scholarly journals Health-weighted Composite Quality Metrics Offer Promise to Improve Health Outcomes in a Learning Health System

2013 ◽  
Vol 1 (2) ◽  
pp. 6 ◽  
Author(s):  
Scott Braithwaite ◽  
Nicholas Stine
Keyword(s):  
Health Outcomes ◽  
Health System ◽  
Quality Metrics ◽  
Learning Health System ◽  
Improve Health

Connecting patient experience, leadership, and the importance of involvement, information, and empathy in the care process

2018 ◽  
Vol 31 (6) ◽  
pp. 252-255 ◽  
Author(s):  
Jana Archer ◽  
Lynn Stevenson ◽  
Angela Coulter ◽  
Adrienne Mercer Breen
Keyword(s):  
Health Outcomes ◽  
Health System ◽  
Patient Experience ◽  
Competency Framework ◽  
Care Process ◽  
Healing Environment ◽  
Care Information ◽  
Improve Health

To improve health outcomes, restore trust, and create a safe and healing environment for patients, the health system needs to shift from being disease, system, and provider focused to being patient centred. Drawing from a patient story, this article focuses on three aspects of the care process that have a significant impact on patient experience: involvement in care, information about treatment and care, and empathy and respect. It will also provide recommendations for leaders in how to become more patient centred and aligned to the LEADS competency framework.

scholarly journals Artificial intelligence (AI) and global health: how can AI contribute to health in resource-poor settings?

2018 ◽  
Vol 3 (4) ◽  
pp. e000798 ◽  
Author(s):  
Brian Wahl ◽  
Aline Cossy-Gantner ◽  
Stefan Germann ◽  
Nina R Schwalbe
Keyword(s):  
Artificial Intelligence ◽  
Patient Safety ◽  
Global Health ◽  
Health Outcomes ◽  
Health System ◽  
Healthcare Services ◽  
Full Potential ◽  
High Profile ◽  
Resource Poor ◽  
Improve Health

The field of artificial intelligence (AI) has evolved considerably in the last 60 years. While there are now many AI applications that have been deployed in high-income country contexts, use in resource-poor settings remains relatively nascent. With a few notable exceptions, there are limited examples of AI being used in such settings. However, there are signs that this is changing. Several high-profile meetings have been convened in recent years to discuss the development and deployment of AI applications to reduce poverty and deliver a broad range of critical public services. We provide a general overview of AI and how it can be used to improve health outcomes in resource-poor settings. We also describe some of the current ethical debates around patient safety and privacy. Despite current challenges, AI holds tremendous promise for transforming the provision of healthcare services in resource-poor settings. Many health system hurdles in such settings could be overcome with the use of AI and other complementary emerging technologies. Further research and investments in the development of AI tools tailored to resource-poor settings will accelerate realising of the full potential of AI for improving global health.

System change in the spirit of reconciliation in action: The All Nations Health Partnership

2019 ◽  
Vol 33 (2) ◽  
pp. 61-64
Author(s):  
Ray J. Racette
Keyword(s):  
Health Disparities ◽  
Health Outcomes ◽  
Health System ◽  
Health Systems ◽  
System Change ◽  
Health District ◽  
System Reform ◽  
Health Partnership ◽  
Working Together ◽  
Improve Health

The urgency for reforming our health systems to improve health outcomes and service pathways is pressing and must be championed by leaders. Coalitions of the willing must be created to lead this movement. The All Nations Health Partners in Kenora, Ontario, have formed to lead health system reform in the Kenora Health District and are doing so in the spirit of Reconciliation in Action. All nations and organizations working together to reduce health disparities and improve health outcomes for all people.

Alberta’s Strategic Clinical Networks: A roadmap for the future

2019 ◽  
Vol 32 (6) ◽  
pp. 313-322
Author(s):  
Braden J. Manns ◽  
Allison Strilchuk ◽  
Mikie Mork ◽  
Tracy Wasylak
Keyword(s):  
Health Outcomes ◽  
Health System ◽  
Action Plan ◽  
Clinical Care ◽  
Transformational Change ◽  
Quality Improvements ◽  
Clinical Networks ◽  
Health Community ◽  
Wide Scale ◽  
Improve Health

Clinical networks are groups of clinicians, patients, operational leaders, and other stakeholders who work together to solve health challenges, translate evidence into practice, and improve health outcomes and clinical care. Networks enable health, community, and academic partners to align their efforts, address priority issues, and advance quality improvements, health innovation, and transformational change on a local and system-wide scale. Clinical networks have existed in some countries for nearly 20 years. Alberta first implemented clinical networks in 2012 in specific areas of health. There are now 16 Strategic Clinical Networks (SCNs) in Alberta, embedded within a province-wide health system. The SCNs have developed an action plan that builds on their experience and identifies common areas of focus. This article describes the SCNs, their impact to date, and the objectives, areas of focus, and processes Alberta’s SCNs will use to improve health outcomes and health system performance over the next 5 years.

Generating Knowledge from Best Care: Advancing the Continuously Learning Health System

2016 ◽  
Vol 6 (9) ◽  
Author(s):  
Edward Abraham ◽  
◽  
Carlos Blanco ◽  
Celeste Castillo Lee ◽  
Jennifer B. Christian ◽  
...  
Keyword(s):  
Health System ◽  
Learning Health System

scholarly journals The impact of economic sanctions on health and health systems in low- and middle-income countries

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Suhrcke ◽  
M Pinna Pintor ◽  
C Hamelmann
Keyword(s):  
Health Outcomes ◽  
Health System ◽  
Health Systems ◽  
Grey Literature ◽  
Economic Sanctions ◽  
Political Crisis ◽  
Middle Income ◽  
Financial Flows ◽  
Adverse Health ◽  
The Impact

Abstract Background Economic sanctions, understood as measures taken by one state or a group of states to coerce another into a desired conduct (eg by restricting trade and financial flows) do not primarily seek to adversely affect the health or health system of the target country's population. Yet, there may be indirect or unintended health and health system consequences that ought to be borne in mind when assessing the full set of effects of sanctions. We take stock of the evidence to date in terms of whether - and if so, how - economic sanctions impact health and health systems in LMICs. Methods We undertook a structured literature review (using MEDLINE and Google Scholar), covering the peer-reviewed and grey literature published from 1970-2019, with a specific focus on quantitative assessments. Results Most studies (23/27) that met our inclusion criteria focus on the relationship between sanctions and health outcomes, ranging from infant or child mortality as the most frequent case over viral hepatitis to diabetes and HIV, among others. Fewer studies (9/27) examined health system related indicators, either as a sole focus or jointly with health outcomes. A minority of studies explicitly addressed some of the methodological challenges, incl. control for relevant confounders and the endogeneity of sanctions. Taking the results at face value, the evidence is almost unanimous in highlighting the adverse health and health system effects of economic sanctions. Conclusions Quantitatively assessing the impact of economic sanctions on health or health systems is a challenging task, not least as it is persistently difficult to disentangle the effect of sanctions from many other, potentially major factors at work that matter for health (as, for instance, war). In addition, in times of severe economic and political crisis (which often coincide with sanctions), the collection of accurate and comprehensive data that could allow appropriate measurement is typically not a priority. Key messages The existing evidence is almost unanimous in highlighting the adverse health and health system effects of economic sanctions. There is preciously little good quality evidence on the health (system) impact of economic sanctions.

scholarly journals Sustainable generation of patient‐led resources in a learning health system

2021 ◽  
Author(s):  
Jennie David ◽  
Catalina Berenblum Tobi ◽  
Samantha Kennedy ◽  
Alexander Jofriet ◽  
Madeleine Huwe ◽  
...  
Keyword(s):  
Health System ◽  
Learning Health System

Shared Use and Safe Routes to School: Managing the Fear of Liability

2015 ◽  
Vol 43 (S1) ◽  
pp. 36-39 ◽  
Author(s):  
Benjamin D. Winig ◽  
John O. Spengler ◽  
Alexis M. Etow
Keyword(s):  
Physical Activity ◽  
Health Outcomes ◽  
Community Health ◽  
School Administrators ◽  
Policy Initiatives ◽  
Safe Routes To School ◽  
Improve Health

This paper examines two policy initiatives that research shows can increase opportunities for physical activity and, in turn, improve health outcomes. These initiatives — shared use and Safe Routes to School (SRTS) — can and should be embraced by schools to improve student and community health. Fear of liability, however, has made many schools reluctant to support these efforts despite their proven benefits. This paper addresses school administrators’ real and perceived liability concerns and identifies four strategies for managing the fear of liability and mitigating any potential liability exposure.

Establishing a learning healthcare system to improve health outcomes for people with epilepsy

2021 ◽  
Vol 117 ◽  
pp. 107805
Author(s):  
Maria A. Donahue ◽  
Susan T. Herman ◽  
Deepika Dass ◽  
Kathleen Farrell ◽  
Alison Kukla ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Healthcare System ◽  
Learning Healthcare System ◽  
Improve Health
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