scholarly journals Untangling complexity as a health determinant

2020 ◽  
Vol 11 (1) ◽  
pp. 131-135
Author(s):  
Samuel Petrie ◽  
Paul Peters
Keyword(s):  
Decision Making ◽  
Human Resources ◽  
Healthcare System ◽  
Wicked Problems ◽  
Decision Makers ◽  
Health Determinant ◽  
Policy Makers ◽  
Linear Manner ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

As the healthcare system has modernized, it has also become rich with complexity. This complexity continues to foster the creation of wicked problems that at first consideration appear inherently insoluble. To compound matters, policy-makers and decision-makers continue to view the healthcare system in a reductionistic, linear manner. This paper advocates that all stakeholders within the system (policy-makers, providers, and patients) become comfortable with complexity as a determinant of health, and offers tools for productively working with complexity, instead of trying to solve it. These tools include complexity heuristics, adjusting to an emergent decision-making paradigm, and easing the anxiety associated with ambiguity and paradox by becoming antifragile. By adopting these methods, the health determinant of complexity within the Canadian healthcare system can be effectively handled. This will lead to sustainable and scalable interventions, strong patient-partners in care, and efficient use of monetary and human resources.

Executive Briefing

1988 ◽  
Vol 1 (3) ◽  
pp. 6-10
Author(s):  
Charles A. Shields
Keyword(s):  
Healthcare System ◽  
Free Trade ◽  
Free Trade Agreement ◽  
Trade Agreement ◽  
Policy Makers ◽  
Healthcare Executives ◽  
Canadian Healthcare System ◽  
Canadian Healthcare ◽  
The U.S

Although discussion and debate are continuing on the Free Trade Agreement between Canada and the U.S., implementation is expected to take place on January 1, 1989. In April 1988, CCHSE hosted a workshop, attended by senior healthcare executives and policy makers, to explore the effects of the Agreement on the Canadian healthcare system. Participants raised a number of important questions. While some areas might possibly see changes, most views were that, overall, the Free Trade Agreement would not have serious implications. Many also believed that finding ways to market Canada's healthcare expertise in the U.S. and the expected boost in the Canadian economy would be positive aspects of the Agreement.

scholarly journals Research use at the Ministry of Health in Burkina Faso: the decision-makers’ perspective

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Christian Dagenais
Keyword(s):  
Decision Making ◽  
Knowledge Transfer ◽  
Burkina Faso ◽  
Informed Decision ◽  
Communication Strategy ◽  
Decision Makers ◽  
Research Use ◽  
Informed Decision Making ◽  
Ministry Of Health ◽  
Policy Makers

Abstract Background Despite the increased emphasis placed on the use of evidence for policy development, relatively few initiatives have been developed to support evidence-informed decision-making, especially in West Africa. Moreover, studies examining the conditions under which policy-makers use research-based evidence are still scarce, but they show that their attitudes and opinions about research are one of the main determinants of such use. In February 2017, Burkina Faso’s Minister of Health planned to create a unit to promote evidence-informed decision-making within the ministry. Before the unit was set up, documenting the attitudes towards research at the highest levels of his Ministry appeared profitable to the unit’s planning. Method Individual interviews were conducted by the author with 14 actors positioned to consider evidence during decision-making from the Burkina Faso’s Minister of health cabinet. An interview grid was used to explore several themes such as attitudes towards research, obstacles and facilitators to research use, example of research use in decision-making and finally, ways to increase decision-makers’ participation in knowledge transfer activities. Interviews were partially transcribed and analysed by the author. Results The results show a mixed attitude towards research and relatively little indication of research use reported by respondents. Important obstacles were identified: evidence inaccessibility, lack of implementation guidelines, absence of clear communication strategy and studies’ lack of relevance for decision-making. Many suggestions were proposed such as raising awareness, improving access and research communication and prioritizing interactions with researchers. Respondents agree with the low participation of decision-makers in knowledge transfer activities: more leadership from the senior officials was suggested and greater awareness of the importance of their presence. Conclusions The conclusion presents avenues for reflection and action to increase the potential impact of the knowledge transfer unit planned within the Ministry of Health of Burkina Faso. This innovative initiative will be impactful if the obstacles identified in this study and policy-makers’ preferences and needs are taken into account during its development and implementation.

Cross-border gestational surrogacy and the Canadian healthcare system

2020 ◽  
Vol 42 (5) ◽  
pp. 691-692
Author(s):  
Kristen Simone ◽  
Allison Thiele
Keyword(s):  
Healthcare System ◽  
Cross Border ◽  
Gestational Surrogacy ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

The Canadian Healthcare System: The Future of American Healthcare?

1996 ◽  
Vol 74 (3) ◽  
pp. 25-31 ◽  
Author(s):  
Laurent LeBien
Keyword(s):  
Healthcare System ◽  
The Future ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

scholarly journals An analysis of the French healthcare system in the context of geriatric care

2017 ◽  
Vol 86 (2) ◽  
pp. 70-72
Author(s):  
Hong Yu (Andrew) Su ◽  
Lilian Jade Robinson
Keyword(s):  
Healthcare System ◽  
Wait Time ◽  
Geriatric Care ◽  
Healthcare Outcomes ◽  
Geriatric Population ◽  
Positive Elements ◽  
Long Run ◽  
Per Capita ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

The geriatric population occupy a progressively greater portion of the Canadian demographic spectrum. They often present with multiple comorbidities and utilize a disproportionate amount of healthcare resources per capita. Keeping current Canadian healthcare practices may become unsustainable in the long run, and comparison with the French healthcare system may help with the identification of current shortfalls. The Canadian healthcare system lags behind the French counterpart in several key healthcare indicators, including per capita spending, growth in expenditure, and specialist wait time. The French healthcare system is characterized by a mix of public and private healthcare choices, greater emphasis on preventative health and an nationwide integration. All of these may have contributed to the French healthcare system’s better fiscal spending practices and healthcare outcomes. The Canadian healthcare system should take note of these differences and integrate positive elements to create a model better prepared for geriatric care in the foreseeable future. More in-depth studies may be needed to better assess the extent of adaptation for each of the aforementioned areas.

scholarly journals Defining Health Profession Regulators’ Roles in the Canadian Healthcare System

2017 ◽  
Vol 16 (4) ◽  
pp. 4-7
Author(s):  
Joshua Tepper ◽  
Humayun Ahmed ◽  
Adalsteinn Brown
Keyword(s):  
Healthcare System ◽  
Health Profession ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

A focus group qualitative study of HIV stigma in the Canadian healthcare system

2016 ◽  
Vol 25 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Anne C. Wagner ◽  
Kelly E. McShane ◽  
Trevor A. Hart ◽  
Shari Margolese
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Healthcare System ◽  
Hiv Stigma ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

The Canadian healthcare system: It needs enhancement

2016 ◽  
Vol 29 (4) ◽  
pp. 107-114 ◽  
Author(s):  
Thomas P Weil
Keyword(s):  
Healthcare System ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

The burden of cirrhosis on the Canadian healthcare system: a comparison between alcoholic and non-alcoholic cirrhosis patients

2020 ◽  
Vol 73 ◽  
pp. S715-S716
Author(s):  
Hassan Azhari ◽  
Mark G Swain ◽  
Kelly Burak ◽  
Abdel-Aziz Shaheen
Keyword(s):  
Healthcare System ◽  
Alcoholic Cirrhosis ◽  
System A ◽  
Canadian Healthcare System ◽  
Canadian Healthcare
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