{"title":"From the Editors.","authors":"Anne Wojtak, Richard Lewanczuk","doi":"10.12927/hcq.2025.27639","DOIUrl":"10.12927/hcq.2025.27639","url":null,"abstract":"<p><p>As the world continues to shift in unpredictable and unsettling ways, Canadians are looking for opportunities both nationally and internationally to open new doors and build sustainable partnerships to support different aspects of our economy. In the last edition of <i>Healthcare Quarterly</i> (<i>HQ</i>), we reflected on the importance of building greater resilience into our society and our systems, including in healthcare. We are continuing this thread with the launch of our latest theme on integrated care, supported by our colleagues at the International Foundation for Integrated Care Canada.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824715","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}
{"title":"Health Quality 5.0: Putting Patient Safety Back on the Front Burner: The Time Is Now.","authors":"Leslee J Thompson, G Ross Baker","doi":"10.12927/hcq.2025.27630","DOIUrl":"https://doi.org/10.12927/hcq.2025.27630","url":null,"abstract":"<p><p>The focus on patient safety in Canada has been displaced - not because the safety issues have been solved, but because priorities have shifted. This article explores the risks of reduced vigilance and offers evidence-based strategies to recentre safety. It emphasizes the need to protect healthcare workers and meaningfully involve patients and families. Clear actions are outlined for governments, health systems, healthcare leaders, providers and the public. A coordinated, sustained approach to safety can unlock resources, boost productivity and enhance prosperity. Restoring safety as a core element of high-quality care is essential across all levels of the health system.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 1","pages":"56-63"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824716","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}
{"title":"Our Aging Disconnect: Billions for Longevity, Pennies for Dignity.","authors":"Neil Seeman","doi":"10.12927/hcq.2025.27636","DOIUrl":"https://doi.org/10.12927/hcq.2025.27636","url":null,"abstract":"<p><p>Venture capitalists invested $21.3 billion in longevity start-ups in 2024, yet frail elderly Canadians face lengthy waits for basic homecare services. This disconnect reveals troubling societal priorities: we fund theoretical life extension, while neglecting the dignity of those aging today. Private markets naturally target wealthy consumers, while public healthcare struggles to provide fundamental care. The inverse care law applies - the wealthy gain additional healthy years, while disparities widen for vulnerable populations. Canadian health leaders must rebalance investment priorities, establishing evidence-based standards and ethical frameworks that ensure innovation enhances rather than replaces human dignity in aging care.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 1","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824720","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}
Tyler Pirie, Agata Logvin, Romaisa Pervez, Shannon Weir-Seeley, Laura Salter, Gregory Feng, Cathy Huynh, Andrew McCabe, Chantal Couris, Natalie Damiano
{"title":"Strengthening Canada's Health Workforce: The Role of Pan-Canadian Data.","authors":"Tyler Pirie, Agata Logvin, Romaisa Pervez, Shannon Weir-Seeley, Laura Salter, Gregory Feng, Cathy Huynh, Andrew McCabe, Chantal Couris, Natalie Damiano","doi":"10.12927/hcq.2025.27637","DOIUrl":"https://doi.org/10.12927/hcq.2025.27637","url":null,"abstract":"<p><p>The health workforce is the lifeblood of the Canadian health system. Comprehensive data is essential to inform policy and resources allocation and to address care gaps. While data collection challenges exist, Canadian Institute for Health Information's (CIHI's) new health workforce data standards and the establishment of Health Workforce Canada strive to improve data quality. Using findings from <i>The State of the Health Workforce in Canada, 2023</i> report, this article provides insights into Canada's health workforce and underscores the value of enhancing Canada's data collection and reporting. Strengthening health workforce data will drive improvements, fostering a healthier population and a sustainable health workforce.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"28 1","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824722","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}
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}
{"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}
{"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}
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}
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}
{"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}