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40 records – page 1 of 4.

AARN applauds Romanow Report. Urges all levels of government to work together to improve health care.

https://arctichealth.org/en/permalink/ahliterature186148
Source
Alta RN. 2003 Jan;59(1):1, 4-5
Publication Type
Article
Date
Jan-2003
Source
J Adv Nurs. 1995 Feb;21(2):415
Publication Type
Article
Date
Feb-1995
Author
C A Armstrong-Esther
Source
J Adv Nurs. 1995 Feb;21(2):415
Date
Feb-1995
Language
English
Publication Type
Article
Keywords
Alberta
Health Care Reform - trends
Humans
Long-Term Care - trends
Patients - classification
Rehabilitation - trends
Notes
Comment On: J Adv Nurs. 1994 Dec;20(6):1182-57860866
PubMed ID
7714302 View in PubMed
Less detail

The Andrew Pattullo lecture. Healthy populations or healthy institutions: the dilemma of health care management.

https://arctichealth.org/en/permalink/ahliterature212676
Source
J Health Adm Educ. 1995;13(3):453-72
Publication Type
Article
Date
1995
Source
Med Care. 1997 Oct;35(10 Suppl):OS70-5
Publication Type
Article
Date
Oct-1997
Author
M B Decter
Author Affiliation
APM Incorporated, Toronto, Ontario, Canada.
Source
Med Care. 1997 Oct;35(10 Suppl):OS70-5
Date
Oct-1997
Language
English
Publication Type
Article
Keywords
Canada
Health Care Reform - trends
Health services research - trends
Hospital Restructuring - manpower - organization & administration - trends
Humans
Models, Nursing
National Health Programs - trends
Nursing Staff, Hospital - organization & administration - supply & distribution - trends
Patient care team
Personnel Staffing and Scheduling
Abstract
This article reviews health system reform in Canada and discusses how hospitals are restructuring staffing patterns and redesigning work in response to increasing budgetary constraints.
Two models for work redesign at the patient unit level are contrasted, one employing a mix of registered nurses and registered practical nurses and one using registered nurses and assistive personnel. Principles and rationale for work redesign are discussed.
Both models for patient care redesign reduce registered nurse positions and both appear to yield some cost savings. These models for patient care redesign are controversial among providers, and there is no consensus as to which model is preferable. No research has been undertaken to determine whether staffing changes and work redesign result in adverse patient outcomes.
Regionalization of hospitals is reducing inpatient capacity in Canada, although the pace of regionalization varies in the different provinces. Hospital re-engineering is designed to reduce expenditures by reducing the cost of staffing. Research is needed to evaluate the results of re-engineering on patient outcomes and their relationship to registered nurse staff reductions.
PubMed ID
9339778 View in PubMed
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Caught in the "traps of managed competition"? Examples of Russian health care reforms from St. Petersburg and the Leningrad region.

https://arctichealth.org/en/permalink/ahliterature209857
Source
Int J Health Serv. 1997;27(4):661-86
Publication Type
Article
Date
1997
Author
S. Curtis
N. Petukhova
G. Sezonova
N. Netsenko
Author Affiliation
Department of Geography, Queen Mary and Westfield College, University of London, England.
Source
Int J Health Serv. 1997;27(4):661-86
Date
1997
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Consumer Satisfaction
Developing Countries
Female
Forecasting
Health Care Reform - trends
Health Services Accessibility - trends
Humans
Male
Managed Competition - trends
Middle Aged
Russia
State Medicine - trends
Urban Health - trends
Abstract
Elements of a "managed market" for health services have been introduced into the Russian health care system, which under the Soviet regime was run as a comprehensive state-managed system. The authors examine the recent development of health service reforms in a case study of the city of St. Petersburg and the surrounding Leningrad region. Evidence from key informants and a local survey of service users shows how alternative models of the managed market are being introduced in different parts of the study area. A critical review of the market-oriented strategies for reform emerging in the case study suggests that such reforms carry risks associated with the "traps of managed competition." Future policy for health service systems in Russia must take these risks more fully into account.
PubMed ID
9399112 View in PubMed
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[Changes in health care organization should have scientific basis].

https://arctichealth.org/en/permalink/ahliterature180077
Source
Lakartidningen. 2003 Mar 13;100(11):946-8, 951
Publication Type
Article
Date
Mar-13-2003
Author
Lars Werkö
Author Affiliation
Statens beredning för medicinsk utvärdering (SBU), Stockholm.
Source
Lakartidningen. 2003 Mar 13;100(11):946-8, 951
Date
Mar-13-2003
Language
Swedish
Publication Type
Article
Keywords
Delivery of Health Care - organization & administration
Health Care Reform - trends
Health Services Research - utilization
Humans
Leadership
Organizational Innovation
Sweden
PubMed ID
15148722 View in PubMed
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Compressing "the sandwiched": an examination of reductionist health policies on women in Canada.

https://arctichealth.org/en/permalink/ahliterature154967
Source
Health Care Women Int. 2008 Nov-Dec;29(10):980-96
Publication Type
Article
Author
Dominika A Jegen
Author Affiliation
Department of Sociology, University of Calgary, Calgary, Alberta, Canada. jegen@ucalgary.edu
Source
Health Care Women Int. 2008 Nov-Dec;29(10):980-96
Language
English
Publication Type
Article
Keywords
Canada
Caregivers - trends
Delivery of Health Care - organization & administration - trends
Female
Government Regulation
Health Care Reform - trends
Health Policy - trends
Home Nursing - trends
Humans
Sociology, Medical
Women
Women's health
Abstract
Worldwide, policymakers are critically examining the escalating costs of health care. One proposed solution has been to move away from a centralized "general hospital"-type of treatment in favor of a family-based model emphasizing health as well as treatment. While I agree that such approaches constitute an innovative outlook on health care, I draw on a social ecological approach in order to attract attention to and lay out the argument for future research examining the unacknowledged and unstudied impact that such proposed policies will have on women. Undoubtedly, it is they who will bear the brunt of the proposed health-related responsibilities offloaded by governments. I examine the implications of such proposed policies on Canadians, particularly Canadian women, although the Canadian system is but an exemplar of the changing dynamics of caregiving in a broader world situation.
Notes
Retraction In: Health Care Women Int. 2009 Jan-Feb;30(1-2):119116816
PubMed ID
18821210 View in PubMed
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[Current hygienic practice: the problems and the developmental trends].

https://arctichealth.org/en/permalink/ahliterature204124
Source
Voen Med Zh. 1998 Aug;319(8):61-8, 95
Publication Type
Article
Date
Aug-1998
Author
L A Ian'shin
Source
Voen Med Zh. 1998 Aug;319(8):61-8, 95
Date
Aug-1998
Language
Russian
Publication Type
Article
Keywords
Health Care Reform - trends
Humans
Military Hygiene - statistics & numerical data - trends
Military Personnel
Population Surveillance
Russia
Abstract
Analysis of hygiene practice of to-day and how its forms and methods conform with the needs of military healthcare. The author makes a conclusion that due to certain objective conditions there was no substantial progress in the hygiene practice for the last decade. At the same time he points out that it is necessary to preserve and develop new traits in the hygiene methods that steer the growth of practical hygiene as a part of medical prophylactics.
PubMed ID
9793453 View in PubMed
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Decentralisation from acute to home care settings in Sweden.

https://arctichealth.org/en/permalink/ahliterature207727
Source
Health Policy. 1997 Sep;41 Suppl:S131-43
Publication Type
Article
Date
Sep-1997
Author
L. Johansson
Author Affiliation
National Board of Health and Welfare, Socialstyrelser, Stockholm, Sweden. lennarth.johansson@sos.se
Source
Health Policy. 1997 Sep;41 Suppl:S131-43
Date
Sep-1997
Language
English
Publication Type
Article
Keywords
Aged
Ambulatory Care - trends
Health Care Reform - trends
Health Policy
Health Services for the Aged - economics - organization & administration
Home Care Services - utilization
Humans
Long-Term Care - organization & administration
Middle Aged
Population Dynamics
Primary Health Care - utilization
State Medicine - organization & administration
Sweden
Abstract
Sweden has a regionally based, publicly operated and financed, national health care system. Implementation of policy and the provision of health care has been the responsibility of the county council. In 1992, the major responsibility and resources for care of the elderly was transferred to the municipalities. The start of this reform, unintentionally, coincided with an economic recession which caused additional difficulties for the financing of the present level of public services generally. This development, in combination with innovations in health care technology, resulted in a rapid decentralisation of certain elderly care services from acute care settings.
PubMed ID
10174469 View in PubMed
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40 records – page 1 of 4.