Herve B.,Health and Social Services
British Journal of Health Care Management | Year: 2011
As a strategy tool, scenario planning is an important component of strategic workforce planning as evaluating the impact of future events is integral to ensuring that an organisation's human resources strategies align with the strategic plan. Used within an integrated health and social care team it was a valuable tool in fostering 'strategic conversation', providing an opportunity to transcend professional boundaries, challenge the embedded culture and promote change. Using scenario planning as a precursor to traditional methods enables key uncertainties to be identifed. These can be used as sensitivity or 'what if' analyses that provide management with information that is useful for quantifying the fnancial risks or service defciencies that could occur if any of the anticipated futures materialise. There is greater potential for its use at all levels within health and social care and in particular when planning the future workforce within primary care, where there will be a requirement to respond to a range of variables.
Do M.T.,Public Health Agency of Canada |
Frechette M.,Public Health Agency of Canada |
McFaull S.,Public Health Agency of Canada |
Denning B.,nt |
And 2 more authors.
International Journal of Circumpolar Health | Year: 2013
Background. Injury is a major public health concern, particularly for Canadians living in Arctic regions where the harsh physical and social conditions pose additional challenges. Surveillance data collected over the past 2 decades through the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) provide insights into the burden of injuries in certain parts of Canada. Objectives. This study aims to summarize and compare patterns of injuries in the Northwest Territories (NWT) and Nunavut to other southern communities across Canada. Methods. Analysis was based on CHIRPP data covering the period 1991-2010. Proportionate injury ratio (PIR) and its 95% confidence interval were used to summarize and compare the injury experience of Canadians living in the Arctic regions to other CHIRPP sites across Canada. Results. Between 1991 and 2010, there were 65,116 reported injuries. Approximately 83% of the cases were unintentional in nature; however, significantly higher proportions were observed for assaults and maltreatment (PIR=2.80, 95% CI: 2.72-2.88) among Canadians living in northern communities. Significantly higher proportions were also observed for crushing/amputations (PIR=2.28, 95% CI: 2.14-2.44), poison/toxic effects (PIR=1.21, 95% CI: 1.15-1.28), drowning/asphyxiations (PIR=1.52, 95% CI: 1.33-1.74) and frostbites (PIR=7.39, 95% CI: 6.60-8.28). The use of all-terrain vehicles or snowmobiles also resulted in significantly higher proportions of injuries (PIR=1.93, 95% CI: 1.79-2.09). Conclusions. This study contributes to the limited literature describing injuries in northern communities where the harsh physical and social climates pose additional challenges. Excesses in the proportions identified in this study could be useful in identifying strategies needed to minimize injury risks in northern communities within Canada. © 2013 Minh T. Do et al.
Journeaux M.,Health and Social Services
Nursing standard (Royal College of Nursing (Great Britain) : 1987) | Year: 2013
This article explores whether there are adverse surgical outcomes for patients who experience hypothermia in the peri-operative period. Findings of this literature review highlight the need to establish a standard definition of hypothermia. Furthermore, the literature supports the full implementation of the National Institute for Health and Care Excellence guidance on The Management of Lnadvertent Perioperative Hypothermia in Adults. A total of 18 studies were critically appraised to determine their rigour, reliability and validity. A discussion of the findings from the studies has taken into account the inferences drawn from the appraisal. Evaluation of the quality of the evidence has been used to evaluate which findings could apply to clinical practice. While there were variations in study quality, the evidence supports developing an effective strategy for preventing hypothermia in the peri-operative period.
Osteras N.,National Advisory Unit on Rehabilitation in Rheumatology |
van Bodegom-Vos L.,Leiden University |
Dziedzic K.,Keele University |
Moseng T.,National Advisory Unit on Rehabilitation in Rheumatology |
And 8 more authors.
Implementation Science | Year: 2015
Background: Previous research indicates that people with osteoarthritis (OA) are not receiving the recommended and optimal treatment. Based on international treatment recommendations for hip and knee OA and previous research, the SAMBA model for integrated OA care in Norwegian primary health care has been developed. The model includes physiotherapist (PT) led patient OA education sessions and an exercise programme lasting 8-12 weeks. This study aims to assess the effectiveness, feasibility, and costs of a tailored strategy to implement the SAMBA model. Methods/design: A cluster randomized controlled trial with stepped wedge design including an effect, process, and cost evaluation will be conducted in six municipalities (clusters) in Norway. The municipalities will be randomized for time of crossover from current usual care to the implementation of the SAMBA model by a tailored strategy. The tailored strategy includes interactive workshops for general practitioners (GPs) and PTs in primary care covering the SAMBA model for integrated OA care, educational material, educational outreach visits, feedback, and reminder material. Outcomes will be measured at the patient, GP, and PT levels using self-report, semi-structured interviews, and register based data. The primary outcome measure is patient-reported quality of care (OsteoArthritis Quality Indicator questionnaire) at 6-month follow-up. Secondary outcomes include referrals to PT, imaging, and referrals to the orthopaedic surgeon as well as participants' treatment satisfaction, symptoms, physical activity level, body weight, and self-reported and measured lower limb function. The actual exposure to the tailor made implementation strategy and user experiences will be measured in a process evaluation. In the economic evaluation, the difference in costs of usual OA care and the SAMBA model for integrated OA care will be compared with the difference in health outcomes and reported by the incremental cost-effectiveness ratio (ICER). Discussion: The results from the present study will add to the current knowledge on tailored strategies, which aims to improve the uptake of evidence-based OA care recommendations and improve the quality of OA care in primary health care. The new knowledge can be used in national and international initiatives designed to improve the quality of OA care. Trial registration: ClinicalTrials.gov NCT02333656 © 2015 Østerås et al.