Suchergebnisse

In May 2003 all university faculties of medicine, health sciences, nursing, business, and public administration in Canada were surveyed to document whether their promotion practices gave equal treatment to researchers with traditional disciplinary-based scholarly outputs versus those with nontraditional outputs flowing from an applied interest in interdisciplinary research, collaboration with nonacademics, and knowledge transfer. Forty-seven deans (response rate = 67 percent) and thirty-two promotion committee members (response rate = 51 percent) consistently rated research as more important than teaching and community service in promotion proceedings. Furthermore, in their considerations of research they accorded significantly more value in promotion to traditional than to nontraditional scholarly outputs. Among the deans, for example, the top ten ranked activities included seven traditional research outputs, two teaching-related outputs, and only one nontraditional research output. Scholars with nontraditional outputs were slightly less disadvantaged in health-related faculties compared to the nonhealth faculties. Despite broader acceptance of an evolving research landscape in Canadian universities, current reward structures may create barriers for academics interested in conducting nontraditional research characteristic of the emerging paradigm of applied scholarship.

Addressing health inequalities for Indigenous Peoples and communities is an urgent priority in Canada. The aim of this evidence review was to better understand the challenges and best practices of health planning for Indigenous populations. In total, 29 articles met our inclusion criteria, from which we distilled four main themes: (a) Managing health care in organizations serving Indigenous clientele; (b) Assessing Indigenous health needs and their related costs; (c) Toward cultural safety in health planning; and (d) Stakeholder participation in health planning. Our review indicates that while little has been published about challenges and best practices of health planning for Indigenous populations, there are important lessons to be learned from this literature, including promising practices for decision makers.