Résultats: 226

Effective care for high-need patients: opportunities for improving outcomes, outcomes, value, and health

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...

In short supply: pay policy and nurse numbers

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...

Utility of social media and crowd-sourced data for pharmacovigilance: a scoping review protocol

: 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...

Supporting advances in quality in health systems

As noted by the Health Council of Canada in 2013, there are many definitions of quality in healthcare, but a common conception of it is “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional kn...

Addressing long-term stays in hospital for people with mental health and addictions concerns

As of last year, nearly two million Ontarians saw their family physicians for mental health and addictions concerns. These two conditions account for approximately 10% of the disease burden in Ontario.(1) Psychiatric alternate level of care (ALC) days and longstay days represent a significant portion of ...

Identifying the effects of and approaches to integrating oral-health services in health systems

Oral health is important for the overall well-being of children and adults, and poor oral health has been linked to other diseases and serious health conditions such as respiratory infections, cardiovascular diseases, diabetes and poor nutritional status. Ontario provides public coverage for a limited sc...

Key Features and effects of educational Approaches to improve clinical performance

The College of Physicians and Surgeons of Ontario (CPSO) and Cancer Care Ontario (CCO) have formed a partnership to support ongoing training, education and quality improvement across the province. This partnership will develop provincial quality-management programs for the service areas of colonoscopy, m...

Mortalidade Perinatal
Perinatal Mortality

A taxa de mortalidade infantil no Brasil reduziu 61,7% entre 1990 e 2010, mas o Brasil amarga o 90º lugar entre 187 países no ranking da Organização das Nações Unidas (ONU), atrás de Cuba (5,25), Chile (6,48), Argentina (12,8), China (15,4) e México (16,5), com inaceitáveis 19,88 mortes por mil ...

Staffing matters: funding counts: workforce profile and trends in the English NHS

Health care is labour intensive, regardless of the nature of the health system, its structural characteristics, levels and sources of funding, or political underpinnings. The effective delivery of care requires decisions to be made about how much funding to allocate to staffing and what mix of skills to ...

The effectiveness of evidence summaries on health policymakers and health system managers use of evidence from systematic reviews: a systematic review

Systematic reviews are important for decision makers. They offer many potential benefits but are often written in technical language, are too long, and do not contain contextual details which make them hard to use for decision-making. There are many organizations that develop and disseminate derivative p...