LINKS & RESOURCES

Professionalism Audit Forum

Canada's Health Care System: This is the Government of Canada's digital presence. The goal of this site is to make it easier for Canadians to find and understand Government of Canada information and services

Link: https://www.canada.ca/en/health-canada/services/health-care-system/reports-

publications/health-care-system/canada.html#a1

Ontario Shores Centre for Mental Health Science: Mental Health organization that provide leadership and exemplary mental health care through specialized treatment, research, education and advocacy. Link: https://shoreline/Pages/default.aspx

The College of Nurses of Ontario (CNO) is the governing body for Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Nurse Practitioners (NPs) in Ontario, Canada. As the governing body for nurses in Ontario, the CNO determines Standards of Practice and guidelines to ensure nurses have the knowledge and expertise to regulate themselves as individual practitioners.

Link: http://www.cno.org/en/what-is-cno/

Federal and Provincial Health Systems in Canada

An interesting article on the Ford government poised to dissolve regional health agencies; the local health integration networks (LHINs). The 14 health care co-ordination networks are said to be replaced by no more than 5 oversight bodies.

Crawley, M. (2019). Ford government poised to dissolve regional health agencies, sources say. Link: https://www.cbc.ca/news/canada/toronto/lhin-ontario-doug-ford-local-health-

integration-networks-1.4980509

This article articulated some the concerns Ontarians are having regarding the losing the LHINs.

Kupfer, M. (2019). Losing LHINs could reduce local power over health services, experts say. Link: https://www.cbc.ca/news/canada/ottawa/lhin-ontario-pc-government-1.4985029

Healthcare in Canada is a complex issue. Politicians usually walk a thin line on this subject but Doug Ford is clearly taking this issue head-on, whether we like it or not.

Picard, A. (2018). Doug Ford needs to rein in Ontario’s bureaucratic health-care mess.

Link: https://www.theglobeandmail.com/opinion/article-doug-ford-needs-to-rein-in-ontarios-

bureaucratic-health-care-mess/

Health of Canadians - Understanding Health and Determinants of Health

There is a need to address the demands of social determinants and population health issues in order to sustain the contributing factors contributing to the health system. This article investigates how physicians can utilize creative solutions within the context of care to address some of these issues.

Andermann & Dphil. (2016).Taking action on the social determinants of health in clinical practice: a framework for health professionals. Canadian Medical Association Journal.

Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5135524/

Great read on social class impact our overall health.

Rainer, R., & Silas, L. (2012). Rich-poor gap is making Canadians sick. Link: https://www.thestar.com/opinion/public_editor/2012/07/15/richpoor_gap_is_making_canadians

_sick.html

Government of Canada synopsis on social determinates of health and health inequalities.

Government of Canada. (2018). Social determinants of health and health inequalities . Link: https://www.canada.ca/en/public-health/services/health-promotion/population-health/what-determines-health.html

This document presents the spectrum of existing inequities in health and promote awareness and informed debate around Social Determinants of Health.

Mikkonen & Raphael. (2010). Social Determinants of Health: The Canadian Facts. Toronto: York University School of Health Policy and Management.

Link: http://thecanadianfacts.org/the_canadian_facts.pdf

Multilevel Approaches to Understanding Health - Beyond the Individual

This paper advocates for a multiple levels of analysis approach to investigating vulnerability to depression across the lifespan and providing a more comprehensive understanding of its etiology.

Hankin B. L. (2012). Future directions in vulnerability to depression among youth: integrating risk factors and processes across multiple levels of analysis. Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 41(5), 695–718. doi:10.1080/15374416.2012.711708

An interesting article on how low-income countries specifically in Africa have identified clear priorities for mental health research and a comprehensive approach utilizing interventions aimed at the multilevel influences on mental health.

Tsai & Tomlinson. (2012). Mental health spillovers and the Millennium Development Goals: The case of perinatal depression in Khayelitsha, South Africa. Journal of global health, 2(1), 010302. doi:10.7189/jogh.02.010302

This paper proposed and described models to better understand the complex relationships among risk factors and correlates of mortality, and to conceptualize interventions at the individual, health system and socio‐environmental levels.

Liu, N. H., Daumit, G. L., Dua, T., Aquila, R., Charlson, F., Cuijpers, P., Saxena, S. (2017). Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities f or clinical practice, policy and research agendas. World psychiatry : official journal of the World Psychiatric Association (WPA), 16(1), 30–40. doi:10.1002/wps.20384

Chronic Disease Prevention and Management

Public Health Agency of Canada (PHAC) is acting as a convenor, facilitating the creation of new partnerships, new ideas and interventions in addressing healthy living and chronic disease prevention.

Government of Canada. (2016). Multi-sectoral partnerships to promote healthy living and prevent chronic disease. Link: https://www.canada.ca/en/public-health/services/chronic-diseases.

Health Quality Ontario, in collaboration with clinical experts, patients, residents, and caregivers across the province, is developing quality standards for Ontario for major depression, dementia and schizophrenia.

Health Quality Ontario. (2016). Major Depression Care for Adults and Adolescents. Link: https://www.hqontario.ca/portals/0/documents/evidence/quality-standards/qs-depression- clinical-guide-1609-en.pdf

Health Quality Ontario. (2016). Behavioural Symptoms of Dementia.

Link: http://www.hqontario.ca/portals/0/documents/evidence/quality-standards/qs-dementia- clinical- guide-1609-en.pdf

Health Quality Ontario. (2018). Schizophrenia Care in the Community for Adults.

Link: https://www.hqontario.ca/Portals/0/documents/evidence/quality-standards/qs-schizophrenia- community-clinician-guide-en.pdf

An interesting presentation on identify the role the social determinants of health and its role in shaping mental health. Also the ideology behind it – shapes the quality of these social determinants to which people are exposed.

Raphael, D. (2013). Connecting the Dots: Public Policy, the Social Determinants of Health, and Mental Health.

Link:https://www.ontarioshores.ca/UserFiles/Servers/Server_6/File/PDFs/Research/ResearchDay/2013/ Dennis%20Raphael.pdf

The Canadian Mental Health Association exams the link between mind and body, and explains why it is the first step in developing strategies to reduce the incidence of co-existing conditions and support those already living with mental illnesses and chronic physical conditions.

Canadian Mental Health Association. (2019). The Relationship between Mental Health, Mental Illness and Chronic Physical Conditions.

Link: https://ontario.cmha.ca/documents/the-relationship-between-mental-health-mental-illness-a and-chronic-physical-conditions/

A breakdown of the mental illnesses and addiction prevalence in Canada.

CAMH. (2019).Mental Illness and addictions: Facts and Statistics.

Link: https://www.camh.ca/en/driving-change/the-crisis-is-real/mental-health-statistics

Vulnerable Populations

Report of the Standing Committee on Indigenous and Northern Affairs

Mihychuk, M. (2018). THE CHALLENGES OF DELIVERING CONTINUING CARE IN FIRST NATIONS COMMUNITIES.

Link:https://www.ourcommons.ca/Content/Committee/421/INAN/Reports/RP10260656/inanrp17/inanrp17-e.pdf

First Nations doctors shared personal stories at a national health summit to demonstrate how Indigenous patients still face racism and unequal access to treatment across the country.

Malone, K.G. (2018). Indigenous patients still waiting for equity in health care: Canadian doctor. Link: https://globalnews.ca/news/4398976/indigenous-patients-still-waiting-for-equity-in-health- care-canadian-doctor/

This article discuss findings from an ethnographic study that explored experiences of access to primary care services from the perspective of Aboriginal people seeking care at an emergency department (ED) located in a large Canadian city.

Bourque, B., Cameron, B., Plazas, Carmargo, P., Hungler, K., Salas, A. (2014).Understanding Inequalities in Access to Health Care Services for Aboriginal People.

Link: Advances in Nursing Science: July/September 2014 - Volume 37 - Issue 3 - p E1–E16

Future Directions

This paper shred conceptual framework factors driving innovation in healthcare. The dimensions of innovation identify the environmental and operational factors that influence healthcare innovation.

Einspruch & Omachonu. (2010). Innovation in Healthcare Delivery Systems: A Conceptual Framework. Retrieved from The Innovation Journal: The Public Sector Innovation Journal, Volume 5(1), 2010, Article 2.

There’s never been a more exciting time to be in the digital healthcare space than right now. This article shares health technologies that healthcare leaders should be excited about in 2019.

Reddy, M. (2019). 9 health technologies every executive should be excited about in 2019. Link: https://healthcareweekly.com/health-technologies/

Hospitals are shaping always-on consumer experiences with cutting-edge digital health tools as well as scheduling apps, workflow tools and more ways to access care.

Siwicki, B. (2018). Next-gen patient engagement: Applied intelligence and omni-channel messaging.

Link: https://www.healthcareitnews.com/news/next-gen-patient-engagement- applied- intelligence-and-omni-channel-messaging

Sunnybrook Health Sciences aims to shake up the Health Information Systems (HIS) market through a new partnership with Evident, a unit of Computer Programs and Systems Inc. (CPSI) of Mobile, Ala. Zeidenberg, J. (2019). Sunnybrook partners with Evident, creates new HER. Retrieved from https://www.canhealth.com/

Professionalism Audit Forum

An interesting article on the Ford government poised to dissolve regional health agencies; the local health integration networks (LHINs). The 14 health care co-ordination networks are said to be replaced by no more than 5 oversight bodies.