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Is Ontario Ready for the Health Costs Associated With Dementia? 安大略省准备好支付与痴呆症相关的医疗费用了吗？
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-05-01 DOI: 10.12927/hcq.2025.27638
Susan E Bronskill, Laura C Maclagan, Luke Mondor, Longdi Fu, Jun Guan, Isabella J Sewell, Andrea Iaboni, Richard H Swartz, Colleen J Maxwell, Claire de Oliveira
{"title":"Is Ontario Ready for the Health Costs Associated With Dementia?","authors":"Susan E Bronskill, Laura C Maclagan, Luke Mondor, Longdi Fu, Jun Guan, Isabella J Sewell, Andrea Iaboni, Richard H Swartz, Colleen J Maxwell, Claire de Oliveira","doi":"10.12927/hcq.2025.27638","DOIUrl":"https://doi.org/10.12927/hcq.2025.27638","url":null,"abstract":"<p><p>People living with dementia require care from a variety of health professionals and in different settings to optimize their quality of life. A phase-based approach to costing health system use supports our understanding of the longitudinal costs of care through disease progression at a population level. This report estimates five-year and phase-based net health system costs of dementia.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 1","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824718","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
Introduction - Canadian Youth Mental Health. 引言-加拿大青少年心理健康。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-05-01 DOI: 10.12927/hcq.2025.27635
Ruby Brown, Anne Wojtak
{"title":"Introduction - Canadian Youth Mental Health.","authors":"Ruby Brown, Anne Wojtak","doi":"10.12927/hcq.2025.27635","DOIUrl":"https://doi.org/10.12927/hcq.2025.27635","url":null,"abstract":"<p><p>As we consider how Canada will refocus our efforts to build lasting economic resilience and a more sustainable future, at the core of this effort must be a bold commitment to invest in the potential of young people. Our children and youth are the future contributors to society and its most powerful agents of change.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 1","pages":"20-21"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824717","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
Ongoing Leadership Development in a Northwestern Ontario Healthcare Organization: Implementing a Leadership ECHO Pilot Project. 正在进行的领导力发展在西北安大略省医疗保健组织：实施领导力回声试点项目。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-05-01 DOI: 10.12927/hcq.2025.27627
Ashley Lyon, Stacey Freemantle, Tyler Drawson
{"title":"Ongoing Leadership Development in a Northwestern Ontario Healthcare Organization: Implementing a Leadership ECHO Pilot Project.","authors":"Ashley Lyon, Stacey Freemantle, Tyler Drawson","doi":"10.12927/hcq.2025.27627","DOIUrl":"https://doi.org/10.12927/hcq.2025.27627","url":null,"abstract":"<p><p>Building a community of practice for leadership requires more than formal training - it must be ongoing, adaptive, and rooted in real-world experience. St. Joseph's Care Group in Northwestern Ontario launched an innovative Leadership ECHO (Extension for Community Health Outcomes) Project to foster such development. Engaging leaders across all levels (chief executive officer to managers) and departments, the initiative emphasized collaboration and non-hierarchical learning. This approach integrated leadership knowledge into daily work, offering tools and support to navigate the complexities of healthcare. The project proved to be a transformative platform, strengthening leadership capacity, building community and connections and serving as a model for sustainable, contextual leadership development.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 1","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824719","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
Evaluating Ontario's High Priority Communities Strategy: Integrating Care, Redressing Health Inequities and Improving Population Health "From the Ground Up". 评估安大略省高优先社区战略：综合护理、纠正卫生不公平现象和“从头开始”改善人口健康。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-05-01 DOI: 10.12927/hcq.2025.27629
A Paul Williams, Sherlyn Hu, Janet Lum, Helen Leung, Freida Chavez, Suleman Deen Sule, Nasma Ashraf
{"title":"Evaluating Ontario's High Priority Communities Strategy: Integrating Care, Redressing Health Inequities and Improving Population Health \"From the Ground Up\".","authors":"A Paul Williams, Sherlyn Hu, Janet Lum, Helen Leung, Freida Chavez, Suleman Deen Sule, Nasma Ashraf","doi":"10.12927/hcq.2025.27629","DOIUrl":"https://doi.org/10.12927/hcq.2025.27629","url":null,"abstract":"<p><p>The COVID-19 pandemic revealed profound inequities in the health of Canadians: racially diverse, newcomer and low-income communities were most likely to experience illness and death. In December 2020, Ontario announced the High Priority Communities Strategy (HPCS) that funded \"lead agencies\" in 17 marginalized communities to support scores of community partners who in turn devised culturally appropriate \"micro-strategies\" to provide education, tests, vaccinations and wrap-around care. We draw on evaluations conducted over three years to assess the HPCS and synthesize lessons learned for integrating care, reducing health inequities and improving population health from the \"ground up.\" These lessons are all the more important post the COVID-19 pandemic as health inequities worsen and the healthcare system faces intersecting crises.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 1","pages":"64-72"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824713","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 Contemporary Model of Care for Forensic Mental Health Services in Ontario. 安大略省法医精神卫生服务的当代护理模式。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27584
Treena Wilkie, Stephanie Penney, Roland Jones, Sumeeta Chatterjee, Tania Saccoccio, Alexander I F Simpson
{"title":"A Contemporary Model of Care for Forensic Mental Health Services in Ontario.","authors":"Treena Wilkie, Stephanie Penney, Roland Jones, Sumeeta Chatterjee, Tania Saccoccio, Alexander I F Simpson","doi":"10.12927/hcq.2025.27584","DOIUrl":"https://doi.org/10.12927/hcq.2025.27584","url":null,"abstract":"<p><p>Forensic mental health services (FMHSs) are high-risk and high-cost tertiary services, serving people with serious mental illness and criminal justice involvement, often with histories of violence and co-occurring substance use. FMHSs are expected to develop agreed-upon standards that are guided by an overarching model of care (MOC). A MOC integrates organizational processes with best-known practices and innovations to guide the development and evaluation of clinical services. We describe a MOC developed in a Canadian forensic program that included standards for clinical pathways and processes, treatment resourcing and outcome measurement. A MOC is imperative to a FMHS fulfilling its mandated role of public protection.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129933","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 : 2025-01-01 DOI: 10.12927/hcq.2025.27592
Anne Wojtak, Richard Lewanczuk
{"title":"From the Editors.","authors":"Anne Wojtak, Richard Lewanczuk","doi":"10.12927/hcq.2025.27592","DOIUrl":"https://doi.org/10.12927/hcq.2025.27592","url":null,"abstract":"<p><p>Emerging from the worst global pandemic in a century, we now face significant new threats and uncertainty through worldwide political upheaval. As Canadians, we have become acutely aware of what it means to have highly interdependent relationships threatened by an innate imbalance of power. The situation is making us reflect on what lies within our locus of control and how to build more resiliency into our society and our systems. This conversation is as relevant to healthcare as it is to virtually every aspect of our economy and society.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129982","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
Recent Stresses and Underlying System Causes of the Primary Care Crisis Point Toward Policy Solutions. 最近的压力和潜在的系统原因的初级保健危机指向政策解决方案。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27591
Richard H Glazier, Michael E Green
{"title":"Recent Stresses and Underlying System Causes of the Primary Care Crisis Point Toward Policy Solutions.","authors":"Richard H Glazier, Michael E Green","doi":"10.12927/hcq.2025.27591","DOIUrl":"https://doi.org/10.12927/hcq.2025.27591","url":null,"abstract":"<p><p>Across Canada, millions of people are struggling to find a family doctor, nurse practitioner or primary care clinic and millions more are attached to a clinician who is over the age of 65. Research led by INSPIRE-PHC and analyzed at ICES has demonstrated the growing number of unattached people and their higher likelihood of being of lower income, racialized and having newly arrived in Ontario. Recent stresses include population growth, declining volume of services per physician and decreased attractiveness of comprehensive primary care, while underlying system causes point to the need for organized accountable systems designed to look after the entire population.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130006","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: The Counterforce in Advancing Integrated Care - Our Path to Transformation. 健康质量5.0：推进综合护理的反作用力——我们的转型之路。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27582
Leslee J Thompson, Jodeme Goldhar
{"title":"Health Quality 5.0: The Counterforce in Advancing Integrated Care - Our Path to Transformation.","authors":"Leslee J Thompson, Jodeme Goldhar","doi":"10.12927/hcq.2025.27582","DOIUrl":"https://doi.org/10.12927/hcq.2025.27582","url":null,"abstract":"<p><p>Fragmented care remains a critical issue in health systems, leading to significant gaps and poor outcomes. This article highlights real-world consequences and the inefficacy of current patchwork solutions, exposing the gap between policy intent and practical impact. An urgent shift to integrated, people-centred care is needed, embracing social determinants of health, learning health systems and collective leadership. While pockets of excellence exist, sustainable transformation requires valuing and investing in the counterforce: co-creation, relational reciprocity and radical collaboration. This is our path to transformation - supporting the necessary conditions and capabilities for whole systems change.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129987","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
IFIC Canada: Transforming Care Through Integration. 加拿大国际护理协会：通过整合改变护理。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27581
Anne Wojtak, Richard Lewanczuk
{"title":"IFIC Canada: Transforming Care Through Integration.","authors":"Anne Wojtak, Richard Lewanczuk","doi":"10.12927/hcq.2025.27581","DOIUrl":"10.12927/hcq.2025.27581","url":null,"abstract":"<p><p>The International Foundation for Integrated Care (IFIC) Canada has taken a leadership role in advancing our understanding of what integrated care and population health is and why it is so important and their potential to transform how healthcare is organized and delivered - to the benefit of patients, caregivers and the health system, itself. <i>Healthcare Quarterly</i> editors, Anne Wojtak and Richard Lewanczuk, recently spoke with IFIC Canada founders, Jodeme Goldhar and Walter Wodchis, about the work they are doing and its potential impact.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129995","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
Reintegration After Incarceration for People with Mental Illness: A Pilot Community Mental Health Bridging Service. 精神病患者入狱后重返社会：试点社区精神健康过渡性服务。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27583
Roland M Jones, Kiran Patel, Alexander I F Simpson, Cory Gerritsen, Tanya Connors, Tania Saccoccio, Treena Wilkie
{"title":"Reintegration After Incarceration for People with Mental Illness: A Pilot Community Mental Health Bridging Service.","authors":"Roland M Jones, Kiran Patel, Alexander I F Simpson, Cory Gerritsen, Tanya Connors, Tania Saccoccio, Treena Wilkie","doi":"10.12927/hcq.2025.27583","DOIUrl":"https://doi.org/10.12927/hcq.2025.27583","url":null,"abstract":"<p><p>The prevalence of serious mental illness in correctional facilities is approximately eight times higher than in the general population. The difficulties experienced by people with serious mental illness and correctional involvement are often compounded by substance abuse, homelessness, lack of support and stigma. While psychiatric treatment is provided in custody, rapid access to mental health services upon release is essential to ensure continuity of prescribed medications, monitoring and support in areas such as finances and housing. However, there are barriers to accessing services upon release, resulting in high rates of return to custody. In addition, there is a shortage of community psychiatrists and often long waiting lists for assertive community treatment teams. In this paper, we describe the development of an innovative community service to fill this gap. For the past 10 years, the Forensic Early Intervention Service (FEIS) has provided mental health consultation and case management services within two correctional centres in Toronto. The service has now been expanded into the community to provide continuity of care for individuals released from custody who otherwise have no existing mental health service provider. We describe the structure of the new service and the gap it seeks to fill.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130008","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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