Canada - Ontario Taking Next Step in Building a Connected Public Health Care System for Patients This hyperlink will open in a new window.
Ontario's government is creating healthcare teams that integrate care and funding to provide comprehensive services in local communities. Under the new Ontario Health Teams, local providers will work as coordinated teams to deliver primary care, hospital and mental health services, long-term care, and home and community care.

Canada – New Brunswick: Consultations to support dementia strategy and action plan This hyperlink will open in a new window.
New Brunswick has begun public consultations towards developing a provincial dementia strategy and action plan. Alzheimer’s disease and related dementias currently affect more than 12,000 people in the province, about 7% of its senior population. The number of seniors with dementia is expected to double by the year 2038.

International - Uneven access to health services drives life expectancy gaps This hyperlink will open in a new window.
New statistics released by the WHO show that large gaps in life expectancy between rich and poor countries are mainly driven by uneven access to health services. Globally, men access health care less than women despite having higher rates of disease, injury and mental health problems. Women outlive men everywhere in the world.

International - 1 in 4 health care facilities lacks basic water services – UNICEF, WHO This hyperlink will open in a new window.
UNICEF has published a global survey of sanitation and hygiene in healthcare facilities. It finds that one in four lack basic water services, affecting two billion people internationally. Many facilities have no safe way to dispose of biomedical waste. Currently, about 17 million women give birth each year in places that lack running water.

Upcoming Events

Canada - Canadian Conference on Physician Health This hyperlink will open in a new window.
The Canadian Medical Association is holding this conference in St. John's Newfoundland from October 3 to 5, 2019. It will showcase practical skills and strategies for improving physician health and wellness. The theme is "Changing Tides: Shifting cultures and creating safe spaces," and presentations will address issues such as workload, practicing in rural settings, peer support and transitions in and out of practice.

Norway - 20th Nordic Workshop in Evidence-Based Practice
This workshop will be held from May 20 to 24 near Oslo in Norway. The faculty includes leading researchers and educators from the Nordic countries and internationally. Participants will gain insight into use of best evidence in decisions about patient care and the delivery of health services.

Reports and Issue Portfolios

Australia - A study of macro-, meso- and micro-barriers and enablers affecting extended scopes of practice: the case of rural nurse practitioners in Australia This hyperlink will open in a new window.
In Australia's rural areas, nurse practitioners (NP) take on extra roles to address health service gaps. This study explores the perceptions of 20 rural NPs about the barriers and enablers experienced within their extended scope of practice. Data analysis was guided by a socio-institutional lens combining macro-, meso- and micro-perspectives and focusing on structural factors, community attitudes, and daily routines. Regulatory barriers were the biggest concern.

Canada - Do Incentive Payments Reward The Wrong Providers? A Study Of Primary Care Reform In Ontario, Canada This hyperlink will open in a new window.
This Ontario study used administrative databases to examine an “access bonus” payment designed to incentivize primary care access and minimize primary care visits outside of capitation practices. The study found that the access bonus flowed disproportionately to physicians outside large cities and to those whose patients made fewer visits. The authors say this indicates a lack of alignment between the payments and their intended purpose.

Canada - Resolving wicked problems: key factors and resources This hyperlink will open in a new window.
Public policy questions that involve complex social issues such as climate change or health inequalities are sometimes referred to as 'wicked problems' because they are difficult to define, offer no apparent solutions, affect an array of other problems and are resistant to intervention. This document highlights key factors and resources for dealing with wicked problems and offers practical examples for addressing them.

Europe - Can people afford to pay for health care? New evidence on financial protection in Europe This hyperlink will open in a new window.
Examining data from 24 countries on unmet need and financial hardship, this WHO report assesses whether people in Europe can afford to pay for healthcare. The report shows that catastrophic health spending is concentrated among poor households, and summarizes actions to strengthen coverage policies. Gaps in coverage arise from the poor design of three policy areas: population entitlements, benefits packages and user charges.

Europe - Tools and Methodologies to Assess the Efficiency of Health Care Services in Europe This hyperlink will open in a new window.
The European Union (EU) Expert Group on Health Systems Performance Assessment (HSPA) produced this report to explore healthcare efficiency measurement and assessment across EU countries. It finds considerable variation in how countries conceptualize and measure healthcare efficiency. Measurement methodologies are still at a developmental stage in many countries, with data constraints limiting the scope of analysis to hospital care. Few standardized indicators currently exist.

UK - Staffing on Wards. Making decisions about healthcare staffing, improving effectiveness and supporting staff to care well This hyperlink will open in a new window.
Published by the National Institute for Health Research (NIHR), this review of hospital ward staffing in the National Health Service (NHS) provides a detailed snapshot of staffing strategy, policy, organization and practice. Focusing primarily on the ward roles of registered nurses, the review also considers other professions, including medical staff, specialist nurses, physiotherapists and pharmacists. Three prior NIHR-funded studies are highlighted to provide more depth.

UK - Developing and evaluating a tool to measure general practice productivity: a multimethod study This hyperlink will open in a new window.
Ways to measure the performance of general practices remain limited. The present study developed a new productivity measure, the General Practice Effectiveness Tool (GPET). The 50 practices participating in the yearlong study entered data on 52 indicators monthly and received automated feedback on changes in effectiveness over time. Reaction to GPET's usefulness was varied: its average rating was 4 out of 10.

International - Factors Affecting the Adoption of Connected Objects in e-Health: A Mixed Methods Approach This hyperlink will open in a new window.
Using a combination of qualitative and quantitative research methods, this study investigated factors affecting the adoption of connected objects (COs) in e-health. After conducting semi-structured interviews, a research model was tested on a sample of 226 professionals in an online survey. Findings indicated that perceived convenience and social influence affect CO adoption, providing insight into how to successfully launch connected devices.

International - Healthy working time arrangements for healthcare personnel and patients: a systematic literature review This hyperlink will open in a new window.
Long work hours in healthcare settings are often said to lead to poor patient outcomes because of adverse impacts on employee abilities and health. This systematic review of 52 studies investigates whether employee health is at the nexus of a relationship between working time arrangements and patient safety. Results show that studies in which providers found work schedules onerous also generally found detrimental results for patient safety.