Jacinda Netzer, Meghann Jarchow
Comparative analysis of diets in Sioux Falls: Influence of sociodemographic characteristics, alignment to US national diet and healthy diet
Heliyon
despite longstanding efforts calls reform canadas incremental approach healthcare changes left country lagging behind oecd nations reform canadian healthcare system essential develop higher performing system study sought gain deeper understanding views canadian stakeholders structural process deficiencies strategies improve canadian healthcare system substantially meaningfully conducted individual 45minute semistructured virtual interviews may 2022 august 2022 using existing contacts snowball sampling targeted one man one woman five regions canada across four stakeholder groups 1 public citizens 2 healthcare leaders 3 academics 4 political decision makers interviews centered participants perceptions state current healthcare system including areas major improvements required strategies achieve suggested enhancements donabedians model ie structure process outcomes guiding conceptual framework interviews audiorecorded transcribed verbatim deidentified inductive thematic analysis performed independently duplicate according published methods data 31 interviews 13 419 public citizens 10 323 healthcare leaders 4 129 academics 4 129 political decision makers resulted three themes related structure healthcare system 1 system reactivity 2 linkage canadian identity 3 political funding structures three themes related healthcare processes 1 staffing shortages 2 inefficient care 3 inconsistent care three strategies improve short longterm population health outcomes 1 delineating roles revising incentives 2 enhanced health literacy 3 interdisciplinary patientcentred care canadians sample identified important structural process limitations canadian healthcare system meaningful reforms needed require addressing link canadian identity healthcare system facilitate effective development implementation strategies improve population health outcomes