Global ETD Search

1	Drifting Apart: the Evolution of Contemporary Abortion Policies across Canada Kiefer, Jake 31 August 2012 (has links) This thesis takes an innovative approach to examining health care policy by applying the concept of policy drift to the issue of access to abortion across Canada through analyzing three explanations: the structure of Canadian federalism, women’s organizations, and rights litigation. The Supreme Court of Canada ruled that section 251 of the Criminal Code of Canada was unconstitutional in R v. Morgentaler (1988). Section 251 forced women to secure the approval of a panel of medical experts in order to gain legal consent to seek an abortion. As a result of this decision, women are now able to undergo a therapeutic abortion procedure without facing criminal sanctions. However, the issue of equitable access to abortion services across Canada is still unresolved. For example, women living in Prince Edward Island have to travel out of province at their own expense to undergo an abortion procedure. Meanwhile, women in Ontario are able to undergo an abortion procedure at a number of hospitals and private clinics with provincial insurance subsidizing the financial burdens. Abortion is a time-sensitive procedure and different from other health care procedures because it is also gender-sensitive. Findings within this thesis suggest that the model of Canadian federalism contributes to the inability of women’s organizations to gain audience from the federal government and inhibits the courts from assisting in expanding provincial access, which further facilitates policy drift. Recognizing policy drift concerning access to abortion is significant because it is an issue that involves gender equity at its core as well as discussions over what society deems is a right and what society deems is fair.
2	Pursuing Enterprise Risk Management: A Local Roadmap for Canadian Health Care Leaders Haney, James 19 July 2012 (has links) An in-depth analysis of organizational risk management in health care, and in particular the concepts of Enterprise Risk Management (ERM), has identified a five part model that can be used by Canadian health care leaders as an evidence supported approach to successful organizational risk management. The Model for Organizational Risk Management has been developed as a basis for linking the components of an ERM framework into a Canadian health organization in order to overcome the barriers that commonly disrupt strategic risk management. The Model addresses how an ERM framework can fit within an existing health organization by building off of and enhancing existing processes and resources in order to ensure familiarity, acceptance, and sustainability of the risk management program. By approaching the Model in a stepwise fashion (based on individual organizational context) health care leaders are provided with a roadmap from which to advance their own organizational risk management program. ERM Risk Management Organizational Risk Health Care Corporate Risk Clinical Risk Planning Mitigation Decision Support Enterprise Risk Health Care Management Risk Assessment Risk Program Liability Risk Model Knowledge Transfer Canadian Health Care Public Health Care Enterprise Risk Management 0769 0454
3	Pursuing Enterprise Risk Management: A Local Roadmap for Canadian Health Care Leaders Haney, James 19 July 2012 (has links) An in-depth analysis of organizational risk management in health care, and in particular the concepts of Enterprise Risk Management (ERM), has identified a five part model that can be used by Canadian health care leaders as an evidence supported approach to successful organizational risk management. The Model for Organizational Risk Management has been developed as a basis for linking the components of an ERM framework into a Canadian health organization in order to overcome the barriers that commonly disrupt strategic risk management. The Model addresses how an ERM framework can fit within an existing health organization by building off of and enhancing existing processes and resources in order to ensure familiarity, acceptance, and sustainability of the risk management program. By approaching the Model in a stepwise fashion (based on individual organizational context) health care leaders are provided with a roadmap from which to advance their own organizational risk management program. ERM Risk Management Organizational Risk Health Care Corporate Risk Clinical Risk Planning Mitigation Decision Support Enterprise Risk Health Care Management Risk Assessment Risk Program Liability Risk Model Knowledge Transfer Canadian Health Care Public Health Care Enterprise Risk Management 0769 0454
4	Ontario’s Home First Approach, Care Transitions, and the Provision of Care: The Perspectives of Home First Clients and Their Family Caregivers English, Christine 23 May 2013 (has links) Home First is an Ontario transition management approach that attempts to reduce the pressure on hospital and Long Term Care (LTC) beds through early discharge planning, the provision of timely and appropriate home care, and the delay of LTC placement. The purpose of this qualitative descriptive study was to obtain descriptions from South Eastern Ontario Home First clients and their family caregivers of their experiences with and thoughts about care transitions, the provision of care, and the Home First approach. The goal was to enable insight into the Home First approach, care transitions, and the provision of care through access to the perspectives of study participants. Nine semi structured interviews (and one or more follow-up calls for each interview) with Home First clients discharged from hospitals in South East Ontario and their family caregivers were conducted and their content analyzed. All participating Home First clients were pleased to be home from hospital and did not consider LTC placement a positive option. All had family involved with their care and used a mix of formal and informal services to meet their care needs. Four general themes were identified: (a) maintaining independence while responding (or not) to risks, (b) constraints on care provision, (c) communication is key, and (d) relationship matters. Although all Home First clients participating in the study were discharged home successfully, a sense of partnership between health care providers, families, and clients was often lacking. The Home First approach may be successfully addressing hospital alternative level of care issues and getting people home where they want to be, but it is also putting increasing demands on formal and informal community caregivers. There is room for improvement in how well their needs and those of care recipients are being met. Health professionals and policy makers must ask caregivers and recipients about their concerns and provide them with appropriate resources and information if they want them to become true partners on the care team. / Thesis (Master, Rehabilitation Science) -- Queen's University, 2013-05-23 16:10:53.323 home support workers home health care community care older home support clients elder care discharge planning relationships family relationships nursing home Ontario health care Canadian health care placement Home First transition management care transitions aging in place maintaining independence caregiving community health and support services community long-term care family carers frail seniors client satisfaction hospital discharge health care older people aged frail elderly aging elderly supportive home care client perspectives long-term care quality of care evaluation of services care planning risk decisions case management communication independence home care constraints on care provision maintaining independence qualitative research family caregivers nursing home placement qualitative description program evaluation alternative level of care patient discharge self-care formal care aged care informal care post-discharge care home support community support services health services research

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