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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
Designing Peer-Led Strategies Meeting the Needs of People With Mental Illness and Substance Use Disorders. 设计以同伴为主导的策略，满足精神疾病和药物使用障碍患者的需求。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27432
Rachel VanEvery, Mary Ellen Ruddell, Sue Phipps, James Gillett, Harrison Wheeler
{"title":"Designing Peer-Led Strategies Meeting the Needs of People With Mental Illness and Substance Use Disorders.","authors":"Rachel VanEvery, Mary Ellen Ruddell, Sue Phipps, James Gillett, Harrison Wheeler","doi":"10.12927/hcq.2024.27432","DOIUrl":"https://doi.org/10.12927/hcq.2024.27432","url":null,"abstract":"<p><p>This article documents the contribution of peer support in reducing harms of substance use and advancing recovery. Data based on the experience of participants were collected using semi-structured interviews. Twenty-three participants were interviewed including four peer support workers. Findings were drawn from a thematic analysis of interview data and focused on strategies to improve the delivery of peer support services. We discuss services offered, how they impacted the lives of service recipients, what peer support workers found helpful; the value of peer support; and the challenges, barriers and next steps for peer support as an important, cost-efficient, low-barrier, low-intensive strategy.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570905","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 and Sustaining Aging in Place Through the Naturally Occurring Retirement Community (NORC) Ambassadors Program. 通过自然出现的退休社区 (NORC) 大使计划建立和维持居家养老。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27428
Lisa Meschino, Jen Recknagel, Susan Bartleman, Allie Dai, Shoshana Hahn-Goldberg
{"title":"Building and Sustaining Aging in Place Through the Naturally Occurring Retirement Community (NORC) Ambassadors Program.","authors":"Lisa Meschino, Jen Recknagel, Susan Bartleman, Allie Dai, Shoshana Hahn-Goldberg","doi":"10.12927/hcq.2024.27428","DOIUrl":"https://doi.org/10.12927/hcq.2024.27428","url":null,"abstract":"<p><p>Older adults overwhelmingly want to continue to age in place but would benefit from a community of support to do so. The Naturally Occurring Retirement Community (NORC) Ambassadors program - an initiative from University Health Network (UHN) OpenLab - uses a participatory approach to create sustainable, resident-led, aging-in-place groups in NORC buildings. NORC, which stands for Naturally Occurring Retirement Community, is a geographic designation used to describe an area, such as a building or a neighbourhood that has become home to a large number of older adults. Having a high concentration of older adults, NORCs are ideal settings for mobilizing communities and developing supportive networks. This article describes the creation and evaluation of the NORC Ambassadors program, which led to its inclusion as a foundational element of the model being implemented through the newly founded NORC Innovation Centre at the UHN.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"62-69"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570913","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: Why a Special Focus on Mental Health and Substance Use? 导言：为什么要特别关注心理健康和药物使用？
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27435
Ruby Brown, Anne Wojtak
{"title":"Introduction: Why a Special Focus on Mental Health and Substance Use?","authors":"Ruby Brown, Anne Wojtak","doi":"10.12927/hcq.2024.27435","DOIUrl":"https://doi.org/10.12927/hcq.2024.27435","url":null,"abstract":"<p><p>Mental health and substance use have a long history of recurring cycles of reform across the globe. These reforms are often driven more by shifts in economic conditions, social ideologies, political climates and technological advancements than by design from within the fractionated mental health sector. Progress has been hindered by difficulty in fully conceptualizing the complex, multi-faceted nature of these issues, as well as by stigma, insufficient research and a lack of information. Additionally, there has been a dangerous complacency stemming from the misconception that these conditions are personal and/or moral failings.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"20-21"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570917","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
Emerging Through Adversity: Early Implementation Learnings of Leadership Capacity Supports to Bolster Team Resilience. 在逆境中崛起：领导能力支持的早期实施学习，以增强团队的复原力。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-07-01 DOI: 10.12927/hcq.2024.27426
Rosanra Yoon, Nilusha Jiwani-Ebrahim, Julia Roitenberg
{"title":"Emerging Through Adversity: Early Implementation Learnings of Leadership Capacity Supports to Bolster Team Resilience.","authors":"Rosanra Yoon, Nilusha Jiwani-Ebrahim, Julia Roitenberg","doi":"10.12927/hcq.2024.27426","DOIUrl":"https://doi.org/10.12927/hcq.2024.27426","url":null,"abstract":"<p><p>The COVID-19 pandemic challenged the health workforce to respond to rapidly changing circumstances that demanded agility and endurance. As we emerged from those early years of the pandemic, we saw the aftermath of fatigue and waning resilience. The support of leaders is fundamental to the success of teams, especially in times of adversity and recovery. This perspective paper shares the early learnings from a rapid implementation of leadership supports to bolster team resilience across a local public health agency in Ontario. The Team Resilience Initiative aimed to strengthen participatory leadership capacities, psychological safety and team cohesion.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 2","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570909","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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