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Healthcare Policy, Politiques de Santé

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https://www.readbyqxmd.com/read/28277207/estimating-the-cost-of-cancer-care-in-british-columbia-and-ontario-a-canadian-inter-provincial-comparison
#1
Claire De Oliveira, Reka Pataky, Karen E Bremner, Jagadish Rangrej, Kelvin K W Chan, Winson Y Cheung, Jeffrey S Hoch, Stuart Peacock, Murray D Krahn
BACKGROUND: Costing studies are useful to measure the economic burden of cancer. Comparing costs between healthcare systems can inform evaluation, development or modification of cancer care policies. OBJECTIVES: To estimate and compare cancer costs in British Columbia and Ontario from the payers' perspectives. METHODS: Using linked cancer registry and administrative data, and standardized costing methodology and analyses, we estimated costs for 21 cancer sites by phase of care to determine potential differences between provinces...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28277206/location-location-location-characteristics-and-services-of-long-stay-home-care-recipients-in-retirement-homes-compared-to-others-in-private-homes-and-long-term-care-homes
#2
Jeffrey W Poss, Chi-Ling Joanna Sinn, Galina Grinchenko, Jane Blums, Tom Peirce, John Hirdes
We examine recipients of publicly funded ongoing care in a single Ontario jurisdiction who reside in three different settings: long-stay home care patients in private homes and apartments, other patients in retirement homes and residents of long-term care homes, using interRAI assessment instruments. Among home care patients, those in retirement homes have higher proportions of dementia and moderate cognitive impairment, less supportive informal care systems as well as more personal care and nursing services above those provided by the public home care system, more frequent but shorter home support visits and lower than expected public home care expenditures...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28277205/establishing-a-primary-care-performance-measurement-framework-for-ontario
#3
Wissam Haj-Ali, Brian Hutchison
A systematic approach to Primary Care Performance Measurement is needed to provide useful information on a regular basis to inform planning, management and quality improvement at both the practice and system levels. Based on an environmental scan, a summit of primary care stakeholders and a stakeholder survey and supported by Measures and Technical Working Groups, the Ontario Primary Care Performance Measurement Steering Committee, representing 20 stakeholder organizations, identified system- and practice-level measurement priorities and related specific performance measures across nine domains of primary care performance...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28277204/towards-integrating-primary-care-with-cancer-care-a-regional-study-of-current-gaps-and-opportunities-in-canada
#4
Jonathan Sussman, Daryl Bainbridge, William K Evans
BACKGROUND AND OBJECTIVES: Better integration between cancer care systems and primary care physicians (PCPs) is a goal of most healthcare systems, but little direction exists on how this can be achieved. This study systematically examined the extent of integration between PCPs and a regional cancer program (RCP) to identify opportunities for improvement. METHOD: Cross-sectional survey of all practising PCPs in the region of interest using a study-specific instrument based on a three-tier conceptualization of integration...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28277203/assessing-continuous-quality-improvement-in-public-health-adapting-lessons-from-healthcare
#5
Alex Price, Robert Schwartz, Joanna Cohen, Heather Manson, Fran Scott
CONTEXT: Evidence of the effect of continuous quality improvement (CQI) in public health and valid tools to judge that such effects are not fully formed. OBJECTIVE: The objective was to adapt and apply Shortell et al.'s (1998) four dimensions of CQI in an examination of a public health accountability and performance management initiative in Ontario, Canada. METHODS: In total, 24 semi-structured, in-depth interviews were conducted with informants from public health units and the Ministry of Health and Long-Term Care...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28277202/facilitative-components-of-collaborative-learning-a-review-of-nine-health-research-networks
#6
Lisa Leroy, Jessica Levin Rittner, Karin E Johnson, Jessie Gerteis, Therese Miller
OBJECTIVE: Collaborative research networks are increasingly used as an effective mechanism for accelerating knowledge transfer into policy and practice. This paper explored the characteristics and collaborative learning approaches of nine health research networks. DATA SOURCES/STUDY SETTING: Semi-structured interviews with representatives from eight diverse US health services research networks conducted between November 2012 and January 2013 and program evaluation data from a ninth...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28277201/the-value-of-qualitative-description-in-health-services-and-policy-research
#7
Roger Chafe
Health services and policy (HSP) researchers have long used qualitative research methodologies to explore health system issues. However, the appropriateness of one approach, qualitative description, for HSP research is still often overlooked. In this article, I discuss the role that qualitative description can play in HSP research, and argue for its greater acceptance as a valid form of academic scholarship.
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28277200/how-we-will-not-whether-we-can-improving-health-and-healthcare
#8
EDITORIAL
Jennifer Zelmer
No abstract text is available yet for this article.
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032828/a-review-of-discharge-prediction-processes-in-acute-care-hospitals
#9
Anna De Grood, Kenneth Blades, Sachin R Pendharkar
AIMS AND OBJECTIVES: Discharge prediction is designed to streamline inpatient flow and reduce hospital overcrowding without adding capacity. This study's objective was to describe the literature on discharge prediction and assess its usefulness in evaluating the implementation and outcomes of discharge prediction projects. METHODS: The authors reviewed the current peer-reviewed and grey literature on discharge prediction projects in acute care hospitals. Project descriptions were analyzed using Donabedian's structure-process-outcome model for evaluating complex healthcare innovations...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032827/designing-integrated-approaches-to-support-people-with-multimorbidity-key-messages-from-systematic-reviews-health-system-leaders-and-citizens
#10
Michael G Wilson, John N Lavis, Francois-Pierre Gauvin
BACKGROUND: Living with multiple chronic conditions (multimorbidity) - and facing complex, uncoordinated and fragmented care - is part of the daily life of a growing number of Canadians. METHODS: We undertook: a knowledge synthesis; a "gap analysis" of existing systematic reviews; an issue brief that synthesized the available evidence about the problem, three options for addressing it and implementation considerations; a stakeholder dialogue involving key health-system leaders; and a citizen panel...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032826/variation-in-emergency-department-transfer-rates-from-nursing-homes-in-ontario-canada
#11
Andrea Gruneir, Susan E Bronskill, Alice Newman, Chaim M Bell, Peter Gozdyra, Geoffrey M Anderson, Paula A Rochon
BACKGROUND: Nursing home (NH) residents are frequently transferred to the emergency department (ED) but there is little data on inter-facility variation, which has implications for intervention planning and implementation. OBJECTIVES: To describe variation in ED transfer rates (TRs) across NHs and the association with NH characteristics. DESIGN/SETTING: Retrospective cohort study using linked administrative data from Ontario. PARTICIPANTS: 71,780 residents of 604 NHs in 2010 and followed for one year...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032825/how-safe-and-innovative-are-first-in-class-drugs-approved-by-health-canada-a-cohort-study
#12
Joel Lexchin
INTRODUCTION: First-in-class drugs use a unique mechanism of action. This study assessed the therapeutic innovativeness and safety of these drugs approved by Health Canada from 1997-2012. METHODS: A list of new drugs was compiled and a database from the Food and Drug Administration was used to determine first-in-class status. Post-market safety warnings and drugs withdrawn for safety reasons were identified from the MedEffect Canada website. Therapeutic innovation evaluations came from the Patented Medicine Prices Review Board (PMPRB) and Prescrire International...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032824/what-s-measured-is-not-necessarily-what-matters-a-cautionary-story-from-public-health
#13
Raisa Deber, Robert Schwartz
A systematic review of the introduction and use of outcome-based performance management systems for public health organizations found differences between their use as a management system (which requires rigorous definition and measurement to allow comparison across organizational units) versus for improvement (which may require more flexibility). What is included in performance measurement/management systems is influenced by ease of measurement, data quality, ability of organization to control outcomes, ability to measure success in terms of doing things (rather than preventing things) and what is already happening...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032823/primary-care-performance-measurement-and-reporting-at-a-regional-level-could-a-matrix-approach-provide-actionable-information-for-policy-makers-and-clinicians
#14
Julia M Langton, Sabrina T Wong, Sharon Johnston, Julia Abelson, Mehdi Ammi, Fred Burge, John Campbell, Jeannie Haggerty, William Hogg, Walter P Wodchis, Kimberlyn McGrail
OBJECTIVE: Primary care services form the foundation of modern healthcare systems, yet the breadth and complexity of services and diversity of patient populations may present challenges for creating comprehensive primary care information systems. Our objective is to develop regional-level information on the performance of primary care in Canada. METHODS: A scoping review was conducted to identify existing initiatives in primary care performance measurement and reporting across 11 countries...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032822/stepping-up-to-the-plate-an-agenda-for-research-and-policy-action-on-electronic-medical-records-in-canadian-primary-healthcare
#15
Amanda L Terry, Moira Stewart, Martin Fortin, Sabrina T Wong, Inese Grava-Gubins, Lisa Ashley, Patricia Sullivan-Taylor, Frank Sullivan, Lynne Zucker, Amardeep Thind
Building on a previous study, which identified gaps in primary healthcare electronic medical record (emr) research and knowledge, a one-day conference was held to facilitate a strategic discussion of these issues. This paper offers a multi-faceted research agenda and suggestions for policy actions as a way forward in bridging the gaps. one facet focuses on the need for research. The second facet focuses on harnessing the knowledge of primary healthcare emr stakeholders. finally, the third facet focuses on policy actions...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032821/doctors-lawyers-and-advance-care-planning-time-for-innovation-to-work-together-to-meet-client-needs
#16
Nola M Ries, Maureen Douglas, Jessica Simon, Konrad Fassbender
Health organizations in canada have invested considerable resources in strategies to improve knowledge and uptake of advance care planning (acp). Yet barriers persist and many canadians do not engage in the full range of acp behaviours, including writing an advance directive and appointing a legally authorized decision-maker. not engaging effectively in acp disadvantages patients, their loved ones and their healthcare providers. This article advocates for greater collaboration between health and legal professionals to better support clients in acp and presents a framework for action to build connections between these typically siloed professions...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032820/better-science-better-science-reporting
#17
EDITORIAL
Jennifer Zelmer
No abstract text is available yet for this article.
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/27585031/financial-incentives-and-cervical-cancer-screening-participation-in-ontario-s-primary-care-practice-models
#18
Ciara Pendrith, Amardeep Thind, Gregory S Zaric, Sisira Sarma
OBJECTIVES: The primary objective of this paper is to compare cervical cancer screening rates of family physicians in Ontario's two dominant reformed practice models, Family Health Group (FHG) and Family Health Organization (FHO), and traditional fee-for-service (FFS) model. Both reformed models formally enrol patients and offer extensive pay-for-performance incentives; however, they differ by remuneration for core services (FHG is FFS; FHO is capitated). The secondary objective is to estimate the average and marginal costs of screening in each model...
August 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/27585030/mapping-collaborative-relations-among-canada-s-chronic-disease-prevention-organizations
#19
Damien Contandriopoulos, Nancy Hanusaik, Katerina Maximova, Gilles Paradis, Jennifer L O'Loughlin
In the field of chronic disease prevention (CDP), collaborations between organizations provide a vital framework for intersectoral engagement and exchanges of knowledge, expertise and resources. However, little is known about how the structures of preventive health systems actually articulate with CDP capacity and outcomes. Drawing upon data from the Public Health Organizational Capacity Study - a repeat census of all public health organizations in Canada - we used social network analysis to map and examine interorganizational collaborative relationships in the Canadian preventive health system...
August 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/27585029/a-qualitative-study-on-incentives-and-disincentives-for-care-of-common-mental-disorders-in-ontario-family-health-teams
#20
Rachelle Ashcroft, Jose Silveira, Kwame Mckenzie
BACKGROUND: An opportunity to address the needs of patients with common mental disorders (CMDs) resides in primary care. Barriers are restricting availability of treatment for CMDs in primary care. By understanding the incentives that promote and the disincentives that deter treatment for CMDs in a collaborative primary care context, this study aims to help contribute to goals of greater access to mental healthcare. METHOD: A qualitative pilot study using semi-structured interviews with thematic analysis...
August 2016: Healthcare Policy, Politiques de Santé
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