scholarly journals Typology of Indigenous health system governance in Canada

2021 ◽  
Author(s):  
Gregory P. Marchildon ◽  
Josée G. Lavoie ◽  
H. James Harrold
Keyword(s):  
Health System ◽  
Indigenous Health ◽  
Health System Governance

scholarly journals Empirically evaluating the impact of adjudicative tribunals in the health sector: context, challenges and opportunities

2011 ◽  
Vol 7 (2) ◽  
pp. 147-174
Author(s):  
Steven J. Hoffman ◽  
Lorne Sossin
Keyword(s):  
Health System ◽  
Health Sector ◽  
Cost Effective ◽  
System Level ◽  
Challenges And Opportunities ◽  
External Impact ◽  
Health System Governance ◽  
Evaluation Matrix ◽  
The Impact ◽  
Methodological Difficulties

AbstractAdjudicative tribunals are an integral part of health system governance, yet their real-world impact remains largely unknown. Most assessments focus on internal accountability and use anecdotal methodologies; few, studies if any, empirically evaluate their external impact and use these data to test effectiveness, track performance, inform service improvements and ultimately strengthen health systems. Given that such assessments would yield important benefits and have been conducted successfully in similar settings (e.g. specialist courts), their absence is likely attributable to complexity in the health system, methodological difficulties and the legal environment within which tribunals operate. We suggest practical steps for potential evaluators to conduct empirical impact evaluations along with an evaluation matrix template featuring possible target outcomes and corresponding surrogate endpoints, performance indicators and empirical methodologies. Several system-level strategies for supporting such assessments have also been suggested for academics, health system institutions, health planners and research funders. Action is necessary to ensure that policymakers do not continue operating without evidence but can rather pursue data-driven strategies that are more likely to achieve their health system goals in a cost-effective way.

scholarly journals HCFMUSP: Resilience in Response to the COVID-19 Pandemic

2021 ◽  
Vol 25 (spe) ◽  
Author(s):  
Marcelo Caldeira Pedroso ◽  
João Teixeira Pires ◽  
Ana Maria Malik ◽  
Antonio José Rodrigues Pereira
Keyword(s):  
Knowledge Management ◽  
Health System ◽  
Crisis Management ◽  
System Capacity ◽  
New Disease ◽  
Healthcare Operations ◽  
Teaching Case ◽  
Health System Governance ◽  
Emergency Actions ◽  
The Impact

ABSTRACT The teaching case describes a set of emergency actions taken by HCFMUSP to manage the needs brought by the COVID-19 pandemic in Brazil. The case objective considers the issues related to the impact of the pandemic mostly in healthcare operations, emphasizing how to: (a) adapt health system governance in response to a crisis (crisis management); (b) manage the health system capacity, which traditionally is not so resilient; (c) deal with a new disease (knowledge management). Thus, it should allow gathering elements for the management of future crises.

Addressing the knowledge gap of Indigenous public health: reflections from an Indigenous public health graduate

2020 ◽  
Vol 49 (2) ◽  
pp. 110-118
Author(s):  
Natasha Lee
Keyword(s):  
Public Health ◽  
Transformative Learning ◽  
Health System ◽  
Health Professionals ◽  
Indigenous Health ◽  
Core Competencies ◽  
Public Health Practice ◽  
Practical Training ◽  
Public Health Training ◽  
Problem Solvers

AbstractThe current agenda in public health training in higher education works to produce well-trained public health professionals. Operating within a western pedagogical framework it aims to build a cohort of critical and analytical thinkers, skilful problem solvers and extraordinary communicators across key disciplines in health. Many graduates possess interdisciplinary specialities, skills and knowledge transferable within health and other sectors. Core competencies in the curricula, which notably does not currently include Indigenous health, are considered the foundational platform of theory and practical understandings of public health and the health system. Despite a framework that aims to produce health professionals capable of improving the health of the population as a whole; the lack of engagement with an Indigenous health criticality maintains a longstanding Australian public health tradition of failure when it comes to addressing the health disparities experienced by Indigenous people. As a recent Indigenous public health graduate with practical training and experience working in the public health system, I consider possibilities for decolonising the curricula through an Indigenist approach to health, including theories of transformative learning which could strengthen public health practice and in turn facilitate the changes necessary to improving Indigenous health outcomes.

scholarly journals Informal Payments and Health System Governance in Serbia: A Pilot Study

SAGE Open ◽  
2017 ◽  
Vol 7 (3) ◽  
pp. 215824401772832 ◽  
Author(s):  
Sofie Buch Mejsner ◽  
Leena Eklund Karlsson
Keyword(s):  
Pilot Study ◽  
Health System ◽  
Informal Payments ◽  
Health System Governance

Part IV Federalism, B Federalism in Context, Ch.21 Federalism and Health Care in Canada: A Troubled Romance?

2017 ◽  
Author(s):  
Flood Colleen ◽  
Lahey William ◽  
Thomas Bryan
Keyword(s):  
Health Care ◽  
Health System ◽  
Federal Government ◽  
Prescription Drugs ◽  
International Comparisons ◽  
Aboriginal Health ◽  
Concerted Action ◽  
Physician Services ◽  
Canadian Federalism ◽  
Health System Governance

Canadian federalism fragments health system governance. Although the Constitution has been interpreted as providing shared jurisdiction over health generally, with respect to health care, the courts have interpreted it as giving direct jurisdiction to the provinces. The federal role in health care is therefore indirect, but nevertheless potentially powerful. For example, the federal government has used its spending powers to establish the Canada Health Act (CHA), which commits funding to provinces on condition they provide first-dollar public coverage of hospital and physician services. However, in recent times, as federal contributions have declined, the CHA has been weakly enforced. Further, the failure to broaden the CHA to include prescription drugs, dentistry, and other important aspects of health care have contributed to Canada’s abysmal record on Aboriginal health and its increasingly poor rankings in international comparisons. Progress requires enforcement of an adequately funded CHA, national pharmacare, and concerted action on Aboriginal health.

scholarly journals Health system governance: welcoming the reboot

2020 ◽  
Vol 5 (8) ◽  
pp. e002404 ◽  
Author(s):  
Bruno Meessen
Keyword(s):  
Health System ◽  
Health System Governance

scholarly journals Mental health system governance in Nigeria: challenges, opportunities and strategies for improvement

2016 ◽  
Vol 3 ◽  
Author(s):  
J. Abdulmalik ◽  
L. Kola ◽  
O. Gureje
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Health System ◽  
Health Systems ◽  
Mental Health System ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health System Governance ◽  
Low And Middle Income

IntroductionA health systems approach to understanding efforts for improving health care services is gaining traction globally. A component of this approach focuses on health system governance (HSG), which can make or mar the successful implementation of health care interventions. Very few studies have explored HSG in low- and middle-income countries, including Nigeria. Studies focusing on mental health system governance, are even more of a rarity. This study evaluates the mental HSG of Nigeria with a view to understanding the challenges, opportunities and strategies for strengthening it.MethodologyThis study was conducted as part of the project, Emerging Mental Health Systems in Low and Middle Income Countries (Emerald). A multi-method study design was utilized to evaluate the mental HSG status of Nigeria. A situational analysis of the health policy and legal environment in the country was performed. Subsequently, 30 key informant interviews were conducted at national, state and district levels to explore the country's mental HSG.ResultsThe existing policy, legislative and institutional framework for HSG in Nigeria reveals a complete exclusion of mental health in key health sector documents. The revised mental health policy is however promising. Using the Siddiqi framework categories, we identified pragmatic strategies for mental health system strengthening that include a consideration of existing challenges and opportunities within the system.ConclusionThe identified strategies provide a template for the subsequent activities of the Emerald Programme (and other interventions), towards strengthening the mental health system of Nigeria.

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