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HEALTH SYSTEMS INTEGRATION AND TRANSFORMATION THROUGH CROSS-SECTORAL COLLABORATION.

Author : Grace Hoi Yiu Liu
Publisher :
Page : 0 pages
File Size : 25,8 MB
Release : 2021
Category :
ISBN :

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Statement of the problem Health system integration has been a challenge world-wide. There is no one best model to ensure successful integration. The aim of this research is to better understand "how to" build cross-sectoral collaboration for health systems integration and transformation. This study sheds light on understanding the patterns of communication and collaboration among the participants of six newly established teams or "Tables" in one of the Local Health Integration Networks in Ontario (Canada). This naturalistic inquiry study uses a combination of Complex Adaptive Systems and Relational Coordination theories as a theoretical lens to interpret the findings. Methods A mixed-methods approach has been used with Methodological Triangulation, which includes quantitative surveys (at baseline and follow-up), qualitative interviews and member checking. Results The survey response rate was 62% at Baseline (n=45) and 25% at Follow-up (n=22). Relational Coordination Index Scores was "moderate" with no significant differences between Baseline and Follow-up and no differences between the stakeholders or "Tables." From the twelve interviews, it was revealed that context matters at the local levels. "Rural Tables" with "moderate" Relational Coordination reported "inter-dependency" and the "Suburban Tables" with "weak" Relational Coordination reported "inter-organizational challenges." Discussion There is no one-size-fits-all model for health systems integration, and there is no formula for determining whether policy directives should be "bottom-up," "top-down" or "both." Based on this conundrum, it is recommended that leaders view health care as a Complex Adaptive System in order to allow the system to transform, change and to develop inter-dependencies, inter-organizational relationships and self-organizing capacities. Policymakers should take this into consideration in policy development and evaluation. New strategies are proposed and further research is needed to inform health systems change. Conclusion The findings characterized the process of intentional cross-sectoral collaboration using Complex Adaptive Systems and Relational Coordination theories to understand the patterns of communication and collaboration among the stakeholders and "Tables". A policy framework on "how to" build cross-sectoral collaboration for health systems integration and transformation has been developed, which adds a much-needed understanding on cross-sectoral collaboration.

The Thinking Healthcare System

Author : Dominique J Monlezun
Publisher : Elsevier
Page : 324 pages
File Size : 48,75 MB
Release : 2023-02-17
Category : Medical
ISBN : 0443189072

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The Thinking Healthcare System: Artificial Intelligence and Human Equity is the first comprehensive book detailing the historical, global, and technical trends shaping the evolution of the modern healthcare system into its final form—an AI-driven thinking healthcare system, structured and functioning as a global digital health ecosystem. Written by the world’s first triple doctorate trained physician-data scientist and ethicist, and author of three AI textbooks and over 350 scientific and ethics papers, this indispensable resource makes sense of how technology, economics, and ethics are already producing the future’s health system—and how to ensure it works for every patient, community, and culture in our globalized, digitalized, and divided world. Providing clear descriptions and concrete examples, this book brings together AI-accelerated digital health ecosystems, data architecture, cloud and edge computing, precision medicine, public health, telemedicine, patient safety, health political economics, multicultural global ethics, blockchain, and quantum health computing, among other topics. Healthcare and business executives, clinicians, researchers, government leaders, policymakers, and students in the fields of healthcare management, data science, medicine, public health, informatics, health and public policy, political economics, and bioethics will find this book to be a groundbreaking resource on how to create, nourish, and lead AI-driven health systems for the future that can think, adapt, and so care in a manner worthy of the world’s patients. Details the first comprehensive, global, and multidisciplinary analysis of the AI-driven transformation of modern healthcare systems into their definitive digitalized form that will dominate the future Provides clear descriptions and concrete examples of AI-informed value-based healthcare, digital health ecosystems, data architecture, cloud and edge computing, precision medicine, public health, telemedicine, patient safety, health political economics, multicultural and embedded global ethics, blockchain, AI security, health security, digital twins, and quantum health computing Serves as a practical blueprint, roadmap, and system DNA for creating the future’s healthcare system that integrates efficiency and equity to accelerate the treatment (and in some cases even cures) for some of our world’s most urgent, immediate, and impending global health challenges and crises

Routledge Handbook of Climate Change and Health System Sustainability

Author : Jeffrey Braithwaite
Publisher : Taylor & Francis
Page : 571 pages
File Size : 17,98 MB
Release : 2024-05-20
Category : Medical
ISBN : 104000086X

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The Routledge Handbook on Climate Change and Health System Sustainability takes the reader on a journey to understand the interconnectedness of human health, climate change, and healthcare systems. The book begins by exploring how climate change is affecting human health through the increasing frequency of natural disasters, such as bush fires, droughts and heatwaves, and the emergence of new infectious diseases, such as the SARS-CoV2 virus, all of which drive up demand for health services that are already heavily burdened by increasing rates of chronic diseases and ageing populations. Chapters then turn to the contribution of the healthcare system itself to climate change— explaining how current clinical practices, including wasteful care of low value, create an unsustainable carbon footprint and threaten the very viability of healthcare systems. Throughout the volume, descriptions of practical solutions and implemented case studies are used to illustrate the feasibility of taking action in the real world of the healthcare delivery ecosystem. Bringing together a mix of forward-thinking environmental and health researchers, policymakers, leaders, managers, clinicians, patients, and health industry leaders to clarify the current state and future of sustainable healthcare systems, this book will be of interest to researchers and policymakers of climate and health systems.

Handbook Integrated Care

Author : Volker Amelung
Publisher : Springer Nature
Page : 1212 pages
File Size : 47,39 MB
Release : 2021-07-12
Category : Business & Economics
ISBN : 3030692620

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This handbook shares profound insights into the main principles and concepts of integrated care. It offers a multi-disciplinary perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of healthcare. The handbook also highlights international best practices and shows how integrated care can work in various health systems. In the majority of health systems around the world, the delivery of healthcare and social care is characterised by fragmentation and complexity. Consequently, much of the recent international discussion in the fields of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients’ needs and aims to meet them by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach. The second edition offers new chapters on people-centredness, complexity theories and evaluation methods, additional management tools and a wealth of experiences from different countries and localities. It is essential reading both for health policymakers seeking inspiration for legislation and for practitioners involved in the management of public health services who want to learn from good practice.

The Practical Playbook II

Author : J. Lloyd Michener
Publisher : Oxford University Press, USA
Page : 569 pages
File Size : 10,73 MB
Release : 2019
Category : Medical
ISBN : 0190936010

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The definitive guide to the secret sauce of improving public and population health Nontraditional collaborations have produced some of the most sweeping, health-improving results in recent memory. But whether it's public/private, cross-discipline, or interagency, the formula for identifying these partnerships -- not to mention making them work -- remains very much in progress. The Practical Playbook II is the first resource to elucidate what works (and what doesn't) when it comes to collaborating for change in and around health. It brings together voices of experience and authority to answer this topic's most challenging questions and provide guideposts for applying what they've learned to today's thorniest problems. Readers will find answers to common and advanced questions around multisector partnerships, including: · Identifying sectors and actors that can help to collaborate to improve health · Best practices for initial engagement · Specifics related to collaborations with government, business, faith communities, and other types of partners · The role of data in establishing and running a partnership · Scaling up to maximize impact and remain sustainable · The role of financing · Implications for policy Written in practical terms that will resonate with readers from any background and sector, The Practical Playbook II is the resource that today's helping professions need -- and a roadmap for the next generation of health-improving partnerships.

Accelerating Strategic Changes for Digital Transformation in the Healthcare Industry

Author : Patricia Ordonez de Pablos
Publisher : Elsevier
Page : 426 pages
File Size : 30,26 MB
Release : 2023-05-30
Category : Computers
ISBN : 0443153000

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Accelerating Strategic Changes for Digital Transformation in the Healthcare Industry discusses innovative conceptual frameworks, tools and solutions to tackle the challenges of mitigating major disruption caused by COVID-19 in the healthcare sector and society. It emphasizes global case studies and empirical studies, providing a comprehensive view of best lessons on digital tools to manage the health crisis. The book focuses on the role of advances in digital and collaborative technologies to offer rapid and effective tools for better health solutions for new and emerging health problems. Researchers, students, policymakers and members of the biomedical and medical fields will find this information invaluable. Specially, it pays attention to how information technologies help us in the current global health emergency and the coronavirus epidemic response, gaining more understanding of the new coronavirus and helping to contain the outbreak. In addition, it explores how these new tools and digital health solutions can support the economic and social recovery in the post-pandemic world. Discusses best experiences, tools and solutions provided by IT to solve the global disruption caused by the COVID-19 pandemic in societies, healthcare infrastructures and health workers Presents case studies with experiences of applications of digital healthcare solutions from around the world Encompasses the point of views of renown researchers and academics globally that are working collaboratively to explore new views and frameworks to develop solutions for emergent problems in the healthcare sector

Henry Ford Health System

Author : Douglas McCarthy
Publisher :
Page : 21 pages
File Size : 12,16 MB
Release : 2009
Category :
ISBN :

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Henry Ford Health System is a vertically integrated health care system in southeastern Michigan whose leadership is committed to systemic integration, clinical excellence, and customer value through the core competencies of collaboration, care coordination, and innovation and learning. Henry Ford's care innovation initiatives are multidisciplinary, team-led projects that target improvements in quality measures and evidence-based standards through problem-solving and the identification of common metrics to build consensus. The collaborative approach, fostered by shared vision and values, facilitates transformation throughout the system. Moreover, Henry Ford's integration of care delivery and coverage facilitates quality monitoring, measurement, and improvement activities.

Negative Emissions Technologies and Reliable Sequestration

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 511 pages
File Size : 44,96 MB
Release : 2019-04-08
Category : Science
ISBN : 0309484529

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To achieve goals for climate and economic growth, "negative emissions technologies" (NETs) that remove and sequester carbon dioxide from the air will need to play a significant role in mitigating climate change. Unlike carbon capture and storage technologies that remove carbon dioxide emissions directly from large point sources such as coal power plants, NETs remove carbon dioxide directly from the atmosphere or enhance natural carbon sinks. Storing the carbon dioxide from NETs has the same impact on the atmosphere and climate as simultaneously preventing an equal amount of carbon dioxide from being emitted. Recent analyses found that deploying NETs may be less expensive and less disruptive than reducing some emissions, such as a substantial portion of agricultural and land-use emissions and some transportation emissions. In 2015, the National Academies published Climate Intervention: Carbon Dioxide Removal and Reliable Sequestration, which described and initially assessed NETs and sequestration technologies. This report acknowledged the relative paucity of research on NETs and recommended development of a research agenda that covers all aspects of NETs from fundamental science to full-scale deployment. To address this need, Negative Emissions Technologies and Reliable Sequestration: A Research Agenda assesses the benefits, risks, and "sustainable scale potential" for NETs and sequestration. This report also defines the essential components of a research and development program, including its estimated costs and potential impact.

Collaboration Between Health Care and Public Health

Author : Institute of Medicine
Publisher : National Academies Press
Page : 105 pages
File Size : 12,56 MB
Release : 2016-02-04
Category : Medical
ISBN : 0309374499

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On February 5, 2015, the Institute of Medicine Roundtable on Population Health Improvement hosted a workshop to explore the relationship between public health and health care, including opportunities, challenges, and practical lessons. The workshop was convened in partnership with the Association of State and Territorial Health Officials (ASTHO)-Supported Primary Care and Public Health Collaborative. Organized in response to the 2012 IOM report Primary Care and Public Health: Exploring Integration to Improve Population Health, this workshop focused on current issues at the interface of public health and health care, including opportunities presented by and lessons learned from the Centers for Medicaid and Medicare Services State Innovation Models program. The workshop featured presentations on several dimensions of the public health-health care relationship. Collaboration Between Health Care and Public Health summarizes the presentations and discussion of the event.