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Healthcare Policy, Politiques de Santé

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https://www.readbyqxmd.com/read/28617239/bifurcation-of-health-policy-regimes-a-study-of-sleep-apnea-care-and-benefits-coverage-in-saskatchewan
#1
Gregory P Marchildon, Caroline A Beck, Tarun R Katapally, Sylvia Abonyi, James A Dosman, Jo-Ann Episkenew
BACKGROUND: A complex, poorly understood bifurcated health policy regime exists for Canada's First Nations people for extended health benefits coverage. This research adds to a small body of literature on the regime's impact on access and quality of care and its role in perpetuating health inequities in First Nations populations. METHODS: Using a case study of sleep apnea care in Saskatchewan, we identified issues of health service access and coverage through a literature review of extended benefits programs, legislation and policies and through 10 key informant interviews with federal and provincial extended benefit program administrators and sleep medicine physicians...
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28617238/public-health-policy-in-support-of-insurance-coverage-for-smoking-cessation-treatments
#2
Robert Schwartz, Farzana Haji, Alexey Babayan, Christopher Longo, Roberta Ferrence
Insurance coverage for evidence-based smoking cessation treatments (SCTs) promotes uptake and reduces smoking rates. Published studies in this area are based in the US where employers are the primary source of health insurance. In Ontario, Canada, publicly funded healthcare does not cover SCTs, but it can be supplemented with employer-sponsored benefit plans. This study explores factors affecting the inclusion/exclusion of smoking cessation (SC) benefits. In total, 17 interviews were conducted with eight employers (auto, retail, banking, municipal and university industries), four health insurers, two government representatives and three advisors/consultants...
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28617237/reforming-refugee-healthcare-in-canada-exploring-the-use-of-policy-tools
#3
Ethan Holtzer, Alicia Moore-Dean, Amirrtha Srikanthan, Kerry Kuluski
Refugee healthcare in Canada has been a controversial and heavily debated topic over the past several years. In this paper, we present a policy analysis of the 2012 Canadian federal government decision to change the criteria and funding of the Interim Federal Health Program (IFHP). The IFHP provides federally funded healthcare coverage for refugees until they gain access to provincially funded health insurance. The paper offers a policy perspective on the changes to refugee health coverage over time. We draw on the policy concepts of agenda setting, framing, venues and causal stories to explore this topic...
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28617236/retention-patterns-of-canadians-who-studied-medicine-abroad-and-other-international-medical-graduates
#4
Maria Mathews, Rima Kandar, Steve Slade, Yanqing Yi, Sue Beardall, Ivy Bourgeault
OBJECTIVES: Are Canadians who study abroad (CSAs) more likely to stay in Canada than other international medical graduates (IMGs)? We looked at retention patterns of CSAs and immigrant IMGs who completed post-graduate medical education (PGME) training in Canada to describe the proportion and predictors of those working in Canada and in rural communities in Canada in 2015. METHODS: We linked the National IMG Database to Scott's Medical Database to track the work locations of CSAs and immigrant IMGs in 2015...
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28617235/what-do-we-know-and-not-know-about-the-professional-integration-of-international-medical-graduates-imgs-in-canada
#5
Elena Neiterman, Ivy Lynn Bourgeault, Christine L Covell
BACKGROUND: The literature on international medical graduates (IMGs) in Canada is growing, but there is a lack of systematic analysis of the literature. OBJECTIVES: To examine (1) the major themes in academic and grey literature pertaining to professional integration of IMGs in Canada; and (2) the gaps in our knowledge on integration of IMGs. METHODS: This paper is based on the scoping review of academic and grey literature published during 2001-2013 about IMGs in Canada...
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28617234/the-sociopolitical-context-of-canada-s-national-standard-for-psychological-health-and-safety-in-the-workplace-navigating-policy-implementation
#6
Cindy Malachowski, Bonnie Kirsh, Ellen McEachen
In January 2013, Canada introduced the National Standard for Psychological Health and Safety in the Workplace. This paper describes how the standard, which is the first of its kind internationally, came to be the instrument of choice within the current Canadian sociopolitical climate. A key consideration was that the policy tool had to be packaged in a manner that would be accessible and relevant across all workplaces and across all provinces and territories. This paper explores possibilities for future regulation of the standard...
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28617233/demystifying-the-publication-process
#7
Jennifer Zelmer
No abstract text is available yet for this article.
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28277207/estimating-the-cost-of-cancer-care-in-british-columbia-and-ontario-a-canadian-inter-provincial-comparison
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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