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Healthcare Management Forum

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https://www.readbyqxmd.com/read/27770048/designated-specialized-units-how-ontario-s-long-term-care-homes-fill-a-gap-in-care
#1
Zsofia Orosz, Amy Porteous, Melissa Donskov, Tracy Luciani, Peter Walker
Ontario has eight designated Specialized Units (SUs) located in Long-Term Care (LTC) homes. Each unit serves a well-defined group of residents whose needs go beyond what regular LTC homes can offer but do not require the complexity and range of care provided in hospitals. An applied qualitative research project looked at the realities of designated SUs, explored their role in health system capacity planning, and created a tool kit to help stakeholders navigate the designation process. Results outline the benefits and challenges experienced by the existing SUs that provide care to clients with severe responsive behaviours or dialysis needs and the units' potential to address current and future healthcare system gaps...
October 20, 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27770047/action-research-healthcare-focus-on-patients-improve-quality-drive-down-costs
#2
Hilary Bradbury, Svante Lifvergren
We discuss action research healthcare as a transformative approach that continuously innovates in healthcare, attending to the "quadruple" aim. This article is shaped around a decade of evidence in Sweden. At the heart of healthcare action research is the endeavour to "learn by doing" with the participation of key stakeholders, including the patient. Experience suggests that an action research approach is particularly relevant when treating patients with chronic diseases and complex care needs. This inclusion is itself a social learning process and is key to realizing the improved outcomes...
October 20, 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27744280/four-persistent-rural-healthcare-challenges
#3
Donald M Ford
Today, 25% of Canadians live in rural and remote parts of Canada. The evidence is that these Canadians do not enjoy the same health status as citizens living in more urban settings. This article explores four persistent healthcare challenges: population demographics, place, professionals, and public participation. By exploring solutions that some rural communities have used to address these challenges, this article aims to provide insights into lessons that have been learned that they may be considered and potentially applied to both rural and urban environments in the interest of better healthcare for all...
October 15, 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27744278/bioethics-health-technology-reassessment-and-management
#4
Lesley J J Soril, Fiona M Clement, Tom W Noseworthy
Health Technology Reassessment (HTR) is an emerging area of health services and policy research that supports optimal management of technologies throughout their lifecycle. As a structured, evidence-based assessment of the clinical, economic, social, and ethical impacts of existing technologies, HTR is a means of achieving optimal use, managed exit, and better value for money from technologies used in healthcare. This has been documented as raising ethical concerns among clinicians who are providing direct patient care, particularly when managed exit may be the goal...
October 15, 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27744277/the-ethical-case-for-providing-cost-free-access-to-lifesaving-hiv-medications-in-canada-implications-of-a-qualitative-study
#5
Chris Kaposy, Nicole R Greenspan, Zack Marshall, Jill Allison, Shelley Marshall, Cynthia Kitson
Antiretroviral therapy for HIV can be expensive if paid for out of pocket. In Canada, there are a variety of federal, provincial, and private prescription drug plans that lower the cost of these lifesaving medications for people living with HIV, and in some cases, these plans result in cost-free access. However, many people living with HIV must contend with high deductibles for their antiretroviral therapies, and many experience difficulty managing the administrative requirements of their drug plans. This article comments on some of the results of a qualitative study into ethical issues in HIV care...
October 15, 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27744276/rethinking-the-financing-of-healthcare-in-canada
#6
D Wayne Taylor
Canadians need to talk about their healthcare, about who pays for what, when. Lack of money is not the issue; how that money is spent is the issue-what public healthcare is covering and not covering. The same dollar amount can be spent quite differently and more effectively. The 1950s first-dollar, single-payor decision shifted the burden from the individual to government, but a lot has changed since the 1950s. Today Medicare is not universal, comprehensive, reasonably accessible, or portable. With residual constitutional power residing in Ottawa, there is no reason for the fragmentation and inequalities facing Canadians...
October 15, 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27744275/a-message-from-the-guest-editor
#7
Federico Lega
No abstract text is available yet for this article.
October 15, 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27807221/la-bio%C3%A3-thique-la-r%C3%A3-%C3%A3-valuation-des-technologies-de-la-sant%C3%A3-et-la-gestion
#8
REVIEW
Lesley J J Soril, Fiona M Clement, Tom W Noseworthy
La réévaluation des technologies de la santé (RTS), ce domaine émergent des services de santé et des recherches stratégiques, favorise la prise en charge optimale des technologies pendant toute leur vie utile. La RTS, qui est une évaluation structurée et fondée sur des données probantes des effets cliniques, économiques, sociaux et éthiques des technologies en place, permet de faire une utilisation optimale de ces technologies, d'en prévoir le retrait progressif et de mieux rentabiliser celles qui sont utilisées dans le milieu de la santé...
November 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27807220/la-chirurgie-r%C3%A3-fractive-de-la-cataracte-des-technologies-novatrices-%C3%A3-largissent-les-choix-des-patients-canadiens
#9
REVIEW
Richard Potvin
La chirurgie de la cataracte a toujours consisté à extraire le cristallin opacifié de l'œil pour le remplacer par une lentille artificielle. Cette intervention rend la vision du patient plus nette, sans pour autant corriger l'erreur de réfraction, c'est-à-dire la nécessité de porter des lunettes ou des lentilles cornéennes après l'opération. Les instruments diagnostiques et chirurgicaux modernes permettent désormais de corriger ces erreurs de réfraction au moment de l'opération, ce qui a fait émerger une nouvelle notion, celle de la chirurgie réfractive de la cataracte...
November 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27807219/cataract-refractive-surgery-innovative-technology-provides-more-choices-for-canadian-cataract-patients
#10
REVIEW
Richard Potvin
Historically, cataract surgery was aimed at removing the clouded lens of the eye and replacing it with an artificial lens; this provided clear vision to patients but without regard to their refractive error-their need for spectacles or contact lenses after surgery. Modern diagnostic and surgical instrumentation now makes it possible to address these refractive errors at the time of surgery, introducing a new paradigm-cataract refractive surgery. Although not medically necessary, many patients appreciate the chance to reduce or eliminate their need for spectacles after surgery, even if some personal cost is involved...
November 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27744279/universal-prescription-drug-coverage-in-canada-long-promised-yet-undelivered
#11
REVIEW
Steven G Morgan, Katherine Boothe
Canada's universal public healthcare system is unique among developed countries insofar as it does not include universal coverage of prescription drugs. Universal, public coverage of prescription drugs has been recommended by major national commissions in Canada dating back to the 1960s. It has not, however, been implemented. In this article, we extend research on the failure of early proposals for universal drug coverage in Canada to explain failures of calls for reform over the past 20 years. We describe the confluence of barriers to reform stemming from Canadian policy institutions, ideas held by federal policy-makers, and electoral incentives for necessary reforms...
November 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27576859/les-consid%C3%A3-rations-%C3%A3-thiques-relatives-%C3%A3-la-d%C3%A3-sadoption-d-aspects-inefficaces-ou-nuisibles-des-soins-de-sant%C3%A3
#12
REVIEW
Daniel J Niven, Jeanna Parsons Leigh, Henry T Stelfox
La désadoption désigne l'abandon d'une pratique médicale ou d'un service de santé inefficace ou nuisible après une période d'adoption. Tandis que les dépenses croissantes en matière de santé menacent de paralyser les sociétés qui les financent, le fait de faciliter la désadoption peut faire partie intégrante de systèmes de santé durables qui prodiguent des soins de qualité. Le présent article explore des enjeux éthiques qui se rapportent à la désadoption, y compris les principes sous-jacents de bénéficience, de non-maléficience, de justice et d'autonomie...
September 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27576858/a-fly-in-the-ointment-bringing-the-patient-perspective-to-healthcare-policy
#13
REVIEW
Angela Morin
Patient-centred care and patient engagement are not the "flavour of the month" nor just buzz phrases. The role of the patient voice in the review of the Quality of Care Information Protection Act and the creation of the Health Information Protection Act 2016 (Bill 119) was significant and transformative. Engaging patients and families whether at the bedside in a hospital, at the decision-making table in a healthcare organization, or in the creation of policy at the provincial and national levels is changing our healthcare system...
September 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27576857/engagement-in-system-redesign-a-wellness-example-to-enable-a-cultural-transformation
#14
REVIEW
Bradley Anderson, Wendy Kai Hansson
For the past several years, Interior Health (IH) has worked collaboratively with Aboriginal leaders to build strong relationships and develop an environment of reciprocal accountability and knowledge exchange. All partners are committed to working together to change the healthcare system so that it responds appropriately and effectively to the needs of a population of people with the poorest health outcomes. The development of the IH Aboriginal Health and Wellness Strategy is an example of meaningful engagement with First Nations communities in the IH region at the system level...
September 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27576856/the-arow-health-link-experience-with-client-based-system-design
#15
REVIEW
Joshua Hambleton
This article outlines the experience of the Arnprior Region & Ottawa West (AROW) Health Link using a multi-dimensional engagement framework in the co-development of systems change with client representatives. The article outlines patient, organizational, and societal factors influencing client engagement. The key learning that has allowed the joint Client Engagement Committee to evolve has been the core of client leadership. Client-led tables and workgroups have fueled client-to-client engagement, which has shifted clients from being a part of the change to driving the change...
September 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27576855/engaging-blind-and-partially-sighted-stakeholders-in-transformational-change
#16
REVIEW
Victoria Pearson
For non-profit organizations in the disability sector, engaging stakeholders with disabilities on matters of strategic planning is both a responsibility and an expectation. As part of our current strategic plan, which calls for organizational and systemic transformation, the Canadian National Institute for the Blind (CNIB) has engaged blind and partially sighted stakeholders alongside other interest groups to build and advocate for a more holistic model of vision healthcare and rehabilitation. This article describes the CNIB's multi-year process, including early-stage consultations, collaborative strategy development, and political advocacy and shares our organization's key success factors and learnings in creating meaningful, mutually beneficial engagement...
September 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27576854/patient-engagement-in-radiation-therapy-the-development-of-guidelines-for-current-canadian-practices
#17
REVIEW
Sunshine Purificacion, Erika Brown, Carol Anne-Davis, John French
Radiation therapy service quality is not only defined by the technical aspects of care-the patient's involvement and satisfaction also contribute largely to determining the quality of care received. Although there have been recent increases in support for the development of patient engagement activities throughout Canada, the lack of guidance and knowledge of patient engagement techniques within the radiotherapy context limits implementation. Without processes to obtain first-hand insight from patients, the need for these programs is overlooked...
September 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27576853/expanding-patient-engagement-in-quality-improvement-and-health-system-redesign-three-canadian-case-studies
#18
REVIEW
G Ross Baker, Carol Fancott, Maria Judd, Patricia O'Connor
Healthcare organizations face growing pressures to increase patient-centred care and to involve patients more in organizational decisions. Yet many providers worry that such involvement requires additional time and resources and do not see patients as capable of contributing meaningfully to decisions. This article discusses three efforts in four organizations to engage patients in quality improvement efforts. McGill University Health Centre, Saskatoon Health Region, and Vancouver Coastal and Fraser Health Regions all engaged patients in quality improvement and system redesign initiatives that were successful in improving care processes, outcomes, and patient experience measures...
September 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27576852/a-message-from-the-guest-editor
#19
EDITORIAL
Eric A Hanna
No abstract text is available yet for this article.
September 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27498394/ethical-considerations-in-the-de-adoption-of-ineffective-or-harmful-aspects-of-healthcare
#20
REVIEW
Daniel J Niven, Jeanna Parsons Leigh, Henry T Stelfox
De-adoption refers to the discontinuance of a medical practice or health service found to be ineffective or harmful following a previous period of adoption. As growing healthcare budgets threaten to cripple the societies that fund them, facilitating de-adoption may be integral to sustainable healthcare systems that provide high-quality care. This article explores ethical issues pertinent to de-adoption including the underpinnings of beneficence, non-maleficence, justice, and autonomy.
September 2016: Healthcare Management Forum
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