1,721,005 research outputs found
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Pharmacare and Federalism: How federalism continues to shape the future of drug access in Canada
No full textVariations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Mental Health and Addictions in Northern Ontario: Analysis of Policy Outcomes in the North West Local Health Integration Network (LHIN) and the North East LHIN.
No full textFacteurs expliquant l’écart entre les potentiels et l’état actuel d’adoption et d’usage du dossier médical électronique (DME) dans les soins de première ligne au Canada
No full textLe système de dossier médical électronique (DME) est perçu comme un catalyseur pour améliorer l'efficacité, l’efficience, et la qualité des soins de santé. Malgré ces avantages, l’adoption et l’utilisation des DME au Canada continuent de faire l’objet d’une résistance substantielle de la part des utilisateurs, causant ainsi un écart significatif entre les potentiels et les bénéfices réalisés.
Pour expliquer cet écart, nous avons effectué une comparaison entre les potentiels et l’état actuel d’adoption des DME. Nous avons également analysé l’utilisation des DME ailleurs dans le monde pour comprendre comment certains pays ont surmonté les barrières à la mise en oeuvre. Le but de cette recherche est d’identifier et d’analyser les principaux facteurs explicatifs de l’écart précité; notamment le manque d’une vision stratégique claire au niveau national, l’insuffisance des récompenses financières pour l’amélioration de la qualité, l’absence d’un leadership politique et organisationnel, et le manque des législations pouvant encadrer la collecte, l’utilisation, et le partage des renseignements personnels de santé. La fragmentation des Technologies de l’Information de la Santé (TIS), ainsi que les difficultés liées à l’infostructure technique font également partie des barrières qui empêchent le déploiement des DME. Pour ce faire, cette étude met en évidence les avantages des DME et suggère de nouvelles pistes pour accélérer leur adoption.
Qui plus est, notre analyse contribue à la littérature de l’adoption des TIS en général et du DME en particulier. Elle offre une opportunité d’engagement pour les décideurs politiques, les patients, et les professionnels de la santé aux fins d’assurer une grande interopérabilité des DME.
Mots-clés : dossier médical électronique, adoption, intégration, interopérabilité, consentement, potentiels, barrières, soins de première ligne, médecins de famille, perception, utilité
Climate policy subsystems in Alberta and British Columbia: Lessons for climate policymaking
No full textGiven climate policy stagnation at the federal level in Canada, it is important to study provincial climate policy efforts as an important location of policy innovation. This paper uses the literature on policy subsystems to analyze provincial climate initiatives in Alberta and British Columbia. Specifically, the Specified Gas Emitters Regulation in Alberta, and the carbon tax in BC will be evaluated for their stringency and effectiveness in meeting provincial climate plans. The central issue to be explored is how the nature of the different subsystems has influenced policy outcomes and instrument choice. Close attention will be paid to the political economy of climate policy instrument choice in each subsystem, drawing on the observations of David Victor who suggests that climate policy is driven by who pays the costs of the policy and the relative distribution of these costs. This requires consideration of the structural power of emitters within the subsystem. The relative power of environmental groups and industry was found to influence the instrument choice within each subsystem. It suggests that subsystems with greater countervailing power to industry are more likely to choose market-based policy instruments, as regulations can be used to control the costs and their allocation, often to the detriment of emissions reductions. The paper also suggests that while provincial action is stalled without further national or US action, it also highlights that Alberta and British Columbia were willing to strengthen their climate policies given greater collective action
COVID-19 and Long-Term Care Home Regulations in Canada Comparing Ontario and British Columbia
No full textThis paper will explore the role of regulatory standards in LTC to try and understand why the COVID-19 virus had such devastating effects within Canada. Specifically, Ontario and British Columbia will be used as two case studies to answer the following three-part research question: What, if any, are the long-term care (LTC) regulatory differences between Ontario and British Columbia? If there are differences,
1) do these regulatory differences help explain the differentiating COVID-19 outcomes
in LTC facilities within each province? And 2) do they help explain the relationship
between COVID-19 in LTC facilities and ownership status within Ontario and British
Columbia? The paper will first explore LTC broadly in Canada, including an overview of COVID-19 within the country. Next, the paper will provide a brief history of LTC and
current regulations and enforcement within Ontario and British Columbia. Third, the
paper provides an overview of COVID-19 outcomes within LTC throughout the various
waves of the pandemic. These sections also include a brief discussion on pre-pandemic emergency preparedness and personal protective equipment (PPE) shortages within each province. The analysis section will then compare the research gathered within each section and point to the differences seen when comparing the two jurisdictions.
The paper concludes by using the analysis findings to answer the research question
and introducing new avenues of exploration for future research
Encouraging Treatment Seeking for Depression through Mental Health Literacy: Creating a Canadian Model based on Australian Initiatives
No full textDepression is a significant individual, social and economic burden in Canada as well as across the world. Although evidence based treatment exists to alleviate the negative effects of the disease, between 25-30% Canadians who recognize that they are suffering from depression fail to seek treatment for their disorder. Unfortunately, both the federal and provincial governments have failed to increase treatment seeking, as the federal government has remained largely absent from the conversation and provincial health ministries have focused mainly on making structural and service delivery reforms within their jurisdictions. However, many in the mental health community have suggested that poor treatment seeking rate, are the result of not only structural and access barriers but also individual barriers which include the ability to recognize and accept depression in one’s self as well as others and removing personal and public stigma of the disease.
Over the past three decades the governments of Australia have come together to create an evidence-based mental health policy, focused on depression and the concept of mental health literacy. Mental health literacy is policy tool employed create depression awareness and depression recognition as a means of addressing the individual barriers which hinder treatment seeking behaviour. This paper offers a comparative analysis the policies and programs in Canada and those that were implemented in Australia in order to evaluate whether Canadian decision makers can learn anything from the Australian experience and whether policy transfer is plausible
The Changing Landscape of Canadian Health Care: The Rise of Non-Core Services and the Need for an Expanded Federal Role
No full textFor many, Canada’s health care system is a hallmark of the Canadian identity. While the Canada Health Act (1984) lays out national standards for hospital and physician services and provides the foundation for Canada’s health care system, the increasing prominence of non-core services is changing the health policy landscape. While provinces and territories have provided reasonably comparable core services with limited federal leadership, this paper presents evidence revealing significant inter-jurisdictional variability in non-core services. By demonstrating how variations in access to non-core services jeopardize national values of equality and fairness, this paper presents arguments in support of an expanded federal role in the provision and standardization of non-core services
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