Managing chronic health conditions is a daily reality for approximately nine million Canadians, and the numbers of people affected are expected to increase as our population ages, particularly if risk factors that contribute to poor health continue to rise. These conditions impact health and wellbeing and represent a significant, and growing, healthcare and economic burden. The Health Council of Canada has focused its attention on the prevention and management of chronic conditions to encourage discussion of the changes to public policy, healthcare management and health services delivery required to improve health outcomes for Canadians.
The higher adjusted hospitalization rates in FP versus NP facilities is consistent with previous research from U.S. authors. However, the superior performance by the NP sector is driven by NP-owned facilities connected to a hospital or health authority, or that had more than one site of operation.
A conceptual framework for population-based information systems is needed if these data are to be created and used to generate information to support healthcare policy, management and practice communities that seek to improve quality and account for progress in primary healthcare (PHC) renewal. This paper describes work conducted in British Columbia since 2003 to (1) create a Results-Based Logic Model for PHC using the approach of the Treasury Board of Canada in designing management and accountability frameworks, together with a literature review, policy analysis and broad consultation with approximately 650 people, (2) identify priorities for information within that logic model, (3) use the logic model and priorities within it to implement performance measurement and research and (4) identify how information systems need to be structured to assess the impact of variation or change in PHC inputs, activities and outputs on patient, population and healthcare system outcomes. The resulting logic model distinguishes among outcomes for which the PHC sector should be held more or less accountable.Résumé un cadre conceptuel pour la mise en place de systèmes d'information démographique, qui permettent de traiter les données et de fournir l'information nécessaire, est essentiel pour les milieux de la gestion, de la pratique et des politiques en matière de santé qui souhaitent améliorer la qualité des services et rendre compte des progrès réalisés dans le cadre de la restructuration des soins de santé primaires (ssP). Cet article décrit le travail accompli depuis 2003 en Colombie-Britannique afin de : (1) créer un modèle logique axé sur les résultats inspiré par la démarche du Conseil du Trésor du Canada pour la conception de cadres de travail visant la gestion ou l' obligation redditionnelle, ainsi que par une revue de la littérature, une analyse des politiques et une vaste consultation auprès de 650 personnes; (2) déterminer les priorités en matière d'information au sein de ce modèle logique; (3) employer le modèle et les priorités pour établir la recherche et les mesures du rendement; et (4) déterminer, dans le contexte des ssP, la structure nécessaire des systèmes d'information dans le but d' évaluer l'impact des variations ou des changements dans les intrants, les activités et les extrants touchant aux résultats pour les patients, la population et le système de santé. Le modèle logique qui en découle permet la distinction entre différents résultats pour lesquels le secteur des ssP devrait être plus ou moins responsable.
Use of registries, administrative databases, and record linkage methodologies is a cost-effective and comprehensive means to conduct survivorship research. This program should add to knowledge of risks of late effects and impacts on care, inform development of strategies to manage risks, evaluate the effects of surveillance and interventions, and assess new risks as the cohort ages, more recent survivors enter the cohort, and treatments change.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.