Commentary: Access to Psychedelics for Psychological Suffering at the End of...
We agree with Kratina et al. (2023) that the problem of psychological suffering at the end of life deserves attention from a policy standpoint and that psychedelic therapies show promise in this...
View ArticleAn Inuit Perspective on Health and Healthcare in Canada
This article presents a portrait of some of the challenges that Inuit encounter in contemporary healthcare systems. It explores the distinctive constitutional and legal framework that encompasses Inuit...
View ArticleAction, Accountability and Transparency for Indigenous Health Systems Safety*
Anti-Indigenous racism is prevalent in Canada, especially within healthcare systems. Consequences are catastrophic, including deaths of Indigenous patients. Systems change and critical education guided...
View ArticleMoving Beyond Ignorance and Epistemic Violence: Indigenous Health Nurses’...
Health inequity among Indigenous populations continues to widen despite advances in Indigenous health research. Under Canada's esteemed universal healthcare system, Indigenous populations continue to...
View ArticleDoes Health Care? Accountability Matters for Indigenous Patients
In Canada, there is evidence that Indigenous Peoples have experienced systemic and medical racism directly or indirectly. This commentary discusses the prejudice and racism evident in healthcare...
View ArticleCall Individuals to Action
This commentary calls on individuals, researchers and leaders to reconsider the sustained and ongoing impact of colonialism with respect to our individual commitment to relationships in a context where...
View ArticleA Problem of Money and Health: The Need for Value in Healthcare
A Problem of Money and Health: The Need for Value in Healthcare
View ArticleInnovating for Value-Based Surgical Care in Canada: A Post-Pandemic Necessity
Providing high-quality, efficient and cost-effective surgical care to Canadians has become increasingly challenging since the pandemic, resulting in long waitlists due to limited staff and resources....
View ArticlePatients Living with Social Vulnerabilities Experience Reduced Access at...
Objective: This study aims to explore differences in access to care as experienced by patients registered in team-based primary healthcare clinics according to their social vulnerability profile....
View ArticleA North Star Vision: Results from a Deliberative Dialogue to Identify Policy...
We hosted a deliberative dialogue with citizens (n = 3), policy researchers (n = 3), government decision makers (n = 3) and health system leaders...
View ArticleA Clinical Consensus Approach to Developing a New Funding Model for Radiation...
In 2021, Ontario Health (Cancer Care Ontario) introduced a quality-based procedure model for the funding of radiation treatment (RT) in Ontario. This model ties reimbursement to patient care...
View ArticleCritical Success Factors of Street Haven’s Residential Addictions Treatment...
Street Haven's residential addictions treatment program offers a 90-day residential treatment program to highly vulnerable women who suffer from significant health and social care complexity, including...
View ArticleHospital Care for Patients Uninsured due to Immigration Status during the...
Before the COVID-19 pandemic, patients in Ontario who were uninsured due to immigration status faced barriers to hospital care that resulted in preventable illness and death. In March 2020, the Ontario...
View ArticleCreating Health Equity in Cancer Screening: Developing Outreach Strategies...
Inequities in cancer screening were identified in Calgary, AB, by correlating low screening participation with higher material deprivation. This initiative sought to understand awareness of and...
View ArticleHealthcare Service Utilisation and Perceived Gaps: The Experience of...
Ethnolinguistically diverse 2S/LGBTQI+ populations have unique healthcare needs and experience health inequities compared to their cisgender/heterosexual peers. This community-based participatory study...
View ArticleThe Importance of Race and Ethnicity Data on Cardiovascular Health Research
The COVID-19 pandemic has underscored the importance of addressing race and ethnic disparities in healthcare worldwide. In Canada, however, the lack of consistent capture of race and ethnicity data has...
View ArticleA Case Study Implementing a Social Needs Screening Process and a Family...
Identifying and addressing clients' and families' most pressing social determinants of health needs are integral to quality healthcare. Healthcare leaders and front-line clinicians have long recognized...
View ArticleIt Is Time for Health Quality 5.0: Are You Ready?
The work of health leaders is broadening in scope, scale and urgency to respond to massive global changes and challenges – including risks to safe, accessible and high-quality...
View ArticleMuch More than Just a Profession
This review of Sarah DiGregorio’s recent book, Taking Care: The Story of Nursing and Its Power to Change Our World, discusses how nurses and their formalized leadership have not always been...
View ArticleAnti-Black Racism in the Canadian Healthcare System: A Reckoning
Introduction Canada is often held out by scholars as the exception to a disheartening global pattern that suggests that high levels of racial diversity in a society are incompatible with support for...
View ArticleSystemic Anti-Blackness in Healthcare: What the COVID-19 Pandemic Revealed...
Throughout the COVID-19 pandemic, there have been numerous examples of how systemic racism and racist stereotypes stigmatized those who contracted and transmitted the virus. This systemic racism...
View ArticleSystemic Anti-Blackness and Racism in Healthcare: A European Perspective
Despite notions of colour-blindness and denials of widespread systemic racism, anti-Black racism remains inherent in the political, economic, educational and healthcare systems in Europe. We use the...
View ArticleThe Global North Culture as a Palimpsest
This is a reflection from three Black South African doctors – two women and a man. We studied at the institution that we are currently working in, which is a former white university...
View ArticleWithout a Care: Racial Capitalism Is at the Heart of the National Health...
In response to the arguments put forward by Dryden (2023), this paper discusses the disproportionate toll of the COVID-19 pandemic on racially marginalized communities – particularly, Black...
View ArticleInterrogating Anti-Blackness in US Healthcare: Contextual Factors and Policy...
Racial inequities exacerbated by the COVID-19 pandemic highlight how systemic anti-Black racism negatively impacts health. Anti-Black racism pervades the healthcare system, ranging from race-based...
View ArticleThe Weather of Anti-Blackness: Is Health Equity Enough?
Dryden (2023) highlights how the COVID-19 pandemic anchored on anti-Black racism within the Canadian healthcare system to cause disproportionate suffering and death among Black people. We extend this...
View ArticleUprooting Medical Violence: Excavating the Roots of Settler Colonialism and...
In this issue, Dryden (2023) disrupts the myth of neutrality in healthcare and outlines the importance of naming anti-Black racism in order to dismantle it. In this commentary, I take up Dryden's...
View ArticleThe Failure to Address Systemic Anti-Black Racism Perpetuates It
A refusal to consider the experiences of Black, Afro-Indigenous and Indigenous Peoples in healthcare settings has predated the global COVID-19 pandemic. The history and development of medicine are...
View ArticleFairness for Whom? Learning Health Systems’ Approach to Equity in Healthcare
Many healthcare systems use “equity” as a catch-all term to underscore their commitment to delivering care matching users' needs. Despite its ubiquity, it is often haphazardly used...
View ArticleCommentary: Achieving Health Equity – The Role of Learning Health Systems
Achieving health equity, for decades a domain of high-performing health systems, has been elevated to a priority and recognized as a central objective of health system transformation and quality...
View ArticleThe Eye-Opening Truth about Private Surgical Facilities in Canada
This paper examines the contentious issue of using contracted surgical facilities (CSFs) for scheduled eye surgeries within Canada's publicly funded healthcare system. Despite the debate over the use...
View ArticlePricing Cataract (and Other Straightforward) Surgeries: A Policy Perspective...
Aligning with Crump et al.'s (2024) conclusions on cataract surgery, this article champions a level playing field for expanding surgical capacities for straightforward surgeries. It is agnostic towards...
View ArticleDefining “Essential Digital Health for the Underserved”
The World Health Organization envisions achieving “Health for All,” to strive for equitable access to important health information and services to attain wellness (WHO 2023a). The...
View ArticleConsolidated Principles for Equitable and Inclusive Digital Health and...
Digital health and virtual care (DH/VC) interventions have been rapidly transforming healthcare systems, offering enormous potential to bridge gaps in healthcare access and deliver person-centred...
View ArticleRelational Work Is the Work: Virtual Healthcare Transformation for Rural,...
The healthcare crisis across unceded First Nations' territories in rural, remote and Indigenous communities in British Columbia (BC) is marked by persistent barriers to accessing care and support close...
View ArticleCan Answers to the Health Workforce Crisis Be Found in Equity-Informed...
In this paper, we describe current pressures on health human resources (HHRs) in the Canadian context and related factors that impact equity-deserving communities/populations. We explore issues of HHR...
View ArticleHuman Factor Health Data Interoperability
Comprehensive health data interoperability is recognized as an essential element of high-functioning and accountable health service. Canada is lagging in health data interoperability compared to...
View ArticleEnabling Connected Care with a Person-Centred Data Foundation
Having the right information at the right time and at the fingertips of the right individuals is not just a necessity for a well-functioning healthcare system but it is also the difference between life...
View ArticleTrustworthy Evidence to Support Quality Digital Healthcare Policy for...
In this paper, we explore what is needed to generate quality research to guide evidence-informed digital health policy and call the Canadian community of patients, clinicians, policy (decision) makers...
View ArticleLearning Health Systems: A Paradigm Shift in What We Can Do about Digital...
Learning health systems (LHSs) embed social accountability into everyday workflows and can inform how governments build bridges across the digital health divide. They shape partnerships using rapid...
View ArticleFrom Today to Tomorrow: Leveraging Digital Health to Move toward Health for All
This series of papers explores the concept of essential digital health for the underserved. Several cross-cutting themes are highlighted in this paper, for example: (1) harmonizing journeys of...
View ArticleOmbuds AI
The integration of artificial intelligence (AI) offers the promise of developing open-source frameworks and tools that incorporate social and behavioural determinants of health data, thereby fostering...
View ArticleMoving Beyond Ignorance and Epistemic Violence: Indigenous Health Nurses’...
Health inequity among Indigenous populations continues to widen despite advances in Indigenous health research. Under Canada's esteemed universal healthcare system, Indigenous populations continue to...
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