Hi Everyone,
Please note that MHIKNET Library Services will be closed from December 24 through January 2, re-opening on January 3.
If you would like to receive literature search results, or articles through document delivery, please submit requests prior to December 14th, to ensure they'll be completed by December 21st.
You may be interested in the following videos produced by the Health Council of Canada:
Clinical Practice Guidelines Videos: Understanding clinical practice guidelines a video series primer
These videos were developed to provide an overview of clinical practice guidelines in Canada through the eyes of those who design, disseminate, and use them.
http://www.healthcouncilcanada.ca/content.php?mnu=4&mnu1=34&mnu2=20
Kind regards,
Orvie
Mrs. Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/
Today the Institute for Clinical Evaluative Sciences (ICES) and Public Health Ontario released a new report:
Opening Eyes, Opening Minds: The Ontario Burden of Mental Illness and Addictions Report
http://www.ices.on.ca/webpage.cfm?site_id=1&org_id=68&morg_id=0&gsec_id=0&i…
"Ontarians suffer a high burden of illness from mental illness and addictions―a burden that is more than 1.5 times that of all cancers and more than seven times that of all infectious diseases. This joint study by ICES and Public Health Ontario quantifies the burden of nine mental illnesses and addictions in terms of years of life lost due to premature mortality and years of healthy life lost due to reduced functioning."
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/
Hi Everyone,
Please note that MHIKNET Library Services are closed on Monday October 8.
Two new reports have recently been released that may be of interest:
Manitoba Centre for Health Policy (MCHP)
Projecting Personal Care Home Bed Equivalent Needs in Manitoba Through 2036
Chateau D, Doupe M, Walld R, Soodeen R, Ouelette C, Rajotte L
http://mchp-appserv.cpe.umanitoba.ca/deliverablesList.html
"Manitoba Health's Aging in Place initiative has created relatively new alternatives to care for aging adults. By 2031, all Baby Boomers will be 65 or older and almost half will be older than 75, presenting a growing challenge for the healthcare system. The latest report from MCHP estimates how much the need for personal care home beds or equivalent alternatives such as supportive housing and extended home care is expected to rise. Researchers also looked into family structure - they found being married and having children lowers personal care home use. The study found the proportion of Manitobans using personal care homes has shrunk since 1985 however, by 3036 space for 5,100 more seniors will be needed in long-term care facilities. The extra capacity for care won't be needed all at once and won't be the same across the province, thus healthcare planners from across the province can use this report to prepare for future needs."
Large-System Transformation in Health Care: A Realist Review
(Saskatchewan) Best A, Greenhalgh T, Lewis S, Saul JE, Carroll S, Bitz J.
http://www.milbank.org/uploads/documents/featured-articles/pdf/large-system…
"At the request of the Saskatchewan Ministry of Health, researchers from Canada and the UK conducted a review and analysis of successful and less successful transformation initiatives to help guide four major policy development and strategy initiatives in Saskatchewan. These are focused on patient- and family-centered care, primary health care renewal, quality improvement, and surgical wait lists. The aims were to synthesize knowledge of the underlying mechanisms, clarify the role of government and outline options for evaluation."
Happy Thanksgiving,
Orvie
Mrs. Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/
1. From Innovation to Action: The First Report of the Health Care Innovation Working Group: http://www.councilofthefederation.ca/pdfs/Health%20Innovation%20Report-E-WE…
In January 2012, Canada's provincial premiers met to discuss shared healthcare concerns. They established a Working Group to identify innovations in healthcare delivery across Canada. This initial report from the Working Group focuses on:
* Clinical Practice Guidelines
* Team-Based Health Care Delivery Models
* Health Human Resource Management Initiatives
2. Evidence-Informed Healthcare Renewal (EIHR) Portal: http://www.mcmasterhealthforum.org/healthsystemsevidence-en
(One-time, free registration required)
This online portal includes syntheses of research evidence about governance, financial and delivery arrangements within health systems, and about implementation strategies that can support change in health systems.
3. Evidence-Informed Change Management in Canadian Healthcare Organizations: http://www.chsrf.ca/publicationsandresources/researchreports/commissionedre…
This project identified a suite of evidence-informed approaches to support change in small and large Canadian health systems and contexts. A concept map was created to identify the key ideas, concepts and issues that leaders and managers may be required to address during a change process.
4. Health Outcomes of Care: An Idea Whose Time Has Come. Canadian Institute for Health Information & Statistics Canada.
https://secure.cihi.ca/free_products/HealthOutcomes2012_EN.pdf
Despite ever-increasing investments in health care, we know very little in Canada about what we are getting in return for these investments - namely, gains in health status... While we know more in terms of the processes of care and selected outcomes (e.g. mortality and readmissions), less is known about the health outcomes of care at a population level.
This is the second report in a series focused on health outcomes and looks at options for data development/enhancement to fill the information gaps in health outcomes of care.
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/
Steven Lewis is a Saskatoon-based health policy consultant and part-time academic who thinks the healthcare system needs to get a lot better a lot faster (not to be confused with Stephen Lewis the politician, AIDS activist and member of the Order of Canada).
A collection of his writing has now been assembled into a book and is available free online at: http://www.longwoods.com/pages/stevenlewis?utm_source=Longwoods+Master+Mail…
"Steven believes in equitable access to healthcare for all, and he believes it can be achieved within a public-payer model. But he also believes that Canadian healthcare in the 21st century is in need of reform, and that those responsible for change should be held accountable. Steven's writings are pointed and direct, and highly crafted. His gift for writing makes his work at once entertaining, thought-provoking and sometimes acerbic. Some essays are analytical, while others react to a situation or event. All reflect his passion and his ultimate desire to incite change where change is required, and to hold accountable those who have perpetuated a less than high-performing healthcare system. It is no secret that some critics take issue with Steven's perspective and passion. But over the years that he has been writing for Longwoods, as well as his multitude of other academic journals and books, many critics have also commended him for his honesty and bravery.
With his numerous publications and invitations to speak at public forums, Steven has had the ear of politicians and bureaucrats. He has lectured to nursing students and medical students, and has helped shape healthcare leadership in Canada."
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/
The Canadian Health Services Research Foundation (CHSRF) publishes a regular series called MythBusters, which uses "evidence to debunk common misconceptions in Canadian healthcare".
Myth: Canada Needs More Doctors
http://www.chsrf.ca/PublicationsAndResources/Mythbusters/ArticleView/12-05-…
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/
The latest issue of What Your Patient Reads is now available (attached) and is titled: Does coffee help you live longer?
Please feel free to copy for in-house use or educational purposes. The attached a pdf version includes a spot to place local contact information. Just click inside the box, delete the instructions and type in your local contact information. To print, you must have the comments and forms set to Document with Markups.
We request that it otherwise not be modified and the University of Manitoba Health Sciences Libraries is acknowledged and the University of Manitoba logo is retained.
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/
Last week the Mental Health Commission of Canada (MHCC) released Canada's first-ever national strategy to improve mental health for all Canadians. This is the first national-level mental health strategy for Canada, and is the product of years of research by the Mental Health Commission, which was formed in 2007. This is a key document for Canadian professionals, policy-makers and organizations working in mental health and any the larger health-care system.
The report is titled "Changing Directions, Changing Lives: The Mental Health Strategy for Canada" and you can download the Strategy and its accompanying documents at http://strategy.mentalhealthcommission.ca/.
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/
Forwarded from the Manitoba Centre for Health Policy:
New Report: The Epidemiology and Outcomes of Critical Illness in Manitoba
Manitoba’s intensive care units (ICUs) operate efficiently, even though the supply of ICU beds in Manitoba is lower than the national average, says a new report the Manitoba Centre for Health Policy.
What makes this study so valuable is that it includes the entire population of Manitoba and every intensive care unit in the province. In 2007/08, Manitoba had 118 ICU beds. There were 82 in Winnipeg hospitals, nine in Brandon, and 27 more spread among nine rural hospitals.
In the most comprehensive study of its kind, researchers MCHP examined the use of intensive care units in the province from 1999 to 2008. They found:
* About 8% of those in hospitals need ICU care each year (or about 0.6% of the adult population of Manitoba.
* Admission rates were lowest among young adults and rose with age, especially above 55 years. Admission rates peaked at about 80 years old, and then declined among older residents.
* over a nine-year period, ICU beds in Winnipeg were completely full less than 5% of the time. Outside Winnipeg, ICU beds were full less than 1% of the time.
* Over half of all patients were admitted to an ICU because of cardiovascular conditions but the number of people admitted to ICUs for these problems fell over time, which parallels the decreases in heart attack and stroke rates in Manitoba.
* Other illnesses commonly bringing patients to the ICU were severe infections, lung disorders, accidents or trauma, and poisonings.
* Men accounted for about 60% of patients in ICUs. When adjusting for disparities, researchers found a higher underlying rate of critical illness among men, which explains their higher rate of ICU use.
* When socioeconomic disparities in ICU care were adjusted, the report showed residents of higher income areas were slightly more likely to be admitted to an ICU.
* One sixth of ICU care was for people who had previously been in a Manitoba ICU during the nine-year study period.
* ICU patients’ use of the healthcare system (including hospital care, physician visits, prescription drugs, home care, and placement in personal care homes) turned out to be remarkably similar to that of people admitted to hospital but who did not use an ICU.
* ICU patients were almost four times more likely to be re-admitted to an ICU in the year after discharge.
Download the complete report and summary here:
http://mchp-appserv.cpe.umanitoba.ca/deliverablesList.html<http://click.icptrack.com/icp/relay.php?r=30172807&msgid=1657136&act=YCC9&c…>
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
MHIKNET Library Services
Neil John Maclean Health Sciences Library
University of Manitoba
email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca>
phone: 204.977.5660
website: http://mhiknet.lib.umanitoba.ca/