Toward a Healthcare Strategy for Canadians


Book Description

While Canadians are proud of their healthcare system, the reality is that it is fragmented and disorganized. Instead of a pan-Canadian system, it is a "system of systems" - thirteen provincial and territorial systems and a federal system. As a result, Canadian healthcare has not only become one of the costliest in the world, but is falling well behind many developed countries in terms of quality. Canadians increasingly realize that their healthcare system is no longer fiscally sustainable, yet change remains elusive. The standard claim is that Canada's multijurisdictional approach makes system-wide reform nearly impossible. Toward a Healthcare Strategy for Canadians disputes this reasoning, making the case for a comprehensive, system-wide, made-in-Canada healthcare strategy. It looks at the mechanics of change and suggests ways in which the various participants in the system - governments, healthcare professionals, the private sector, and patients - can work collaboratively to transform a second-rate system. Addressing critical issues of health human resources, electronic health records, integrated care, and pharmacare, Toward a Healthcare Strategy for Canadians shows how a system-wide strategic approach to this crucial policy area can make a difference in Canada’s healthcare system in the future.




Managing a Canadian Healthcare Strategy


Book Description

Canada’s fragmented healthcare system is one of the most expensive among the OECD countries, yet the quality of its performance is mediocre at best. Canada lacks a system-wide healthcare strategy that brings together many individual federal, provincial, and territorial strategies into a comprehensive and coherent whole. Managing a Canadian Healthcare Strategy is a collection of ten policy research essays by leading Canadian and international scholars who address three important questions. First, if Canada had a unifying strategy, how would the country measure its success and monitor its performance? Second, who are the agents of change to bring about a Canadian system-wide strategy? Third, how can the jurisdictional realities of Canada’s political system be managed to bring about strategic reform? The final section in the volume explores ways to overcome the barriers and impediments that preoccupy Canadians’ concerns about healthcare. A companion volume to Toward a Healthcare Strategy for Canadians, the contributors to Managing a Canadian Healthcare Strategy turn to the critical importance of how necessary healthcare changes can be best implemented.




Toward the Health of a Nation


Book Description

Canadians view their healthcare – recognized throughout the world as an exemplary system – as iconic and integral to their identity. In Toward the Health of a Nation Leslie Boehm recounts the first seventy years in the life of one of the foundations of Canada's healthcare system, the Institute of Health Policy, Management and Evaluation at the University of Toronto. Boehm – a graduate of IHPME, and an instructor there throughout his career – charts the institute's history from its inception in 1947 as the Department of Hospital Administration to the present day. The first program of its kind in Canada, and one of the few in the world, the school was founded at a time when the issue of healthcare was becoming a significant part of national and provincial discussions and policies. Initially concentrating on hospital management and professional degrees, it has expanded to offer academic degrees and facilitate important research into health systems, policies, and outcomes. In Toward the Health of a Nation Boehm demonstrates the excellence of the program, its faculty, and its graduates, as well as their accomplishments in major government initiatives and royal commissions. In the seventy years since IHPME's inception healthcare has grown to become a major part of government and business activity, and it will only increase in coming years. An in-depth history of a major program in graduate health education, Toward the Health of a Nation highlights how important healthcare is to a modern, functional society.




Critical Inquiries for Social Justice in Mental Health


Book Description

An exceptional showcase of interdisciplinary research, Critical Inquiries for Social Justice in Mental Health presents various critical theories, methodologies, and methods for transforming mental health research and fostering socially-just mental health practices. Marina Morrow and Lorraine Halinka Malcoe have assembled an array of international scholars, activists, and practitioners whose work exposes and disrupts the dominant neoliberal and individualist practices found in contemporary mental research, policy, and practice. The contributors employ a variety of methodologies including intersectional, decolonizing, indigenous, feminist, post-structural, transgender, queer, and critical realist approaches in order to interrogate the manifestation of power relations in mental health systems and its impact on people with mental distress. Additionally, the contributors enable the reader to reimagine systems and supports designed from the bottom up, in which the people most affected have decision-making authority over their formations. Critical Inquiries for Social Justice in Mental Health demonstrates why and how theory matters for knowledge production, policy, and practice in mental health, and it creates new imaginings of decolonized and democratized mental health systems, of abundant community-centred supports, and of a world where human differences are affirmed.




Mental Health in the Workplace


Book Description

This book offers a guide to better understanding models of workplace mental health, as well as best practices for mental health professionals, employee assistance groups, employers and employees alike. The cost of depression at the workplace is staggering, both in terms of absenteeism and productivity loss while at work, and in terms of human and family suffering. Depression is highly prevalent and affects employees’ concentration, decision-making skills and memory, contributing to accidents and quality issues. Analyses indicate that the returns on investment for workplace mental health programs are significant, with employers reporting lower productivity-related financial losses and less need staff turnover due to mental health conditions. The book also addresses substance use and misuse, and ways to address such problems.




Crossing the Quality Chasm


Book Description

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.




Stewardship


Book Description

This book is the first in a series of books is designed to define cumulatively the contours of collaborative decentred metagovernance. At this time, there is still no canonical version of this paradigm: it is en émergence. This series intends to be one of many construction sites to experiment with various dimensions of an effective and practical version of this new approach. Metagovernance is the art of combining different forms or styles of governance, experimented with in the private, public and volunteer sectors, to ensure effective coordination when power, resources and information are widely distributed, and the governing is of necessity decentred and collaborative. The series invites conceptual and practical contributions focused on different issue domains, policy fields, causes célébres, functional processes, etc. to the extent that they contribute to sharpening the new apparatus associated with collaborative decentred metagovernance. In the last few decades, there has been a need felt for a more sophisticated understanding of the governing of the private, public and social sectors: for less compartmentalization among sectors that have much in common; and for new conceptual tools to suggest new relevant questions and new ways to carry out the business of governing, by creatively recombining the tools of governance that have proved successful in all these sectors. These efforts have generated experiments that have been sufficiently rich and wide-ranging in the various laboratories of life to warrant efforts to pull together what we know at this stage. This first volume in the series attempts to scope out, in a provisional way, the sort of general terrain we are going to explore. It is not meant to impose boundaries or orthodoxies, but only to loosely identify the horizons and the frontiers, as we perceive them at the time of launching this journey. Horizons and frontiers are to us not ways to limit the inquiries, but rather invitations to all forms of transgression.




Health Systems in Transition Third Edition


Book Description

This book provides insight into how the Canadian health care system is financed and organized, how it has evolved over time, and how well it performs relative to peer countries.




Strategic Management of Health Care Organizations


Book Description

The 6th edition of this established text is streamlined to a more manageable format, with the Appendices moved to the web-site and a significant shortening of the main text. There is a greater focus on the global analysis of industry and competition; and analysis of the internal environment. In consultation with feedback from their adopters, the authors have concentrated on the fundamentals of strategy analysis and the underlying sources of profit. This reflects waning interest among senior executives in the pursuit of short-term shareholder value. As ever students are provided with the guidance they need to strategic planning, analysis of the health services environment (internal and external) and lessons on implementation; with additional discussionssion of organizational capability, deeper treatment of sustainability and corporate social responsibility and more coverageof the sources of organizational inertia and competency traps. This edition is rich in new examples from real-world health care organizations. Chapters are brought to life by the 'Introductory Incidents', 'Learning Objectives', 'Perspectives', 'Strategy Capsules', useful chapter summaries; and questions for class discussion. All cases and examples have been updated or replaced. In this edition the teaching materials and web supplements have been greatly enhanced, with power-point slides, to give lecturers a unique resource.




Too Few to Matter


Book Description

By focusing on the incarceration of women in Canada and Québec, this book reveals that imprisonment, as a penal device, is surprisingly tenacious.