For health or for profit? Understanding how private financing and for-profit delivery operate within Canadian healthcare (4H|4P): protocol for a multimethod knowledge mobilisation research project
Introduction Privatisation through the expansion of private payment and investor-owned corporate healthcare delivery in Canada raises potential conflicts with equity principles on which Medicare (Canadian public health insurance) is founded. Some cases of privatisation are widely recognised, while o...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/8/e077783.full |
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| author | Damien Contandriopoulos Marie-Ève Poitras Agnes Grudniewicz Kimberlyn McGrail Joel Lexchin M Ruth Lavergne David Rudoler Lindsay Hedden Maria Mathews Madeleine McKay Sheryl Spithoff Meredith Vanstone Sarah Spencer Sara Allin Frank Gavin Rita K McCracken Chad Leaver Karen S Palmer |
| author_facet | Damien Contandriopoulos Marie-Ève Poitras Agnes Grudniewicz Kimberlyn McGrail Joel Lexchin M Ruth Lavergne David Rudoler Lindsay Hedden Maria Mathews Madeleine McKay Sheryl Spithoff Meredith Vanstone Sarah Spencer Sara Allin Frank Gavin Rita K McCracken Chad Leaver Karen S Palmer |
| author_sort | Damien Contandriopoulos |
| collection | DOAJ |
| description | Introduction Privatisation through the expansion of private payment and investor-owned corporate healthcare delivery in Canada raises potential conflicts with equity principles on which Medicare (Canadian public health insurance) is founded. Some cases of privatisation are widely recognised, while others are evolving and more hidden, and their extent differs across provinces and territories likely due in part to variability in policies governing private payment (out-of-pocket payments and private insurance) and delivery.Methods and analysis This pan-Canadian knowledge mobilisation project will collect, classify, analyse and interpret data about investor-owned privatisation of healthcare financing and delivery systems in Canada. Learnings from the project will be used to develop, test and refine a new conceptual framework that will describe public-private interfaces operating within Canada’s healthcare system. In Phase I, we will conduct an environmental scan to: (1) document core policies that underpin public-private interfaces; and (2) describe new or emerging forms of investor-owned privatisation (‘cases’). We will analyse data from the scan and use inductive content analysis with a pragmatic approach. In Phase II, we will convene a virtual policy workshop with subject matter experts to refine the findings from the environmental scan and, using an adapted James Lind Alliance Delphi process, prioritise health system sectors and/or services in need of in-depth research on the impacts of private financing and investor-owned delivery.Ethics and dissemination We have obtained approval from the research ethics boards at Simon Fraser University, University of British Columbia and University of Victoria through Research Ethics British Columbia (H23-00612). Participants will provide written informed consent. In addition to traditional academic publications, study results will be summarised in a policy report and a series of targeted policy briefs distributed to workshop participants and decision/policymaking organisations across Canada. The prioritised list of cases will form the basis for future research projects that will investigate the impacts of investor-owned privatisation. |
| format | Article |
| id | doaj-art-a8c5ae86976f42e3a1a9092a930f9346 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a8c5ae86976f42e3a1a9092a930f93462024-11-14T07:15:14ZengBMJ Publishing GroupBMJ Open2044-60552023-08-0113810.1136/bmjopen-2023-077783For health or for profit? Understanding how private financing and for-profit delivery operate within Canadian healthcare (4H|4P): protocol for a multimethod knowledge mobilisation research projectDamien Contandriopoulos0Marie-Ève Poitras1Agnes Grudniewicz2Kimberlyn McGrail3Joel Lexchin4M Ruth Lavergne5David Rudoler6Lindsay Hedden7Maria Mathews8Madeleine McKay9Sheryl Spithoff10Meredith Vanstone11Sarah Spencer12Sara Allin13Frank Gavin14Rita K McCracken15Chad Leaver16Karen S Palmer17School of Nursing, University of Victoria, Victoria, British Columbia, CanadaFaculty of Medicine and Health Sciences, Department of Family Medicine, Research Centre of the CIUSS du Saguenay-Lac-Saint-Jean, Université de Sherbrooke, Chicoutimi, Quebec, CanadaTelfer School of Management, University of Ottawa, Ottawa, Ontario, CanadaCentre for Health Services and Policy Research, The University of British Columbia, Vancouver, British Columbia, CanadaCanadian Doctors for Medicare, Toronto, Ontario, CanadaDepartment of Family Medicine, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, CanadaFaculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada4 Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, CanadaDepartment of Family Medicine, University of Western Ontario, London, Ontario, CanadaDoctors Nova Scotia, Dartmouth, Nova Scotia, CanadaWomen`s College Research Institute, Women`s College Hospital, Toronto, Ontario, CanadaFamily Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, CanadaInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaPublic Advisory Council, Health Data Research Network, Vancouver, British Columbia, CanadaDepartment of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, CanadaHealth, Conference Board of Canada, Ottawa, Ontario, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, CanadaIntroduction Privatisation through the expansion of private payment and investor-owned corporate healthcare delivery in Canada raises potential conflicts with equity principles on which Medicare (Canadian public health insurance) is founded. Some cases of privatisation are widely recognised, while others are evolving and more hidden, and their extent differs across provinces and territories likely due in part to variability in policies governing private payment (out-of-pocket payments and private insurance) and delivery.Methods and analysis This pan-Canadian knowledge mobilisation project will collect, classify, analyse and interpret data about investor-owned privatisation of healthcare financing and delivery systems in Canada. Learnings from the project will be used to develop, test and refine a new conceptual framework that will describe public-private interfaces operating within Canada’s healthcare system. In Phase I, we will conduct an environmental scan to: (1) document core policies that underpin public-private interfaces; and (2) describe new or emerging forms of investor-owned privatisation (‘cases’). We will analyse data from the scan and use inductive content analysis with a pragmatic approach. In Phase II, we will convene a virtual policy workshop with subject matter experts to refine the findings from the environmental scan and, using an adapted James Lind Alliance Delphi process, prioritise health system sectors and/or services in need of in-depth research on the impacts of private financing and investor-owned delivery.Ethics and dissemination We have obtained approval from the research ethics boards at Simon Fraser University, University of British Columbia and University of Victoria through Research Ethics British Columbia (H23-00612). Participants will provide written informed consent. In addition to traditional academic publications, study results will be summarised in a policy report and a series of targeted policy briefs distributed to workshop participants and decision/policymaking organisations across Canada. The prioritised list of cases will form the basis for future research projects that will investigate the impacts of investor-owned privatisation.https://bmjopen.bmj.com/content/13/8/e077783.full |
| spellingShingle | Damien Contandriopoulos Marie-Ève Poitras Agnes Grudniewicz Kimberlyn McGrail Joel Lexchin M Ruth Lavergne David Rudoler Lindsay Hedden Maria Mathews Madeleine McKay Sheryl Spithoff Meredith Vanstone Sarah Spencer Sara Allin Frank Gavin Rita K McCracken Chad Leaver Karen S Palmer For health or for profit? Understanding how private financing and for-profit delivery operate within Canadian healthcare (4H|4P): protocol for a multimethod knowledge mobilisation research project BMJ Open |
| title | For health or for profit? Understanding how private financing and for-profit delivery operate within Canadian healthcare (4H|4P): protocol for a multimethod knowledge mobilisation research project |
| title_full | For health or for profit? Understanding how private financing and for-profit delivery operate within Canadian healthcare (4H|4P): protocol for a multimethod knowledge mobilisation research project |
| title_fullStr | For health or for profit? Understanding how private financing and for-profit delivery operate within Canadian healthcare (4H|4P): protocol for a multimethod knowledge mobilisation research project |
| title_full_unstemmed | For health or for profit? Understanding how private financing and for-profit delivery operate within Canadian healthcare (4H|4P): protocol for a multimethod knowledge mobilisation research project |
| title_short | For health or for profit? Understanding how private financing and for-profit delivery operate within Canadian healthcare (4H|4P): protocol for a multimethod knowledge mobilisation research project |
| title_sort | for health or for profit understanding how private financing and for profit delivery operate within canadian healthcare 4h 4p protocol for a multimethod knowledge mobilisation research project |
| url | https://bmjopen.bmj.com/content/13/8/e077783.full |
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