A "bottom up" Health in All Policies program: Supporting local government wellbeing approaches.

ISSUE ADDRESSED: A wellbeing economy requires multiple inputs to enable the wholistic vision of a sustainable healthy population and planet. A Health in All Policies (HiAP) approach is a useful way to support policy makers and planners to implement the activities required to support a wellbeing economy. OUTLINE OF THE PROJECT: Aotearoa New Zealand's Government has explicitly set a path towards a wellbeing economy. Here, we report the utility of a HiAP approach in Greater Christchurch, the largest urban area in the South Island of New Zealand, to achieving the shared societal goals of a sustainable healthy population and environment. We use the World Health Organisation draft Four Pillars for HiAP implementation as a framework for discussion. SO WHAT?: The paper adds to the growing number of examples of city and regions supporting a wellbeing agenda, specifically focused on some of the successes and challenges for local HiAP practitioners working within a public health unit in influencing this work.

Development of a framework for reporting health service models for managing rheumatoid arthritis.

The purpose of this study was to develop a framework for reporting health service models for managing rheumatoid arthritis (RA). We conducted a search of the health sciences literature for primary studies that described interventions which aimed to improve the implementation of health services in adults with RA. Thereafter, a nominal group consensus process was used to synthesize the evidence for the development of the reporting framework. Of the 2,033 citations screened, 68 primary studies were included which described 93 health service models for RA. The origin and meaning of the labels given to these health service delivery models varied widely and, in general, the reporting of their components lacked detail or was absent. The six dimensions underlying the framework for reporting RA health service delivery models are: (1) Why was it founded? (2) Who was involved? (3) What were the roles of those participating? (4) When were the services provided? (5) Where were the services provided/received? (6) How were the services/interventions accessed and implemented, how long was the intervention, how did individuals involved communicate, and how was the model supported/sustained? The proposed framework has the potential to facilitate knowledge exchange among clinicians, researchers, and decision makers in the area of health service delivery. Future work includes the validation of the framework with national and international stakeholders such as clinicians, health care administrators, and health services researchers.

Environmental scan of interprofessional collaborative practice initiatives.

Interprofessional collaboration in health care is high on the policy agenda in Canada. There is evidence that governments, academic institutions, regulatory bodies and health services are developing directions, policies and strategies with collaboration in mind. The Ottawa Hospital (TOH) received governmental funding to implement The Ottawa Hospital Inter-Professional Model of Patient Care.Prior to implementing our model, we conducted an environmental scan to identify initiatives related to interprofessional collaboration in clinical settings. A historical method was used to understand the chronological development of interprofessional collaboration within the health field over the last 10 years. Critical browsing was used to search, select and summarize information found on the web. Fifty two documents were critically reviewed; 27 documents were retained for further analysis and inclusion.The information was analyzed according to three main parameters: source, summary and relevance to our project. The five broad themes identified are: promotion, networking, evidence, resources and linkage between interprofessional education and care. This seems an accurate reflection of the current state of this area; there is active promotion and networking, concrete frameworks and funds but few published results regarding the efficacy of implementing IPC in health care organizations. As experience with the approach accumulates, evidence should grow