Elective surgery wait time reduction in Canada: A synthesis of provincial initiatives

2020 ◽  
Vol 33 (3) ◽  
pp. 111-119
Author(s):  
Erica A. B. Wennberg ◽  
Julie L. Takata ◽  
David R. Urbach

In an effort to reduce wait times, Canadian provincial governments have introduced numerous wait time reduction programs and policies. The objective of this study was to provide an overview of elective surgery wait time reduction initiatives across the Canadian provinces from 2000 to 2018. Each of the 10 provincial government web sites were searched. A theoretical framework for elective surgery wait time reduction policies was developed. The final framework is broadly organized into a supply-demand-performance management model. The majority were categorized as supply-oriented initiatives, which have been implemented by all the provinces in some form. Demand-oriented initiatives have been implemented the least. Our conceptual framework may be used to categorize wait time reduction initiatives for the purpose of policy development and evaluation.

Author(s):  
Samiaji Sarosa ◽  
Jenjang Sri Lestari

This chapter examined the state of Jogjakarta’s local governments Web sites (i.e, Bantul, Sleman, Kulon Progo, City of Jogjakarta and The Special Province of Jogjakarta provincial government). There are few tools available to assess e-government Web sites. We used the framework developed by Stanton, UNPAN, Indonesian Government, and CIPSODA proposed by Heeks. Stanton’s frameworks emphasized the use of ICT by local government for better interaction with the citizen. This framework is inline with the UN framework that aimed at building a people-centred and inclusive information society. Stanton identified 4 e-government sub spaces (i.e. publish, interact, transact, and transform). Indonesian government rules were leaning toward Web-based e-government. We used those tools to evaluate and observe the impact of e-government and also observed the state of ICT infrastructure in Indonesia that might be hindering the adoption of Web-based e-government and suggested an alternative.


2018 ◽  
Vol 149 (suppl_1) ◽  
pp. S27-S27
Author(s):  
Genelle Brinkley ◽  
Angie Lee ◽  
David Bizor ◽  
Shannon White ◽  
Carmen Jones ◽  
...  
Keyword(s):  

2017 ◽  
Vol 33 (4) ◽  
pp. 434-441 ◽  
Author(s):  
David Tivey ◽  
Ning Ma ◽  
Joanna Duncan ◽  
Yasoba Atukorale ◽  
Robyn Lambert ◽  
...  

Background:There is growing trend for some surgical procedures previously performed in hospitals to be done in alternative settings, including office-based facilities. There has been some safety concerns reported in the media, which document serious adverse events following procedures performed in an office-based setting. To understand the current regulatory oversight of surgery in this setting ASERNIP-S conducted a review of the legislative and accreditation process governing these facilities in Australia.Methods:Using rapid review methodology, internet searches targeted government Web sites for relevant publicly-available documents. Use of consolidated versions of legislative instruments ensured currency of information. Standards were sourced directly from the issuing authorities or those that oversee the accreditation process.Results:Within Australia, healthcare facilities for surgery and their licensing are defined by each state and territory, which results in significant jurisdictional variation. These variations relate to the need for anesthesia beyond conscious sedation and listing of procedures in legislative instruments. In 2013, Australia adopted National Safety and Quality Health Service standards (NSQHS standards) for the accreditation of hospitals and day surgery centers; however, there is no NSQHS standard for office-based facilities. The main legislative driver for compliance is access to reimbursement schemes for service delivery.Conclusions:The legislative and accreditation framework creates a situation whereby healthcare facilities that provide services outside the various legal definitions of surgery and those not covered by a reimbursement scheme, can operate without licensing and accreditation oversight. This situation exposes patients to potential increased risk of harm when receiving treatment in such unregulated facilities.


2018 ◽  
Author(s):  
Naser Al-Barazi ◽  
Hazem Mohamed Abdelsalam Elekhteiar ◽  
Bhamare Swapnil ◽  
Bhatevara Sujit

Vojno delo ◽  
2021 ◽  
Vol 73 (1) ◽  
pp. 27-43
Author(s):  
Radiša Saković ◽  
Stanislav Stojanović ◽  
Dragan Pamučar

The current manner of evaluating the state and capabilities of the Ministry of Defense and the Serbian Armed Forces is gradually losing its relevance and partially deviates from the contemporary trends, which is why the paper singles out a special research problem, aimed at overcoming the traditional understanding of performance management, i.e. gradual introduction of the performance management process into the defense system. Taking into consideration the complexity of the mentioned research problem and the current level of the development of the defense system of the Republic of Serbia, the subject of the research is based on the possibility of considering the implementation of the performance management process of non-profit organizations within the Ministry of Defense and the Serbian Armed Forces. In this regard, the paper starts from the hypothetical view that certain elements of the performance management model of non-profit organizations can be successfully implemented within the defense system. The objective of this paper is to point out the possibility of developing similar solutions in the Ministry of Defense and the Serbian Armed Forces through the presentation of a strategic map and the dashboard of the performance management model of non-profit organizations, with a brief overview of the defense systems of some foreign countries. By the implementation of the method of content analysis, focused on the comparative analysis of the considered models, the research results have confirmed the set hypothetical framework. The paper concludes that there are the objective possibilities for the implementation of the performance management process of non-profit organizations within the Ministry of Defense and the Serbian Armed Forces.


Author(s):  
Louis Helps

As part of an international trend in regional policy development towards “mainstreaming” rural issues, multiple national and regional governments have created policy lenses designed to ensure that legislation is formed with the needs of rural areas taken into account. Despite a relative lack of academic research on the effectiveness of rural lenses, the idea has been imported to multiple jurisdictions, including several Canadian provinces. This presentation will offer a comparative overview of rural lenses in jurisdictions in Europe and North America in order to achieve a better understanding of their commonalities and divergences in methods, circumstances, and effectiveness. The presentation will make use of a review of the government and academic literature conducted for an upcoming working paper by Louis Helps and Dr. Ryan Gibson. This research is the foundation of a larger project that will seek to understand the feasibility of implementing rural lenses at the provincial level in Canada.


Author(s):  
F. Dianne Lux Wigand

This author argues for a stronger end-user and citizen-centric approach to the development and evaluation of e-government services provided via the Internet. Over the past decade government agencies at all levels have created web sites that provide primarily information and only offer few two-way transactions. The predicted and hoped for resulting transformation of government at all levels due to the advent of Internet services seems yet to occur. The overall development of e-government services has been slow and uneven. To add value to existing and future government web sites, public administrators need to come to grips with a framework presented here and to understand the nature of and relationships among three variables: End-user, task, and channel characteristics and then consider their respective role and impact on channel selection. This framework along with an end-user perspective enables public administrators to assess not only the value of current information and service channels, but newer information and communication technologies such as those found in Web 2.0 or social media developments. Recommendations are offered.


2011 ◽  
pp. 2643-2656
Author(s):  
Genie N.L. Stowers

This article examines the user help and service navigation features in government Web sites and compares them across levels of government. These features are critical to ensuring that users unfamiliar with government are able to successfully and easily access e-government services and information. The research finds clear patterns in the use of similar help and navigation features across governments, leading to a conclusion that these features are diffusing in the public sector Web development field. The article concludes by stating that Web developers should work to overcome a second digital divide, one of a lack of knowledge of Web site organization and government structure. Users need to be actively assisted to find information by Web developers.


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