Addressing cost-related nonadherence : our experiences supporting patients in a tertiary healthcare organization
MetadataShow full item record
The foundation of Canada’s health care system is the notion of universal access, which means all citizens have access to medical care according to need rather than ability to pay. This idea, however, does not capture the system’s complexities. While the system covers the full costs of hospitalizations, diagnostic tests, and physician visits, prescription medication is not covered. When a patient cannot afford and therefore does not take their prescribed medication, it is called cost-related nonadherence (CRNA), which is the subject of my study. My thesis explores organizational approaches to supporting patients who face financial barriers to medication. I ask how might an organization systematically support patients facing CRNA to prescription medication? Using an action research methodology and knowledge translation, I engaged multidisciplinary stakeholders from Vancouver General Hospital including physicians, nurse practitioners, directors, managers, nurses, social workers, pharmacists, researchers and patients, in a two-day Medication Affordability Workshop. Analysis of data from the workshop illustrates that CRNA at an organization level will require a multilayered approach. This study found that approaches to address CRNA will need to focus on system changes, education, collaboration, and ongoing engagement.
Showing items related by title, author, creator and subject.
Hillyer, Margaret; Bradbury, Kyla; Zimich, Erin; Thomas, Georgia (Electronic version published by Vancouver Island University, 2018-04-12)Poster highlighting a group of nursing students' experience promoting a health and wellness program to the Nanaimo community, specifically to acute care healthcare professionals.
Cleaning up hospitals : using participatory professional development to teach environmental sustainability practices to healthcare cleaning staff Nairn, Christie (2016-05-27)This thesis examines the use of participatory professional development (PPD) to teach environmental sustainability practices to healthcare cleaning staff, using the guidance of the Participatory Adult Learning Strategy ...
Developing Organizational Leadership Capacities in Preparation for a Major Transition in Healthcare Drouin, Susan (2015-06-11)The McGill University Health Centre (MUHC) and its hospitals have provided healthcare since the 19th century for the people of Montreal, the province of Quebec and beyond. Recently, its facilities were upgraded through ...