Learning and development dimensions of a pan‐Canadian primary health care capacity‐building project

Aherne, Michael; Pereira, José

doi:10.1108/17511870810910065

Cited by 8 publications

(6 citation statements)

References 98 publications

(187 reference statements)

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“…In regionalized models of health care each decision-making body is autonomous [ 35 , 36 ]. Because of this, regionalization in Canada has meant that HPC services and modes of delivery are not homogenous across regions even within the same province or territory, let alone nationally.…”

Section: Resultsmentioning

confidence: 99%

Tracking the evolution of hospice palliative care in Canada: A comparative case study analysis of seven provinces

Williams

Crooks

Whitfield

et al. 2010

BMC Health Serv Res

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BackgroundAn aging population, rise in chronic illnesses, increase in life expectancy and shift towards care being provided at the community level are trends that are collectively creating an urgency to advance hospice palliative care (HPC) planning and provision in Canada. The purpose of this study was to analyze the evolution of HPC in seven provinces in Canada so as to inform such planning and provision elsewhere. We have endeavoured to undertake this research out of awareness that good future planning for health and social care, such as HPC, typically requires us to first look backwards before moving forward.MethodsTo identify key policy and practice events in HPC in Canada, as well as describe facilitators of and barriers to progress, a qualitative comparative case study design was used. Specifically, the evolution and development of HCP in 7 strategically selected provinces is compared. After choosing the case study provinces, the grey literature was searched to create a preliminary timeline for each that described the evolution of HPC beginning in 1970. Key informants (n = 42) were then interviewed to verify the content of each provincial timeline and to discuss barriers and facilitators to the development of HPC. Upon completion of the primary data collection, a face-to-face meeting of the research team was then held so as to conduct a comparative study analysis that focused on provincial commonalities and differences.ResultsFindings point to the fact that HPC continues to remain at the margins of the health care system. The development of HPC has encountered structural inheritances that have both sped up progress as well as slowed it down. These structural inheritances are: (1) foundational health policies (e.g., the Canada Health Act); (2) service structures and planning (e.g., the dominance of urban-focused initiatives); and (3) health system decisions (e.g., regionalization). As a response to these inheritances, circumventions of the established system of care were taken, often out of necessity. Three kinds of circumventions were identified from the data: (1) interventions to shift the system (e.g., the role of advocacy); (2) service innovations (e.g., educational initiatives); and (3) new alternative structures (e.g., the establishment of independent hospice organizations). Overall, the evolution of HPC across the case study provinces has been markedly slow, but steady and continuous.ConclusionsHPC in Canada remains at the margins of the health care system. Its integration into the primary health care system may ensure dedicated and ongoing funding, enhanced access, quality and service responsiveness. Though demographics are expected to influence HPC demand in Canada, our study confirms that concerned citizens, advocacy organizations and local champions will continue to be the agents of change that make the necessary and lasting impacts on HPC in Canada.

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Section: Resultsmentioning

confidence: 99%

Tracking the evolution of hospice palliative care in Canada: A comparative case study analysis of seven provinces

Williams

Crooks

Whitfield

et al. 2010

BMC Health Serv Res

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“…19 Pallium has evolved in phases. 20 Activities and learnings from each phase have informed subsequent phases. The six phases from 2000 to date are summarised in online supplemental appendix A.…”

Section: Pallium Canada's Geopolitical Context Approach and Evolutionmentioning

confidence: 99%

Primary-level palliative care national capacity: Pallium Canada

Pereira

Chary

Faulkner³

et al. 2021

BMJ Support Palliat Care

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The need to improve access to palliative care across many settings of care for patients with cancer and non-cancer illnesses is recognised. This requires primary-level palliative care capacity, but many healthcare professionals lack core competencies in this area. Pallium Canada, a non-profit organisation, has been building primary-level palliative care at a national level since 2000, largely through its Learning Essential Approaches to Palliative Care (LEAP) education programme and its compassionate communities efforts. From 2015 to 2019, 1603 LEAP course sessions were delivered across Canada, reaching 28 123 learners from different professions, including nurses, physicians, social workers and pharmacists. This paper describes the factors that have accelerated and impeded spread and scale-up of these programmes. The need for partnerships with local, provincial and federal governments and organisations is highlighted. A social enterprise model, that involves diversifying sources of revenue to augment government funding, enhances long-term sustainability. Barriers have included Canada’s geopolitical realities, including large geographical area and thirteen different healthcare systems. Some of the lessons learned and strategies that have evolved are potentially transferrable to other jurisdictions.

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“…Pallium works to empower primary care and non-specialist providers in the delivery of palliative care through its educational programs, tools and resources, improving the equity of access to palliative services and ensuring the comfort and dignity of Canadians throughout the illness journey. Since the early days of Pallium, a population health approach has been key to supporting patients and families through building community capacity/ resilience and social change (5,24).…”

Section: Pallium Canada and CCmentioning

confidence: 99%

Compassionate Communities in Canada: it is everyone’s responsibility

Tompkins¹

2018

Ann. Palliat. Med.

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Prof. Allan Kellehear first developed a contemporary public health approach to palliative and end-of-life care. Countries around the world have since adopted the theory of practice that mobilizes palliative care as a public health issue-particularly the Compassionate Communities (CC) model. In the wake of Canada's Medical Assistance in Dying (MAiD) legislation and its growing senior population, quality palliative care has enjoyed a renewed focus. Pallium Canada is helping communities across the country understand and adopt the CC model, through education, knowledge mobilization, project facilitation, and leadership. Although it has made significant strides in the last few years, there is still progress to be made. The aim of this paper is to present the historical development of the public health approach to end-of-life care in Canada, including its successes and hardships thus far. Drawing from examples of regional, provincial, and national initiatives, future directions for community engagement as a public health approach to palliative care are discussed.

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Learning and development dimensions of a pan‐Canadian primary health care capacity‐building project

Abstract: Purpose-The purpose of this paper is to use a descriptive case study to establish how collaboration, innovation and knowledge-management strategies have scaled-up learning and development in rural, remote and other resource-constrained Canadian delivery settings.

Cited by 8 publications

References 98 publications

Tracking the evolution of hospice palliative care in Canada: A comparative case study analysis of seven provinces

Tracking the evolution of hospice palliative care in Canada: A comparative case study analysis of seven provinces

Primary-level palliative care national capacity: Pallium Canada

Compassionate Communities in Canada: it is everyone’s responsibility

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