Re-Imagining Care for Older Adults with Heart Failure and Other Serious Illnesses
Most patients with heart failure prefer to die at home and want to avoid unnecessary or aggressive treatments as they approach the end of life. Collaborative care models that provide coordinated, linked services from palliative and subspecialty practitioners may enable more effective heart failure–specific palliation in the home setting. Using both administrative health data at ICES and qualitative data from interviews with cardiology and palliative care physicians and nurse practitioners, researchers have found new evidence that collaborative care integrated into a regionally organized system of palliation posit...
Source: Healthcare Quarterly - July 27, 2023 Category: International Medicine & Public Health Source Type: research
Access to Palliative Care in Canada
This article uses Canadian Institute for Health Information data from multiple healthcare sectors to investigate how many Canadians receive palliative care in their last year of life, how access to palliative care has changed in the past five years and what barriers to access still exist. (Source: Healthcare Quarterly)
Source: Healthcare Quarterly - July 27, 2023 Category: International Medicine & Public Health Source Type: research
From the Editors
(Source: Healthcare Quarterly)
Source: Healthcare Quarterly - April 24, 2023 Category: International Medicine & Public Health Source Type: research
Recommendations to Enhance Physical Health for Individuals with Severe Mental Illness in Canadian Healthcare Organizations
As Canadians with severe mental illness remain underserved and experience a high burden of physical health challenges and premature mortality, there is an unprecedented need to provide better physical healthcare to this population. Ways of addressing this gap include the delivery of physical healthcare in mental health settings (“reverse integration”). However, there is limited guidance on how to enact this integration. In this article, we outline the development of an integrated care strategy in Canada's largest mental health hospital and discuss system- and policy-level recommendations that healthcare...
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Key Stakeholder Perceptions of Standard vs. Total Cost of Ownership: A Procurement Analysis for Orthopaedic-Powered Instruments
This study compares standard procurement methodology (SPM) with total cost of ownership (TCO) methodology for the procurement of orthopaedic-powered instruments. The authors conducted semi-structured standardized interviews with key hospital procurement stakeholders following consolidated criteria for reporting qualitative research. Of the 33 hospital procurement stakeholders interviewed, all (100%) reported that SPM would be easier to use than TCO. However, only six (18%) preferred SPM over TCO. Barriers to the adoption of TCO emerged as a theme. Creating TCO frameworks can help to simplify the process for procurement age...
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Adapting Our SCOPE: Lessons Learned from Spreading and Scaling Efforts to Integrate Care
SCOPE (Seamless Care Optimizing the Patient Experience) launched in 2012 to support primary care in downtown Toronto with live navigation and rapid access to acute and community care resources for primary care providers (PCPs) and their patients. Ten years later, over 1,800 PCPs across Ontario have signed up for SCOPE and over 48,000 interactions in the form of e-mail, fax, phone and secure messaging have been conducted. Case examples illustrate the ways in which SCOPE has been adapted across a range of Ontario Health Teams, including under-resourced, small urban and rural sites. Primary care engagement, change management ...
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Shadows and Light: An Interview with Heather Patterson
(Source: Healthcare Quarterly)
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Recommendations to Enhance Physical Healthcare in Canadian Healthcare Organizations for Individuals with Severe Mental Illness
As Canadians with severe mental illness remain underserved and experience a high burden of physical health challenges and premature mortality, there is an unprecedented need to provide better physical healthcare to this population. Ways of addressing this gap include the delivery of physical healthcare in mental health settings (“reverse integration”). However, there is limited guidance on how to enact this integration. In this article, we outline the development of an integrated care strategy in Canada's largest mental health hospital and discuss system- and policy-level recommendations that healthcare...
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Community Wellness Bus: A Partner-Led Initiative to Improve Service Integration and Address Unmet Needs of Underserved Populations in Algoma District, Ontario
This article aims to identify successes, challenges and opportunities for the expansion of this program to re-engage individuals with the local health system. (Source: Healthcare Quarterly)
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Palliative Education and Care for the Homeless (PEACH): A Model of Outreach Palliative Care for Structurally Vulnerable Populations
The Palliative Education and Care for the Homeless (PEACH) program comprises a community palliative care team serving some of the most complex clients in the healthcare system. Formal partnerships bring together physician, nursing, psychosocial and homecare, health and housing navigation supports. PEACH has served over 1,000 clients, leading field-defining research, medical education and public advocacy. The PEACH program demonstrates that innovation through deep interorganizational and intersectoral integration can drive value-based impact for the most complex clients, providing instructive lessons for public health syste...
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Beyond Housing: Supporting the Health and Well-Being of Individuals Residing in Toronto’s Temporary Shelter Hotels
In response to the COVID-19 pandemic, the City of Toronto opened temporary shelter hotels with on-site supports for people previously living on the street, in encampments or in emergency shelters. The Beyond Housing program was created to enhance service offerings in the shelter hotel system and to support people not engaging with services. Using a Housing First approach, Beyond Housing offers three main interventions: (1) case management, (2) care coordination and (3) on-site and community-based mental health and social supports. This commentary explores the strengths and challenges of implementing Beyond Housing within t...
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Innovations to Address Social Isolation for Elderly Canadians Aging at Home
Amid the COVID-19 pandemic, two interdisciplinary pan-Canadian research initiatives have illuminated the social isolation and loneliness of seniors who age at home. The National Institute on Ageing at Toronto Metropolitan University and the Canadian Coalition for Seniors' Mental Health are exemplars in how to treat healthcare innovations as opportunities to create a sustainable high-quality healthcare system. Knowledge translation and communication with the public are core to the values and strategy of both organizations. Clinician leaders at these organizations take a holistic approach to understanding and communicating t...
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Filling Data Gaps in Access to Mental Health and Substance Use Services
Improving access to mental health and substance use (MHSU) services continues to be an area of growing concern in Canada, amplified by the consequences of the COVID-19 pandemic. It was also identified as a priority for federal, provincial and territorial governments in the Shared Health Priorities (SHP) work (CIHI n.d.a.). As part of the SHP work, the Canadian Institute for Health Information recently released 2022 results for two newly developed indicators that help to fill data and information gaps in understanding access to MHSU services in Canada. The first, “Early Intervention for Mental Health and Substance...
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
Cancer Risk among Adults Living with HIV in Ontario
Cancer is an important comorbidity and healthcare concern for people living with the human immunodeficiency virus (HIV). Researchers have quantified the burden of cancer among people living with HIV in Ontario using administrative and registry-linked data held at ICES. Findings showed that although cancer incidence has declined over time, people living with HIV remain at a greater risk for cancers with infectious causes compared with HIV-negative people. There is a need for comprehensive HIV care that includes cancer prevention strategies. (Source: Healthcare Quarterly)
Source: Healthcare Quarterly - April 17, 2023 Category: International Medicine & Public Health Source Type: research
From the Editors
(Source: Healthcare Quarterly)
Source: Healthcare Quarterly - February 21, 2023 Category: International Medicine & Public Health Source Type: research
