeks of Life. 在玛丽生命的最后几周与她一起观察医疗保健。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27436
Neil Seeman
{"title":"Observing Healthcare With Mary in Her Final Weeks of Life.","authors":"Neil Seeman","doi":"10.12927/hcq.2024.27436","DOIUrl":"10.12927/hcq.2024.27436","url":null,"abstract":"<p><p>Early in the year 2024, my mother, Mary V. Seeman (MD, DSc, OC, FRCPC), received news that would recognize her lifelong goal, which was to humanize and empower some of the most stigmatized members of society - the severely mentally ill and their parents and, in particular, their mothers. The American Psychiatric Association had chosen to honour her with the 2024 Adolf Meyer Lifetime Achievement Award, a prestigious tribute to her life's work in improving women's mental health. This accolade arrived in her e-mail in January; she died three months later, on April 23, 2024.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570920","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
Data-Driven Insights and Solutions for the Health and Human Resource Crisis in Canada. 加拿大卫生和人力资源危机的数据驱动见解和解决方案。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27438
Daniel Myran, Maya Gibb, Claire Kendall, Andrea Simpson, Manish Sood, Chantal Backman, Joan Tranmer, Peter Tanuseputro
{"title":"Data-Driven Insights and Solutions for the Health and Human Resource Crisis in Canada.","authors":"Daniel Myran, Maya Gibb, Claire Kendall, Andrea Simpson, Manish Sood, Chantal Backman, Joan Tranmer, Peter Tanuseputro","doi":"10.12927/hcq.2024.27438","DOIUrl":"https://doi.org/10.12927/hcq.2024.27438","url":null,"abstract":"<p><p>Canada's healthcare system is experiencing a health and human resource (HHR) crisis. The available evidence of the scope of the problem and potential solutions, however, is not commensurate with the scale and urgency of the crisis. The use of linked health administrative data to study the health, well-being and work patterns of the health workforce offers critical insights into how the workforce is functioning at a population level. Efforts to rapidly expand the use of these data are needed to understand the scope of the HHR crisis, find opportunities for improvement and drive change.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570904","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
Multimorbidity in Older Adult Acute Care Hospital Patients: Impacts on Patient Flow, Medical Management, Care Transitions and Cost. 急性病医院老年病人的多病症：对患者流程、医疗管理、护理过渡和成本的影响。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27427
Tyler Chalk, David Srour, Derek McNally
{"title":"Multimorbidity in Older Adult Acute Care Hospital Patients: Impacts on Patient Flow, Medical Management, Care Transitions and Cost.","authors":"Tyler Chalk, David Srour, Derek McNally","doi":"10.12927/hcq.2024.27427","DOIUrl":"https://doi.org/10.12927/hcq.2024.27427","url":null,"abstract":"<p><p>The healthcare system is wrestling with the impact of demographics on demand for care. We hear anecdotally of heightened patient acuity and increased prevalence of chronic disease. Southlake is a leading healthcare organization serving the northern York Region and southern Simcoe County. We have analyzed all in-patient data over the last four years and observed massive increases in multi-comorbidity levels in older in-patient cohorts. This article will review the analysis and highlight the impact of this phenomenon on critical areas of hospital operations such as patient flow, care transitions and cost. It will also review the medical management implications of increased chronic disease prevalence in this patient population. Finally, we share a series of initiatives that have been successful in helping the hospital respond to these challenges. We believe these are relevant for acute hospitals and their community-based partners across Canada.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"70-75"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570919","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. 编辑的话
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27440
Anne Wojtak, Richard Lewanczuk
{"title":"From the Editors.","authors":"Anne Wojtak, Richard Lewanczuk","doi":"10.12927/hcq.2024.27440","DOIUrl":"https://doi.org/10.12927/hcq.2024.27440","url":null,"abstract":"<p><p>We usually start our <i>Healthcare Quarterly</i> (<i>HQ</i>) editorial with reflections on the current landscape in healthcare and what is top of mind for healthcare leaders. In this issue, we are instead starting with two welcomes and a fond farewell. Our first welcome is for Richard Lewanczuk as our new co-editor-in-chief alongside Anne Wojtak. Richard is the senior medical director of Health System Integration for Alberta Health Services and was previously the senior medical director of Primary Care for the same organization. He is also a professor emeritus in the Department of Medicine at the University of Alberta where he continues to co-chair the Social Determinants of Health Working Group. Our second welcome is for Ruby Brown who is a special guest editor for our theme on mental health (Brown and Wojtak 2024). Ruby has led health systems across several provinces and territories, with an unrelenting commitment to improve the state of mental health. She believes that the key to tackling the complexity of mental health and substance use lies in our ability to maintain consistent and steadfast cooperation across all segments of society. By sharing knowledge, we can gain deeper insights into national and global proceedings, which, in turn, enlighten and obligate us all to implement approaches essential for the greater well-being of Canadians. We are excited to have both of these wonderful leaders join our editorial team.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570910","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
Response to "Hospital Staffing and Hospital Harm Trends Throughout the COVID-19 Pandemic" by Campbell et al. (2024). 对 Campbell 等人撰写的 "COVID-19 大流行期间的医院人员配备和医院伤害趋势"（2024 年）的回应。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27439
Linda Hughes, Wendy Nicklin, Katharina Kovacs Burns, Ioana Popescu
{"title":"Response to \"Hospital Staffing and Hospital Harm Trends Throughout the COVID-19 Pandemic\" by Campbell et al. (2024).","authors":"Linda Hughes, Wendy Nicklin, Katharina Kovacs Burns, Ioana Popescu","doi":"10.12927/hcq.2024.27439","DOIUrl":"10.12927/hcq.2024.27439","url":null,"abstract":"<p><p>Patients for Patient Safety Canada (PFPSC), a national volunteer organization with a vision of \"Every Patient Safe\" (Patients for Patient Safety Canada n.d.) commends the Canadian Institute for Health Information for collecting and publishing data that clearly demonstrate that the \"[r]ates of harm to patients increased along with rates of staff absenteeism, overtime and use of agency staff\" (Campbell et al. 2024: 11). It is important to acknowledge and recognize that these data were collected during the COVID-19 pandemic and clearly show the correlation between staffing challenges and patient safety. Unfortunately, but not surprisingly, this trend remains valid today.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570914","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 First Nations Health Authority's Self-Assessment Aligning With the British Columbia Cultural Safety and Humility Standard. 第一民族卫生局根据不列颠哥伦比亚省文化安全和谦逊标准进行自我评估。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27429
Laurie Edmundson, Alex Fraess-Phillips, Th'et-Simiya Wendy Ritchie, Suzanna Ho
{"title":"The First Nations Health Authority's Self-Assessment Aligning With the British Columbia Cultural Safety and Humility Standard.","authors":"Laurie Edmundson, Alex Fraess-Phillips, Th'et-Simiya Wendy Ritchie, Suzanna Ho","doi":"10.12927/hcq.2024.27429","DOIUrl":"10.12927/hcq.2024.27429","url":null,"abstract":"<p><p>The First Nations Health Authority (FNHA) completed a self-assessment of the organization's alignment to the British Columbia <i>Cultural Safety and Humility Standard</i> in collaboration with Elder Th'et-simiya and a group of Sisemó:ya Change Champions from across the organization (FNHA and HSO 2022). This article details the organization's processes, including the determination and selection of methods, self-assessment tools used and the lessons learned throughout. Other health and social services organizations are encouraged to use these learnings to guide their own self-assessment processes for continuous learning and development.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570915","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
Health Quality 5.0: What Does Co-Creation Have to Do With It? 健康质量 5.0：共同创造有什么用？
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27430
Leslee J Thompson
{"title":"Health Quality 5.0: What Does Co-Creation Have to Do With It?","authors":"Leslee J Thompson","doi":"10.12927/hcq.2024.27430","DOIUrl":"https://doi.org/10.12927/hcq.2024.27430","url":null,"abstract":"<p><p>In this latest article in Leslee Thompson's Health Quality 5.0 series, she discusses the slow progress of patient engagement in healthcare over the past two decades, emphasizing the need for co-creation where patients and providers collaborate equally. It explores the challenges of overcoming traditional power dynamics and integrating patient knowledge into healthcare systems. Highlighting examples from around the world, the article identifies five success factors for global impact and stresses the importance of a holistic, inclusive approach to healthcare transformation. Co-creation is presented as essential for building resilient, high-performing health systems centred on patients' needs and experiences.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"50-55"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570916","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
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