Healthcare quarterly (Toronto, Ont.)最新文献

Workplace mental health is a critical concern. Forty per cent of healthcare workers experience burnout, half intend to leave the profession and only 60% express satisfaction with the quality of care they provide. These statistics highlight the urgency for innovative and holistic approaches to support well-being within healthcare organizations. This article focuses on an organization that prioritizes the mental health of its 8,000 distributed staff. Guided by the values of love, life care and work with purpose, the organization implemented strategies to strengthen its culture, develop leadership and create supportive environments. Emphasis was placed on interventions to mitigate stress and fatigue. Successes and lessons learned are shared, offering a blueprint for other organizations.

In the quest by health leaders to create the conditions necessary for the delivery of safe, high-quality care, this issue of Healthcare Quarterly (HQ) is pleased to offer some promising approaches and resources for establishing healthy workplaces. We are all too aware that the workforce - as the backbone of the health system - is facing severe pressures. The demand for healthcare workers is outpacing supply, which necessitates innovative solutions to retain those already in the system.

This essay explores the necessity and return on investment for business model innovation in Canada's healthcare system, questioning the traditional approach of rapid product development. It highlights the pressing need for innovative solutions to address the challenges posed by an aging population, with one-third of Canadians over 65 years of age managing multiple chronic conditions (Statistics Canada 2024). The discussion aims to redefine healthcare innovation strategies to enhance healthcare delivery and sustainability.

This qualitative case study explores the perspectives of approximately 270 leaders at all levels within Canada's largest community hospital to identify the qualities of effective leaders and their aspirations for the future of healthcare leadership. Responses to a structured visioning exercise with three open-ended prompts were anonymously collected, sorted using ChatGPT and thematically analyzed. Connection, integrity and impact were identified as central to effective leadership. These results align with and expand on existing leadership competency frameworks and inform the culture that is essential to building the healthcare leader workforce of tomorrow.

Background: This project aimed to go beyond published literature to glean strategies and lessons learned on quality and safety (Q&S) best practices from centres with pre-eminent international reputations.

Methods: Nine centres participated in an interview; questions centred on approaches to building Q&S infrastructure around the Institute for Healthcare Improvement's (IHI's) Whole System Quality (WSQ) framework (Sampath et al. 2021).

Results: Inductive thematic analyses revealed recommendations for quality planning (e.g., making Q&S the central focus of an organization), quality control (e.g., triangulating Q&S metrics) and quality improvement (e.g., Q&S champions at all levels).

Conclusion: Recommendations provide a practical guide for the successful implementation of the IHI WSQ framework.

Lung cancer and chronic obstructive pulmonary disease (COPD) have many shared risk factors and not surprisingly, the two diseases often coexist. This article highlights the burden of COPD among patients with lung cancer in Ontario and explores opportunities to enhance lung cancer screening programs. We propose pursuing integrated strategies that incorporate new advances in artificial intelligence to improve disease diagnostics and navigate the complexity of caring for people with coexisting lung diseases. Evidence supports that this is a vulnerable population with unmet needs and poor outcomes that deserves urgent attention and action to promote earlier diagnosis and alleviate suffering.

Windsor Shelter Health is an integrated program that offers comprehensive on-site medical services at shelters and drop-in centres for people experiencing homelessness in Windsor, ON. Although homelessness exists in most Canadian communities, there is more understanding of homelessness responses in larger urban centres. Windsor is a mid-sized border city in southwestern Ontario. Here, we explore the structures and processes that have been used to build a shelter health model in a city of this size and some early outcomes. Examples of these include a thoughtful governance structure, a shared electronic medical record, co-location of services, embedded research and educational programs, sustainable funding sources and collaboration between partners. Using this model, we were able to divert patient visits from the emergency department to be better managed in an outpatient setting, increase patient attachment to primary care and create novel avenues for education for both learners and staff in Windsor. Therefore, we demonstrate why these are essential components of this new program, and how other mid- and smaller-sized cities might incorporate these elements into their own shelter health programs.

In October 2024, our team of co-editor-in-chiefs attended the North America Conference on Integrated Care in Calgary, AB. The conference provided an opportunity to learn from Canadian and international presenters about the progress toward greater collaboration and integration across health and social care. It was energizing to see how much leading-edge work is happening across Canada and reflect on the importance of creating purposeful space for knowledge sharing. Our team came away re-energized and committed to our work with Healthcare Quarterly (HQ) to continue bringing our readers examples of communities, organizations and teams implementing innovative solutions to some of our most complex system challenges.

People living with dementia follow different healthcare trajectories based on the individual healthcare needs and external supports available to them. We explored healthcare trajectories involving home care and long-term care settings, associated factors and hospitalizations prior to transitioning to these settings. This study was part of a collaborative project between the Canadian Institute for Health Information and the Public Health Agency of Canada that supported the implementation of the national dementia strategy (PHAC 2019) through the Enhanced Dementia Surveillance Initiative (Government of Canada 2023). This initiative aimed to inform public health actions with new findings from surveillance and data.

This article analyzes findings from the Health Standards Organization's new Global Workforce Survey (GWS). The GWS enables healthcare organizations to measure, analyze and benchmark their workforce's perceptions of working conditions, safety culture and care quality against peers. The GWS measures key features of The National Standard of Canada for Psychological Health and Safety in the Workplace (CSA Group and Bureau de normalisation du Québec 2013; MHCC 2013). The article highlights how psychological health and safety in Canadian healthcare organizations can enhance the well-being of workers, improve patient care and ultimately contribute to a more effective healthcare system.