Expectations of the Ontario Healthcare System following the Implementation of Ontario Health Teams

Naqvi, Hussain

doi:10.1177/09720634221128099

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…There is increasing attention to (disease) prevention within healthcare. Many countries have presented their national prevention programme in the last few years (Rijksoverheid, 2018;Bensberg et al, 2021;United Kingdom Government, 2021;Matheson et al, 2020, Naqvi, 2023.…”

Section: Introductionmentioning

confidence: 99%

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Intersectional collaboration and the development of prevention infrastructures: a qualitative study

de Bekker,

Reckman,

Kemper

et al. 2024

IJHG

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PurposeInvesting in prevention could be of great benefit to public health. Especially for people with health risks, such as overweight, depressive symptoms, low social-economic status or people who experience loneliness or a sedentary lifestyle. In the Netherlands, different parties are responsible for financing and organising selective and indicated preventive interventions: the government, municipalities and health insurance companies. The aim of this study was two-fold: First, to describe the transition towards a sustainable prevention infrastructure. And second, to gain insight into barriers and facilitators associated with intersectoral collaboration regarding organising prevention for high-risk groups.Design/methodology/approachA longitudinal qualitative study was conducted among collaborative networks working together to build a prevention infrastructure. During a five-year study period, 86 semi-structured interviews were held. The COM-B model was used for data analysis.FindingsBarriers to intersectoral collaboration are: unknown (cost-)effectiveness, limited incentives to invest in collaboration, lack of clarity about responsibilities, differences in priorities and organisational culture between municipalities and health insurers. Facilitators are commitment, trust, sharing knowledge between parties, meeting regularly within the network and acknowledgement of mutual responsibilities. Also, national policy interventions targeted at the development of regional prevention infrastructures facilitated collaboration.Originality/valueThis study shows that collaboration regarding prevention is becoming increasingly common. It can be concluded that the transition towards a sustainable prevention infrastructure has started. The relationship between key stakeholders, like municipalities and health insurers, is generally stronger than it was five years ago. They have a better understanding of each other’s interests and expectations.

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Section: Introductionmentioning

confidence: 99%

“…, 2021; United Kingdom Government, 2021; Matheson et al. , 2020, Naqvi, 2023). Prevention is defined as measures taken by or applied to persons who are not currently affected by a disease, intended to decrease the risk that disease will afflict them in the future.…”

Section: Introductionmentioning

confidence: 99%

Intersectional collaboration and the development of prevention infrastructures: a qualitative study

de Bekker,

Reckman,

Kemper

et al. 2024

IJHG

View full text Add to dashboard Cite

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Community-engaged co-design of a quality improvement capacity building program within an integrated health system in Ontario, Canada

Rotteau,

Magaz,

Wong

et al. 2024

JICA

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PurposeAn integrated care system identified quality improvement (QI) capacity as a gap in advancing their integrated quality care priorities and improvement efforts. Here we describe the design and implementation of a QI capacity building program that aimed to (1) build QI capacity amongst diverse integrated care system members and (2) apply QI principles to advance integrated quality care priorities.Design/methodology/approachThe integrated care system leaders, including community members, partnered with the University of Toronto Centre for Quality Improvement and Patient Safety to co-design and deliver the QI capacity building program focused on improving cancer screening rates. An existing acute care capacity building program was adapted. Content included QI tools, data to identify and monitor QI priorities, equity considerations, and empowering participants as change agents.FindingsParticipants were satisfied with the content and delivery of the program. Some described using QI tools and strategies in practice following the workshop. Challenges to using the tools included the current pressures facing primary care and the health system, resources, and data availability.Practical implicationsThis QI capacity building program was challenging but feasible. Clarifying the target audience, being attentive to co-design, acknowledging post-pandemic system challenges and proactively addressing variable knowledge and barriers to QI work in practice will inform future iterations of this program.Originality/valueWhile many examples of QI education programs exist, the majority target a single healthcare sector. We describe a novel QI capacity building model that bridges healthcare sectors and includes patient partners and community members as teachers and participants.

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Expectations of the Ontario Healthcare System following the Implementation of Ontario Health Teams

Cited by 2 publications

References 14 publications

Intersectional collaboration and the development of prevention infrastructures: a qualitative study

Intersectional collaboration and the development of prevention infrastructures: a qualitative study

Community-engaged co-design of a quality improvement capacity building program within an integrated health system in Ontario, Canada

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