Category: Governance and Decision Making

Pat Armstrong helps us think about Canadian delivery of health care

Pat Armstrong’s 15 minute talk encourages us to consider the structure and process’ of long term care (nursing homes).  It shines a light to help us think about the role of “profit” in health care, and perhaps find our own ways to participate in decision making where ever each of us fits in our system of care.

From: https://socialistproject.ca/leftstreamed/

 

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Policy Partnerships within government itself, ingredients for “buy-in”

The Centre for Urban Studies via http://stmichaelshospitalresearch.ca/research-programs/urban-health-solutions/our-projects/building-healthy-policy-and-practices/increasing-collaboration-within-governments-to-improve-population-health-and-equity/  supports linking of policy to practice. One example of their efforts focus’ specifically on policy development within government itself, providing this paper below.  

Using Win-Win Strategies to Implement Health in All Policies: A Cross-Case Analysishttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0147003

  • Agnes Molnar,
  • Emilie Renahy,
  • Patricia O’Campo,
  • Carles Muntaner,
  • Alix Freiler,
  • Ketan Shankardass

…Findings

Our results yielded no support for the use of awareness-raising or directive strategies as standalone approaches for engaging partners to implement HiAP. However, we found strong evidence that mechanisms related to “win-win” strategies facilitated implementation by increasing perceived acceptability (or buy-in) and feasibility of HiAP implementation across sectors. …

Win-win strategies were facilitated by mechanisms related to several activities, including:…

  • the development of a shared language to facilitate communication between actors from different sectors;
  • integrating health into other policy agendas (eg., sustainability) and use of dual outcomes to appeal to the interests of diverse policy sectors;
  • use of scientific evidence to demonstrate the effectiveness of HiAP;
  • and using health impact assessment to make policy coordination for public health outcomes more feasible and to give credibility to policies being developed by diverse policy sectors. …

Architecture to keep track of the big picture of health learning and the ensuing interventions

From the journal of Implementation Science, https://implementationscience.biomedcentral.com/articles/10.1186/s13012-017-0607-7

…In this paper, we propose the use of architectural frameworks to develop LHSs that adhere to a recognized vision while being adapted to their specific organizational context. Architectural frameworks are high-level descriptions of an organization as a system; they capture the structure of its main components at varied levels, the interrelationships among these components, and the principles that guide their evolution.