Healthcare provider remuneration mechanisms are one
of the key policy levers that decision-makers can harness
to influence health-system performance.(1) In Canada,
remunerating physicians is the second-largest source of
public expenditures accounting for 21% of all health
spending in the country.(2) With...
Since the completion of the Human Genome Project
in the 1990s, there have been rapid advances of
research in the area of genetics and genomics.(1)
When combined with evolving medical technologies
this has meant that the use of genetic testing and
screening are increasingly common in the health
system. Ge...
More than a third of those over the age of 65 fall
each year, which can lead to devastating physical and
mental health consequences including functional
decline, decline in independence and self-efficacy,
morbidity, quality of life and risk of prolonged
hospitalization.(1) In Canada, falls are the number...
A number of current pressures on the health system,
including an aging population, increased prevalence
of chronic and co-morbid conditions, and increasing
focus on patient self-management and patientcentred care, are driving interest in delivering care in new ways. With technology playing an increasingl...
In April 2017, the House of Lords Select Committee on the Long-Term Sustainability of the NHS concluded that the biggest internal threat to the sustainability of the NHS is the lack of a comprehensive national strategy to secure the NHS and care system the workforce it needs. This briefing, and its two s...
O Instituto de Saúde é uma instituição de ensino e pesquisa da Secretaria de Estado da Saúde de São Paulo, criada em 1969, que tem como missão “produzir conhecimento científico e tecnológico no campo da Saúde Coletiva e promover sua apropriação para o desenvolvimento de políticas públicas...
: Adverse events associated with
medications are under-reported in postmarketing
surveillance systems. A systematic review of published
data from 37 studies worldwide (including Canada)
found the median under-reporting rate of adverse
events to be 94% in spontaneous reporting systems.
This scoping review...
Today, 1 percent of patients account for more than 20 percent of health care expenditures, and 5 percent account for nearly half of the nation’s spending on health care (Figure S-1) (Mitchell, 2016). Improving care management for this population while balancing quality and associated costs is at the fo...
This review focuses on existing immunization policies and practices for migrants and refugees and provides an overview of barriers and facilitators for access to and utilization of immunization services. Evidence was obtained by a scoping review of academic and grey literature in English and a further 11...
Evidence indicates that actions within four main themes (early child development, fair employment and decent work, social protection, and the living environment) are likely to have the greatest impact on the social determinants of health and health inequities. A systematic search and analysis of recommen...
