Healthcare quarterly (Toronto, Ont.)最新文献_第3页

Toward a Quality Standard for Emergency Departments: A Commentary on Improving Mental Health and Substance Use Care for Youth in Canada. 迈向急诊科的质量标准：对改善加拿大青少年精神健康和物质使用护理的评论。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27865

Roxanne Turuba, Violet Cameron, Chantal Brasset, Tara Harper, Angela Stacey, Frank Scheuermeyer, Eddy Lang, Shawn Mondoux, Kirsten Marchand, Avneet Dhillon, Renee Cormier, Gina Dimitropoulos, Julia Hews-Girard, Steve Mathias, Skye Barbic

引用次数: 0

An "Early Warning" Risk Assessment Strategy to Enable Proactive Management of Supply Shortages in Canada. “早期预警”风险评估战略，使加拿大能够主动管理供应短缺。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27863

Anne W Snowdon, Alexandra Wright, Rick Prinzen, Christian Leuprecht, Cindy Ly, Saba Ghadiri

{"title":"An \"Early Warning\" Risk Assessment Strategy to Enable Proactive Management of Supply Shortages in Canada.","authors":"Anne W Snowdon, Alexandra Wright, Rick Prinzen, Christian Leuprecht, Cindy Ly, Saba Ghadiri","doi":"10.12927/hcq.2026.27863","DOIUrl":"10.12927/hcq.2026.27863","url":null,"abstract":"Canada's healthcare systems continue to experience multiple and lengthy supply chain disruptions, compounded by limited digital infrastructure and a lack of real-time visibility into risks of supply disruptions. Despite growing awareness of health supply vulnerabilities, there is no standardized tool currently to assess the risks of supply shortages for patients or the health workforce. This study introduces a healthcare supply chain risk assessment tool, co-designed through a national Community of Practice representing over 60 organizations across healthcare, industry and government. Using a participatory, evidence-informed co-design process, the risk assessment tool was developed to quantify both the probability of disruption and its impact on patient care, to enable proactive decision-making to mitigate risks to patients and the health system workforce. Pilot testing with 11 organizations demonstrated that the risk assessment tool enables prioritization of high-risk products, strengthens cross-sector collaboration and embeds risk intelligence into procurement decisions and supply management. The tool offers a scalable solution to enhance supply chain resilience, bridge gaps in data visibility and support health system modernization in Canada.","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"44-52"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311214","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 : 2026-04-01 DOI: 10.12927/hcq.2026.27856

Anne Wojtak, Richard Lewanczuk

引用次数: 0

Using Data to Drive Policy Action: An Urgent Call for Funding Interdisciplinary Team-Based Rheumatology Care. 使用数据驱动政策行动：紧急呼吁资助跨学科团队为基础的风湿病护理。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/hcq.2026.27857

Jessica Widdifield, Lauren K King, Celia V Laur, Timothy S H Kwok, Jane Purvis, Philip Baer, J Carter Thorne, Bindee Kuriya, Vandana Ahluwalia, Laura Passalent, Catherine Hofstetter, Joanna Yang, C Thomas Appleton

{"title":"Using Data to Drive Policy Action: An Urgent Call for Funding Interdisciplinary Team-Based Rheumatology Care.","authors":"Jessica Widdifield, Lauren K King, Celia V Laur, Timothy S H Kwok, Jane Purvis, Philip Baer, J Carter Thorne, Bindee Kuriya, Vandana Ahluwalia, Laura Passalent, Catherine Hofstetter, Joanna Yang, C Thomas Appleton","doi":"10.12927/hcq.2026.27857","DOIUrl":"10.12927/hcq.2026.27857","url":null,"abstract":"Canadian healthcare systems face mounting pressures from rising chronic disease prevalence, persistent specialist shortages and escalating healthcare expenditures. Rheumatology exemplifies these challenges, with growing patient demand and a persistently limited rheumatologist workforce caring for patients requiring intensive ongoing specialist care. Population-level data on rheumatology patients demonstrate increasing rheumatic disease prevalence, emergency department utilization, disability and medication expenditures, underscoring the unsustainability of physician-centric care models. Across Canada, there is a broad policy consensus that team-based care is essential to improving access, reducing system pressures and enhancing outcomes for patients with chronic disease. However, team-based models have not been systematically extended to specialty care across jurisdictions. Team-based models of rheumatology care that integrate allied health practitioners in rheumatology practices are essential to improving access, enhancing care quality and optimizing workforce capacity. Leveraging existing interprofessional team funding mechanisms to rheumatology settings represents a pragmatic, evidence-informed policy pathway to modernize specialist care delivery and improve the sustainability of the healthcare system.","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"29 1","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311201","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 Journey of Integrating Indigenous Ways of Knowing in an Urban Integrated Youth Service in Manitoba. 曼尼托巴省城市综合青年服务中心整合土著认知方式之旅。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-01-01 DOI: 10.12927/hcq.2026.27809

Stephanie Ens, Kendra Monk, Corey Mohr, Kathleen MacDonald, Gina Marandola, Srividya N Iyer

{"title":"A Journey of Integrating Indigenous Ways of Knowing in an Urban Integrated Youth Service in Manitoba.","authors":"Stephanie Ens, Kendra Monk, Corey Mohr, Kathleen MacDonald, Gina Marandola, Srividya N Iyer","doi":"10.12927/hcq.2026.27809","DOIUrl":"10.12927/hcq.2026.27809","url":null,"abstract":"Our case study presents insights from our experiences of \"integrating\" Indigenous ways of knowing and being into integrated youth services (IYS), a growing Canadian model for offering a range of services to youth aged 11-25. Huddle NorWest, one of Manitoba's IYS hubs, serves a diverse population of youth, with ∼30-40% identifying as Indigenous. Recognizing the importance of culturally safe care, Huddle NorWest seeks to understand the factors that contribute to Indigenous youths' comfort in accessing its services. Current engagement strategies include an on-site Indigenous Elder, culturally relevant programming such as beading and ribbon skirt making, and the integration of Indigenous art and teachings throughout the space. As part of its broader commitment to reconciliation, NorWest Co-op Community Health actively supports a Truth and Reconciliation Commission (TRC) Committee and has signed the Winnipeg Indigenous Accord, outlining a three-year action plan to align with the TRC's Calls to Action. Indigenous perspectives are embedded in the organization's governance and advisory structures since 2017, including community and youth advisory councils, half of whom identify as Indigenous. This work reflects an ongoing effort to build trust and provide culturally safe, inclusive services for Indigenous youth, and can inspire other urban IYS serving Indigenous youth.","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 4","pages":"42-48"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729921","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 Integrated Care for Youth: The Role of Family Physicians in an Urban, Multidisciplinary Service. 推进青年综合护理：家庭医生在城市多学科服务中的作用。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-01-01 DOI: 10.12927/hcq.2026.27805

Anne-Sophie Thommeret-Carrière, Julie Cotton, Nicolas Girard, Kathleen MacDonald, Sarah Ben-Nouna, Jérémy Boisvert-Viens, Martin Goyette, Srividya N Iyer

{"title":"Advancing Integrated Care for Youth: The Role of Family Physicians in an Urban, Multidisciplinary Service.","authors":"Anne-Sophie Thommeret-Carrière, Julie Cotton, Nicolas Girard, Kathleen MacDonald, Sarah Ben-Nouna, Jérémy Boisvert-Viens, Martin Goyette, Srividya N Iyer","doi":"10.12927/hcq.2026.27805","DOIUrl":"10.12927/hcq.2026.27805","url":null,"abstract":"Integrated Youth Services (IYS) are increasingly implemented across Canada to address the intersecting mental, physical and social needs of young people, yet the integration of primary care within IYS remains under-documented. This article presents a qualitative, practice-based case study of Aire ouverte Montréal-Métro Berri, an urban IYS site where family physicians have been embedded as permanent members of a multidisciplinary team since 2022. Serving diverse youth aged 12-25 in a downtown context, this site offers an exemplar of integrating family medicine within a publicly funded youth service model. Drawing on an ongoing evaluation, the paper describes the implementation model, roles of family physicians and enabling organizational conditions, based on document analysis and perspectives from clinicians, managers and team members. Findings highlight how co-location, collaborative practices, shared care planning and flexible administrative arrangements supported the integration of family physicians. Reported impacts include timely access to primary and mental healthcare, improved care coordination, enhanced team capacity to manage risk and earlier engagement of youth who might otherwise not access services or access care through crisis-driven pathways. This case offers transferable insights into integrating family physicians within IYS, at a time of rapid national scaling and persistent challenges in youths' access to primary care.","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 4","pages":"69-75"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730904","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

Meeting the Needs of an Aging Population: How Older Adults' Healthcare Experiences in Canada Compare Internationally. 满足老龄化人口的需求：加拿大老年人的医疗保健经验与国际比较。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-01-01 DOI: 10.12927/hcq.2026.27814

Rachel Latus, Ina Sugay, Xinbei Zhao, Abby Thomas, Yasmine Leger, Winnie Chan, Xi-Kuan Chen

引用次数: 0

Expanding Access to Team-Based Care: Insights From British Columbia's Nursing Initiatives for Primary Care Program. 扩大以团队为基础的护理：来自不列颠哥伦比亚省初级护理计划的见解。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-01-01 DOI: 10.12927/hcq.2026.27810

Patti Telford, Angela Wignall, Carly Mann, Alayna Payne

引用次数: 0

Advancing Integrated Care: Harnessing Research, Knowledge Mobilization and Collective Impact as Levers of Transformation. 推进综合护理：利用研究、知识动员和集体影响作为变革的杠杆。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-01-01 DOI: 10.12927/hcq.2026.27811

Meghan McMahon, Jessica Nadigel, Bahar Kasaai, Nida Shahid, Rhonda Boateng, Richard H Glazier

引用次数: 0

Local Innovation, National Potential: The Community Wellness Hub™, a Ready-to-Implement Model for Integrated Care. 地方创新，国家潜力：社区健康中心™，一个随时可以实施的综合护理模式。

Healthcare quarterly (Toronto, Ont.) Pub Date : 2026-01-01 DOI: 10.12927/hcq.2026.27807

Reham Abdelhalim, Lauren MacEachern, Meghan O'Neill, Adeeta Aulakh, Kathy Peters

引用次数: 0