Canada - More Collaborative Family Practice Teams Being Strengthened to Enhance Access to Comprehensive Primary Health Care
Nova Scotia is strengthening its Collaborative Family Practice Teams. Fifteen nurse practitioners, 17 family practice nurses, six social workers and a physiotherapist will join 23 collaborative family practice teams in 17 communities. The goal is to give patients better access to collaborative primary health care throughout the province.
Finland - Government proposes freedom of choice in health and social services
The Finnish government has proposed legislation to increase clients’ freedom of choice as part of regional government, health, and social services reform. The bill would allow publicly funded health and social services to be provided by public, private and third-sector operators. Clients would have more freedom to choose service providers that best suit their needs.
UK - New shift worker guidance
Healthcare employees are often assigned shift work that can affect sleeping patterns. The UK National Health Service (NHS) developed this guidance that highlights key health, safety and wellbeing issues associated with the risks of shift work. The guidance includes information on organizational and individual management of risk and ways to optimize workers’ wellbeing.
International - World Health Innovation Network Releases Ground breaking Innovation Procurement Cases
The World Health Innovation Network (WIN) has published a series of case studies providing real-world evidence of the impact of innovation in procurement practices. The case studies can be used to inform policy, build health system capacity to adopt innovation, and as educational tools for organizations involved with evaluation and scalability in health systems.
Greece - European Conference on Health Workforce Education and Research
Leadership, communication and intercultural education are the themes of this year’s conference, taking place in Athens, Greece, on May 24 and 25. Presentations will look at innovative practices in developing cultural and professional values in leaders, in communication with the health workforce, and in increasing intercultural competence.
Italy - Health Promotion Strategies to Achieve Reorientation of Health Services: Evidence-Based Policies and Practices
The 26th international conference on health promoting hospitals and health services takes place in Bologna, Italy, from June 6 to 8, 2018. It will explore the incorporation of health promotion into disease management programs and the coordination and integration of care to equip people with the skills and opportunities to participate in their health.
Reports and Issue Portfolios
Canada - How Canadian Health Care Differs from Other Systems
Canada’s approach to health policy is much more restrictive than in other developed countries with more successful universal health-care systems, notably on the use of the private sector and patient cost-sharing, finds a new study released by the Fraser Institute.
Canada - Mental Health and Addictions System Performance in Ontario: A Baseline Scorecard
This scorecard assesses mental health and addictions care in outpatient physician and acute care settings in Ontario from 2006 to 2014. The scorecard comprises 10 performance indicators that describe how well the health system responded to patient needs, along with eight contextual indicators reflecting the services provided and patient outcomes. Performance on each indicator is evaluated by age, sex, geography, neighbourhood income, and immigration status.
Europe - A New Drive for Primary Care in Europe: Rethinking the Assessment Tools and Methodologies
Overseen by an expert panel convened by the European Union (EU), this report looks at tools used to assess performance in primary care. It explores indicators, methodologies, and quality assurance while seeking to understand the impact of performance assessment. It finds that Europe’s primary care performance assessment systems currently vary in strength and makes seven recommendations to embed performance assessment in policy processes.
Europe - Comparing public and private providers: a scoping review of hospital services in Europe
Authored by two Finnish academics, this scoping review of 24 prior studies (17 on economic issues and six on quality of care) compares the performance of 5,500 public and private hospitals in Europe. Public hospitals were most frequently found to have better economic performances and quality of care than private hospitals. Private for-profit hospitals performed worse on these measures than private non-profit hospitals.
UK - Health matters: community-centred approaches for health and wellbeing
Published by Public Health England (PHE), this professional resource focuses on the concept and practice of community-centred approaches to health and wellbeing and outlines how to create conditions that enable community assets to thrive. The resource relies on data from the 2016-17 England Community Life Survey that asked people how they felt about their communities and their role within them.
UK - Nurse Staffing for Safe and Effective Care
Released by the Royal College of Nursing (RCN), this position statement on nurse staffing calls for optimum staffing levels to ensure safe and effective care. It urges a review of non-nursing duties currently undertaken by registered nurses. Administrative and technological support for nurses should be increased to free up time to provide nursing care.
USA - Partnering to Succeed. How small health centers can improve care and thrive under value-based payment
In the US, small health centres (those with fewer than 10,000 patients or an annual budget of $10 million or less) face unique challenges in securing capital, building strong data capabilities, negotiating favourable rates with vendors, and securing contracts with health plans. This paper investigates seven types of partnerships for small health centres and reviews the advantages and disadvantages of each partnership type.
USA - How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation
Seeking to understand key organizational factors for implementing patient-centred care, authors of this study conducted interviews with 108 employees of four US Department of Veterans Affairs medical centres. Actions found to foster patient-centred care were grouped by the investigators into seven domains: leadership; patient and family engagement; staff engagement; focus on innovations; alignment of staff roles and priorities; organizational structures and processes; and environment of care.
USA - A systematic review of team-building interventions in non-acute healthcare settings
Healthcare is increasingly delivered in a team-based format emphasizing interdisciplinary coordination. Analyzing the evidence base for team-building interventions in non-acute settings (primary care and rehabilitation clinics), this systematic review examined 14 team-building interventions and 25 manuscripts describing empirical studies of these interventions. A lack of control conditions, inconsistency in outcome measures, and high probability of bias tempered positive findings regarding the utility of team-building interventions.
International - Organizational- and system-level characteristics that influence implementation of shared decision-making and strategies to address them — a scoping review
Shared decision-making (SDM) is poorly implemented in routine care, despite being promoted by health policies. Conducted by German and American researchers, this scoping review of 48 publications on 32 distinct implementation projects compiles a comprehensive overview of organizational and system-level characteristics that are likely to influence the implementation of SDM, and describes strategies to address those characteristics found in the literature.
Last update: July 18, 2019