Coverage and resource allocation decisions are a very important area for public engagement because of their direct impact on the public's access to care and because the affected services are publicly funded. We present a framework that guides decision-makers through key questions they must address when deciding on, structuring, evaluating and disseminating the results of public engagement exercises, particularly as they relate to coverage and resource allocation decisions. The framework will enable decision-makers to better conduct viable and meaningful citizen engagement around these issues.
There is a pervasive belief among health system reformers that new public management techniques such as decentralization and market-based approaches will provide the answers to what ails healthcare systems. In this first installment of a two-part discussion, the assumptions and empirical evidence underpinning these techniques are scrutinized, and the effect of their implementation on those who manage the healthcare system is assessed. Other paradigms for delivering healthcare will be considered and described in the second article of this series. Healthcare systems around the world have been buffeted by rising costs, perceived inefficient use of resources, and consumer and provider dissatisfaction with the delivery and outcomes of care.
Jamie Davenport et al.
AbstractThe delivery of services for seniors in Canada is increasingly complex and challenging. Communities across Canada age at different rates, and the forces underlying the differences, such as "aging in place" and migration, vary from community to community. we have identified two types of aging communities: service-rich communities, in which seniors have good health status and better amenities, and service-poor communities, in which seniors have poor health status and limited amenities. we also report on results for Atlantic Canada from a national study of service provisions. Three issues stand out: (a) the impact on communities of migration and aging in place, (b) the factors that distinguish service-rich and service-poor communities and (c) the conditions necessary to create a service-rich community. All levels of government in Atlantic Canada must work together to develop policies and programs that create and sustain servicerich communities.
RésuméAu Canada, la prestation de services pour les aînés est de plus en plus complexe et pose de plus en plus de défis. Les communautés au Canada vieillissent à des rythmes différents et les forces sous-jacentes à ces différences (telles que le « vieillissement sur place » et les migrations) varient d'une communauté à l' autre. Nous avons déterminé deux types de communautés vieillissantes : les communautés riches en services, dans lesquelles les aînés présentent un bon état de santé et où les installations sont meilleures, et les communautés pauvres en services, dans lesquelles les aînés présentent un faible état de santé et où les installations sont limitées. Nous faisons également rapport, dans le cadre de la région de l' Atlantique, sur une étude nationale portant sur la prestation des services. Trois enjeux s' en dégagent : (a) l'impact, sur les communautés, de la migration et du vieillissement sur place, (b) les facteurs qui distinguent les communautés riches en services de celles pauvres en services et (c) les conditions nécessaires pour mettre en place une communauté riche en services. Dans le Canada atlantique, tous les niveaux de gouvernement doivent travailler de concert pour élab-orer des politiques et des programmes qui permettent la mise en place et le maintien de communautés riches en services.
A key feature of the Regional Training Centres (RTCs) is the scope and nature of their engagement with decision-makers. While the RTCs may believe that they have an excellent association with decision-makers, is that belief shared? The authors of this paper draw on the results of a survey of decision-makers undertaken by the Canadian Health Services Research Foundation (CHSRF) as part of the preparation Does It Matter? Decision-maker Perceptions on the Impact of the Regional Training Centres De quelle importance : le point de vue des décideurs sur l'influence des Centres régionaux de formation
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.