Amity E Quinn, Rachelle Drummond, Fiona Clement, Melanie Columbus, Stephana J Moss, Emily Fitzgerald, Rukhsaar Daya, Liza Mastikhina, Jeanna Parsons Leigh, Henry T Stelfox
{"title":"A North Star Vision: Results from a Deliberative Dialogue to Identify Policy Strategies to Improve Value in Healthcare.","authors":"Amity E Quinn, Rachelle Drummond, Fiona Clement, Melanie Columbus, Stephana J Moss, Emily Fitzgerald, Rukhsaar Daya, Liza Mastikhina, Jeanna Parsons Leigh, Henry T Stelfox","doi":"10.12927/hcpol.2023.27089","DOIUrl":null,"url":null,"abstract":"<p><p>We hosted a deliberative dialogue with citizens (<i>n</i> = 3), policy researchers (<i>n</i> = 3), government decision makers (<i>n</i> = 3) and health system leaders (<i>n</i> = 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.</p>","PeriodicalId":39389,"journal":{"name":"Healthcare Policy","volume":"18 4","pages":"120-133"},"PeriodicalIF":0.0000,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370391/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare Policy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12927/hcpol.2023.27089","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
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.