Stakeholder perspectives towards implementing the national framework on palliative care in Canada |
| |
| Institution: | 1. Covenant Health Palliative Institute, Edmonton, Alberta, Canada;2. Department of Oncology, Division of Palliative Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada;1. Department of Family Medicine, Dalhousie University, 1465 Brenton Street, Suite 402, Halifax, Nova Scotia, Canada, B3J 3T4, 1-902-989-3087;2. Faculty of Health Sciences, Simon Fraser University, Blusson Hall 10502, 8888 University Dr., Burnaby BC, V5A 1S6, 1-778-782-3937;3. Telfer School of Management, University of Ottawa, 55 Laurier Avenue East, Ottawa ON, K1N 6N5;4. School of Leadership Studies, Faculty of Social and Applied Sciences, Royal Roads University, 2005 Sooke Road, Victoria, BC, V9B 5Y2;5. GoldQual Consulting, Richmond Hill, ON;6. Schulich School of Medicine & Dentistry, University of Western Ontario, 1465 Richmond St, Second Floor, Rm 2140, London, ON N6G2M1;7. Department of Family Practice, Faculty of Medicine, University of British Columbia, 5950 University Blvd, Vancouver, BC V6T 2A1;8. Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC V6T 1Z3;9. School of Nursing, University of British Columbia, 2211 Westbrook Mall, Vancouver, BC, V6T2B5;10. Faculty of Health Sciences, Ontario Tech University, 2000 Simcoe Street North, Oshawa ON L1G 0C5, 1-905-721-8668 ext. 3816;1. Gender and Women''s Studies Research Center, Kadir Has University, Cibali Mah. Kadir Has Cad., Fatih, ?stanbul 34083, Turkey;2. Boston University, Department of Sociology, Boston, MA 02215, USA;1. Università degli Studi della Campania Luigi Vanvitelli, Caserta, Italia;2. Università degli Studi di Napoli Federico II, Napoli, Italia;1. Universitat de València and ERI-CES, Spain;2. Universitat de València, Spain;1. Université de Bordeaux, Bordeaux Population Health, Inserm U1219, [EMOS], 33000 Bordeaux, France;1. Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden;2. IMPROVE, Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping, Sweden |
| |
| Abstract: | ContextIn 2018 Health Canada developed a national framework and subsequent action plan for palliative care. Collaboration and implementation by stakeholder organizations however continues to take place without coordination. Little is known about their attitudes toward national policy development and motivation to work together.MethodsWe employ a well-known stakeholder analysis framework to identify and understand the attitudes of key stakeholders. Organizations that have contributed to national palliative policy development over the past 25 years were identified and prioritized. In this paper, we survey key stakeholders to understand their attitudes towards collaboration and implementation of the 2018 Framework. A novel method to identify homogeneous stakeholder cohorts was developed.FindingsFifty-four out of 75 key organizations (72%) completed the survey. Organizations genuinely support the Framework. However, three-quarters of organizations were not confident in their abilities to strongly influence national palliative care policies. Barriers to collaboration include differences in governance models and funding arrangements, a lack of resources and divergent priorities. Homogeneous stakeholder cohorts and in-depth analysis of stakeholder characteristics resulted in recommendations to support targeted engagement strategies.ConclusionsImplementation of national palliative care policies requires a large-scale coordinated approach involving all stakeholders. Recommendations are centered on the premise that targeted and tailored stakeholder engagement needs to be coordinated and is superior to a one-size fits all approach. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
