A North Star Vision: Results from a Deliberative Dialogue to Identify Policy Strategies to Improve Value in Healthcare.

Q2 Medicine Healthcare Policy Pub Date : 2023-05-01 DOI:10.12927/hcpol.2023.27089
Amity E Quinn, Rachelle Drummond, Fiona Clement, Melanie Columbus, Stephana J Moss, Emily Fitzgerald, Rukhsaar Daya, Liza Mastikhina, Jeanna Parsons Leigh, Henry T Stelfox
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Abstract

We hosted a deliberative dialogue with citizens (n = 3), policy researchers (n = 3), government decision makers (n = 3) and health system leaders (n = 3) to identify evidence-informed policy options to improve the value of Canadian healthcare. The analysis resulted in three themes: (1) the need for a vision to guide reforms, (2) community-based care and (3) community-engaged care. Results suggest the need for a new paradigm: community-focused health systems. Such a paradigm could serve as a North Star guiding healthcare transformation, improving value by aligning citizen and healthcare system goals, prioritizing spending on services that address the social determinants of health and improving quality and equity.

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北极星愿景:旨在确定提高医疗保健价值的政策战略的慎重对话的结果。
我们与公民(3 人)、政策研究人员(3 人)、政府决策者(3 人)和医疗系统领导者(3 人)进行了协商对话,以确定有实证依据的政策方案,提高加拿大医疗保健的价值。分析得出三个主题:(1) 需要一个指导改革的愿景,(2) 基于社区的医疗保健,(3) 社区参与的医疗保健。分析结果表明,需要一种新的模式:以社区为中心的医疗系统。这种模式可以作为指导医疗改革的 "北极星",通过调整公民和医疗系统的目标来提高价值,优先考虑解决健康的社会决定因素的服务支出,并提高质量和公平性。
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来源期刊
Healthcare Policy
Healthcare Policy Medicine-Health Policy
CiteScore
3.20
自引率
0.00%
发文量
42
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