关键词: COVID-19 Ontario elective surgical procedures health services

Mesh : Humans COVID-19 / epidemiology diagnosis Ontario / epidemiology Surveys and Questionnaires Pandemics SARS-CoV-2 Leadership Mass Screening Delivery of Health Care Male Female Health Personnel

来  源:   DOI:10.3138/cim-2024-2655

Abstract:
UNASSIGNED: The COVID-19 pandemic has resulted in a significant diagnostic, screening, and procedure backlog in Ontario. Engagement of key stakeholders in healthcare leadership positions is urgently needed to inform a comprehensive provincial recovery strategy.
UNASSIGNED: A list of 20 policy recommendations addressing the diagnostic, screening and procedure backlog in Ontario were transformed into a national online survey. Policy recommendations were rated on a 7-point Likert scale (strongly agree to strongly disagree) and organized into those retained (≥75% strongly agree to somewhat agree), discarded (≥80% somewhat disagree to strongly disagree), and no consensus reached. Survey participants included a diverse sample of healthcare leaders with the potential to impact policy reform.
UNASSIGNED: Of 56 healthcare leaders invited to participate, there were 34 unique responses (61% response rate). Participants were from diverse clinical backgrounds, including surgical subspecialties, medicine, nursing, and healthcare administration and held institutional or provincial leadership positions. A total of 11 of 20 policy recommendations reached the threshold for consensus agreement with the remaining 9 having no consensus reached.
UNASSIGNED: Consensus agreement was reached among Canadian healthcare leaders on 11 policy recommendations to address the diagnostic, screening, and procedure backlog in Ontario. Recommendations included strategies to address patient information needs on expected wait times, expand health and human resource capacity, and streamline efficiencies to increase operating room output. No consensus was reached on the optimal funding strategy within the public system in Ontario or the appropriateness of implementing private funding models.
摘要:
COVID-19大流行导致了重大的诊断,筛选,和安大略省的程序积压。迫切需要关键利益相关者参与医疗保健领导职位,以制定全面的省级恢复战略。
解决诊断问题的20项政策建议列表,安大略省的筛查和程序积压被转化为一项全国在线调查.政策建议按7分的李克特量表进行评级(强烈同意强烈不同意),并组织成保留的建议(≥75%强烈同意有点同意),丢弃(≥80%有点不同意或强烈不同意),没有达成共识。调查参与者包括可能影响政策改革的各种医疗保健领导者样本。
受邀参加的56位医疗保健领导者中,有34个独特的应答(61%的应答率).参与者来自不同的临床背景,包括外科亚专科,医学,护理,和医疗保健管理,并担任机构或省级领导职位。20项政策建议中共有11项达到了达成共识的门槛,其余9项未达成共识。
加拿大医疗保健领导人就11项政策建议达成共识,以解决诊断问题,筛选,和安大略省的程序积压。建议包括解决预期等待时间的患者信息需求的策略,扩大卫生和人力资源能力,并简化效率以增加手术室产出。对于安大略省公共系统内的最佳筹资战略或实施私人筹资模式的适当性,没有达成共识。
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