journal
https://read.qxmd.com/read/38482661/from-today-to-tomorrow-leveraging-digital-health-to-move-toward-health-for-all
#1
JOURNAL ARTICLE
Kendall Ho, Onil Bhattacharyya, Owen Adams
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 different patient groups to understand diverse perspectives; (2) engaging health professionals in interoperability, change management and health human resource capacity building; (3) ensuring harmonization of micro, meso and macro levels of health services delivery; and (4) integrating evaluation iteratively to enable continuous improvement and learning...
January 2024: HealthcarePapers
https://read.qxmd.com/read/38482660/learning-health-systems-a-paradigm-shift-in-what-we-can-do-about-digital-health-inequities
#2
JOURNAL ARTICLE
Sonya Cressman, Ibukun-Oluwa Omolade Abejirinde, Joan Assali, Mavis B Dennis, Alies Maybee, Michele Strom, Kendall Ho, Clare L Ardern, Ambreen Sayani, Ray Markham, Onil Bhattacharyya
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 cycles of data-driven learning to respond to patients' calls to action for equity from digital health. Adopting the LHS approach involves re-distributing power, which is likely to be met with resistance. We use the LHS example of British Columbia's 811 services to highlight how infrastructure was created to provide care and answer questions about access to digital health, outcomes from it and the financial impact passed on to patients...
January 2024: HealthcarePapers
https://read.qxmd.com/read/38482659/trustworthy-evidence-to-support-quality-digital-healthcare-policy-for-underserved-communities-what-needs-to-happen-to-translate-evidence-into-policy
#3
JOURNAL ARTICLE
Clare L Ardern, Alex Haagaard, Megan MacPherson, Jessica Nadigel, Bahar Kasaai, Sonya Cressman, Jennifer Cordeiro, Kendall Ho
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 and researchers to action in setting digital health research priorities for supporting underserved communities. Using specific examples, we describe how evidence is produced and implemented to guide digital health policy. We study how research environments must change to reflect and include the communities for whom the policy is intended...
January 2024: HealthcarePapers
https://read.qxmd.com/read/38482658/enabling-connected-care-with-a-person-centred-data-foundation
#4
JOURNAL ARTICLE
Anne Forsyth, Ann Chapman, Shannon Malovec, Michael Tatto, Mauree Aki Matsusaka, Jennifer Cordeiro, Meagan Mak
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 and death for Canadians. It is particularly critical to enable improved access to and quality of care for equity-deserving individuals because these data eliminate blind spots for clinicians, policy makers and system planners. The COVID-19 pandemic put a spotlight on the health data challenges that exist across Canada and the tangible impact those have on the healthcare system's ability to meet the needs of underserved populations...
January 2024: HealthcarePapers
https://read.qxmd.com/read/38482657/human-factor-health-data-interoperability
#5
JOURNAL ARTICLE
Ewan Affleck, Eric Sutherland, Cliff Lindeman, Richard Golonka, Teri Price, Tim Murphy, Tyler Williamson, Ann Chapman, Anita Layton, Cassie Fraser
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 international comparators, and lacks a comprehensive approach to human factor interoperability, defined as system-level relationships that impact the capacity of health sector stakeholders to adopt harmonized health data standards and technology. Without addressing these system-level relationships, the adoption of harmonized health data standards and technology will be obstructed and Canadians will be underserved...
January 2024: HealthcarePapers
https://read.qxmd.com/read/38482656/can-answers-to-the-health-workforce-crisis-be-found-in-equity-informed-digital-health
#6
JOURNAL ARTICLE
Helen Novak Lauscher, Chad Kim Sing, Chantz Strong, Anita Palepu, Jason Jaswal, Dietrich Fürstenburg, Nelly D Oelke, Patricia Kay Pearce, Kendall Ho
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 challenges in rural, remote and urban underserved contexts and explore the associated benefits and challenges of incorporating digital health (DH). We present examples and evidence of integrating hybrid models of care as a means of supporting HHRs via DH in the publicly funded health system.
January 2024: HealthcarePapers
https://read.qxmd.com/read/38482655/relational-work-is-the-work-virtual-healthcare-transformation-for-rural-remote-and-first-nations-communities-in-british-columbia
#7
JOURNAL ARTICLE
John Mah, John Pawlovich, Terri Aldred, Scott Graham, Ray Markham, Kim Williams, Bob Woollard, John Grogan, Dee Taylor, Nelly D Oelke, Alison James, Melissa Stewart, Sonya Cressman, Arianna Hogan, Daniel Harper
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 to home. This commentary describes an exceptional story of how technology, trusted partnerships and relationships came together to create an innovative suite of virtual care programs called "Real-Time Virtual Support" (RTVS). We describe key approaches, learnings and future considerations to improve the equity of healthcare delivery for rural, remote and First Nations communities...
January 2024: HealthcarePapers
https://read.qxmd.com/read/38482654/consolidated-principles-for-equitable-and-inclusive-digital-health-and-virtual-care-co-design
#8
JOURNAL ARTICLE
Paula Voorheis, Jennifer Major, Jennifer Stinson, Ron Beleno, Colleen Ferris, Carolyn Steele Gray
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 interventions to equity-deserving populations. Working in partnership with patients, caregivers and communities to meaningfully integrate lived experience perspectives into DH/VC interventions can help ensure that diverse needs are met. In this commentary, we propose a consolidated set of principles for co-designing equity-informed DH/VC interventions...
January 2024: HealthcarePapers
https://read.qxmd.com/read/38482653/defining-essential-digital-health-for-the-underserved
#9
JOURNAL ARTICLE
Kendall Ho, Owen Adams, Ambreen Sayani, Gurleen Cheema
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 COVID-19 pandemic reshaped the Canadian health system toward increasing digital health services, which improved access for some but underserved others. Integrating digital health into holistic health services delivery deserves careful consideration. This paper introduces the concept of "essential digital health for the underserved," by first defining the terms "digital health," "essential" and "underserved...
January 2024: HealthcarePapers
https://read.qxmd.com/read/37887173/the-guest-editor-s-response-to-canadians-need-improved-access-to-drugs-for-rare-diseases-not-more-denial
#10
JOURNAL ARTICLE
Joel Lexchin
Rawson and Adams (2023) are certainly entitled to express their views about the lead and response articles by Sirrs et al. (2023a; 2023b). Their entitlement comes with a responsibility to accurately and comprehensively state their conflicts of interest (COI) so that readers can assess whether their arguments may be influenced by other interests.
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887172/the-failure-to-address-systemic-anti-black-racism-perpetuates-it
#11
JOURNAL ARTICLE
OmiSoore Dryden
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 founded on anti-Black racism and, as a result, systemic anti-Black racism is a feature of healthcare settings and the delivery of services. Globally, anti-Blackness is a barrier to meaningful and substantively effective health equity and, yet, contemporary practices of equity and inclusion do not effectively address anti-Black racism...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887171/uprooting-medical-violence-excavating-the-roots-of-settler-colonialism-and-systemic-anti-black-racism-within-healthcare
#12
JOURNAL ARTICLE
Nanky Rai
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 (2023) call to study the relationship between colonialism, anti-Blackness and healthcare. I utilize historical and present-day examples that uncover the roots of settler colonialism and slavery within North American healthcare systems. Finally, I explore how dispossessed communities have resisted medical violence. I call on healthcare workers to fight for non-reformist reforms, uplift self-determining care and engage in resistance toward liberatory futures...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887170/the-weather-of-anti-blackness-is-health-equity-enough
#13
JOURNAL ARTICLE
Chelsey R Carter, Sirry Alang
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 argument by situating both COVID-19 and healthcare within broader racialized landscapes- the weather of anti-Blackness in the US - and argue that from sports and education to healthcare, Black bodies are weathering precisely because of intentional interconnected systems of oppression grounded in white supremacy, racial capitalism and patriarchy...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887169/interrogating-anti-blackness-in-us-healthcare-contextual-factors-and-policy-implications
#14
JOURNAL ARTICLE
Tonia C Poteat, Allysha C Maragh-Bass
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 corrections embedded in clinical algorithms to bias among healthcare providers. Systemic racism takes a physiological toll, causing illness and early mortality among Black people in the US and sending ripple effects across Black communities. The erasure of Black history is a common tool of racism that serves to impede progress toward racial justice...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887168/without-a-care-racial-capitalism-is-at-the-heart-of-the-national-health-service
#15
JOURNAL ARTICLE
Annabel Sowemimo
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 healthcare workers. There were numerous reports in the media that Black people were being treated poorly by healthcare providers and that Black healthcare workers felt poorly protected compared to their white counterparts. This paper argues that the National Health Service has been maintained through a system of racial capitalism...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887167/the-global-north-culture-as-a-palimpsest
#16
JOURNAL ARTICLE
Mantoa Mokhachane, Nkosinathi Maluleke, Ayesha Jacub
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 that was not permitted to train Black medical students by the apartheid government. We experienced the segregation in healthcare and witnessed how our communities did not have access to it. The COVID-19 pandemic unearthed major challenges and asymmetries, particularly for the Black race and poor countries. For countries such as South Africa, it brought back memories of the apartheid past with the history of segregation and discrimination...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887166/systemic-anti-blackness-and-racism-in-healthcare-a-european-perspective
#17
JOURNAL ARTICLE
Alana Helberg-Proctor, Jamiu O Busari
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 Netherlands as a case study to explore some of these mechanisms. Here, we discuss how a focus on cultural deficiency and the denial of racism allows the bearers of inequality and inequity to be blamed for their own disenfranchisement. Nonetheless, scholars in the Netherlands continue to show how everyday racism is negatively impacting marginalized people's lives and their access to the social determinants of health and well-being in society...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887165/systemic-anti-blackness-in-healthcare-what-the-covid-19-pandemic-revealed-about-anti-black-racism-in-canada
#18
JOURNAL ARTICLE
OmiSoore Dryden
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 predates the pandemic, and is itself endemic in healthcare service, delivery and education as evidenced by the treatment of Black students, residents and doctors. While public health officials, healthcare providers and medical schools may claim to be colour-blind, the documented experiences of Black and Indigenous people and people of colour - particularly those who are queer or trans - demonstrate otherwise...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37887164/anti-black-racism-in-the-canadian-healthcare-system-a-reckoning
#19
JOURNAL ARTICLE
Arjumand Siddiqi, Audrey Laporte
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 generous social policies (Banting et al. 2006). The explanation for this pattern is that it is a real phenomenon (rather than an artefactual one) and it can be chalked up to racist motivations that cause powerful racial groups (whites and those non-white people who ally with whites) from endorsing policies that will benefit Black and other non-white groups (Alesina et al...
July 2023: HealthcarePapers
https://read.qxmd.com/read/37417350/call-individuals-to-action
#20
JOURNAL ARTICLE
Kimberly D Fairman
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 policy alone will not address the issues we face. The author intends to recognize people's individual power and accountability in their relationship with Indigenous Peoples and describes how relationships, in the end, will drive the change that is needed. The author raises the need for distinctions-based legislation to carry and convey the intention for change...
April 2023: HealthcarePapers
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