Development of a multi stakeholder partnership to improve access to and delivery of neurosurgical services in Ontario

Sharma, Sunjay; Bohn, D; Mikroyiannakis, Iphigenia; Trowbridge, Joslyn; Thompson, Donna E.; Bell, Robert S.; Rutka, James T.

doi:10.1016/j.healthpol.2016.11.012

Cited by 8 publications

(3 citation statements)

References 14 publications

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“…A significant amount of research indicates that there may be many advantages to HCNs [13202122]. However, this does not mean this the case for every HCN.…”

Section: Ethical Principles For Health Care Networkmentioning

confidence: 99%

Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Raus¹,

Mortier²,

Eeckloo

2018

International Journal of Integrated Care

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Much is changing in health care organization today. A perspective or paradigm that is gaining ever increasing momentum is that of translational, extramural and integrated care. Current research suggests many potential benefits for integrated care and health care networks but the ethical issues are less frequently emphasized. Showing that integrated care can be beneficial, does not mean it is automatically ethically justified. We will argue for three ethical requirements such health care networks should meet. Subsequently we will look at the mechanisms driving the formation of networks and examine how these can cause networks to meet or fail to meet these ethical requirements or obligations. The three mechanisms we will examine are government, civil society and market mechanisms, which, we argue, should be balanced properly. Each mechanism is able to provide a relevant ethical perspective to health care networks. However, when the balance is skewed towards a single mechanism, health care networks might fail to promote one or more of the ethical requirements.

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“…A significant amount of research indicates that there may be many advantages to HCNs [13202122]. However, this does not mean this the case for every HCN.…”

Section: Ethical Principles For Health Care Networkmentioning

confidence: 99%

Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Raus¹,

Mortier²,

Eeckloo

2018

International Journal of Integrated Care

View full text Add to dashboard Cite

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“…An organisational culture that is open to new ideas and willing to carry associated risks has been identified as important for supporting service innovation [26], and was an important factor in facilitating this innovation. The importance of involving relevant stakeholders for design and implementation of services involving teleradiology has been identified in other studies [27,28].…”

Section: Discussionmentioning

confidence: 99%

“From the technology came the idea”: safe implementation and operation of a high quality teleradiology model increasing access to timely breast cancer assessment services for women in rural Australia

Johnston

Smith

Preston

et al. 2020

BMC Health Serv Res

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Breast cancer is the most commonly diagnosed cancer in Australian women. Providing timely diagnostic assessment services for screen-detected abnormalities is a core quality indicator of the population-based screening program provided by BreastScreen Australia. However, a shortage of local and locum radiologists with availability and appropriate experience in breast work to attend onsite assessment clinics, limits capacity of services to offer assessment appointments to women in some regional centres. In response to identified need, local service staff developed the remote radiology assessment model for service delivery. This study investigated important factors for establishing the model, the challenges and enablers of successful implementation and operation of the model, and factors important in the provision of a model considered safe and acceptable by service providers. Methods Semi-structured interviews were conducted with service providers at four assessment services, across three jurisdictions in Australia. Service providers involved in implementation and operation of the model at the service and jurisdictional level were invited to participate. A social constructivist approach informed the analysis. Deductive analysis was initially undertaken, using the interview questions as a classifying framework. Subsequently, inductive thematic analysis was employed by the research team. Together, the coding team aggregated the codes into overarching themes. Results 55 service providers participated in interviews. Consistently reported enablers for the safe implementation and operation of a remote radiology assessment clinic included: clinical governance support; ability to adapt; strong teamwork, trust and communication; and, adequate technical support and equipment. Challenges mostly related to technology and internet (speed/bandwidth), and maintenance of relationships within the group. Conclusions Understanding the key factors for supporting innovation, and implementing new and safe models of service delivery that incorporate telemedicine, will become increasingly important as technology evolves and becomes more accessible. It is possible to take proposed telemedicine solutions initiated by frontline workers and operationalise them safely and successfully: (i) through strong collaborative relationships that are inclusive of key experts; (ii) with clear guidance from overarching bodies with some flexibility for adapting to local contexts; (iii) through establishment of robust teamwork, trust and communication; and, (iv) with appropriate equipment and technical support.

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“…To enhance integrated care and achieve better results in health and social care services, Gordon [ 9 ] suggested enhancing collaboration between patients, service providers, policy researchers, and researchers, as well as that patient collaboration should be particularly emphasized. Sharma [ 24 ] strived to establish a cooperative framework for the neurosurgeons, the government, critical care unit specialists, nursing staff, and other stakeholders to be able to collaborate in improving access to and quality of neurosurgical services. In her exploration of the difficulties associated with knowledge translation in the three fields of academia, industry, and medicine, Li [ 25 ] makes the case for the need to improve and create specific policies for triangular cooperation and communication.…”

Section: Introductionmentioning

confidence: 99%

An evolutionary game-based simulation study of a multi-agent governance system for smart senior care services in China

Shi,

Yang,

Wang

et al. 2023

BMC Geriatr

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Background The competing interests of the government, smart senior care technology service providers, and older adults have led to a serious fragmentation of governance in China. This study aims to identify the collaboration mechanisms and evolutionary stabilization strategies for these agents. Methods An evolutionary game model is developed to analyze the strategic decisions made by the government, smart senior care technology service providers, and older adults. A sensitivity analysis is conducted using data from Anhui Province, China, to verify the effects of relevant parameters on the strategy decisions of each agent. Results The results of the simulation and sensitivity analysis indicated that, first, despite changes in the initial willingness values of the tripartite agents, the system eventually converges on 1. Second, the collaboration mechanism of the tripartite agents in the smart senior care system is related to government incentives, penalties, and subsidies, smart senior care service costs, and the additional benefits provided to smart senior care technology service providers. Conclusion The strategy decisions of the government, providers, and older adults interact with each other. To promote collaboration among the tripartite agents and improve governance effectiveness, the government should strengthen the regulations for providers, increase penalties for providers that engage in a breach of trust, provide moderate incentives and subsidies, and control smart senior care service costs.

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Development of a multi stakeholder partnership to improve access to and delivery of neurosurgical services in Ontario

Cited by 8 publications

References 14 publications

Organizing Health Care Networks: Balancing Markets, Government and Civil Society

Organizing Health Care Networks: Balancing Markets, Government and Civil Society

“From the technology came the idea”: safe implementation and operation of a high quality teleradiology model increasing access to timely breast cancer assessment services for women in rural Australia

An evolutionary game-based simulation study of a multi-agent governance system for smart senior care services in China

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