Associate Professor, co-lead of the SAFE (Social Accountability as the Framework for Engagement) for Health Institutions project, and Physician Clinical Lead for Leadership, Advocacy, and Policy in the Centre for Social Accountability at Northern Ontario School of Medicine (NOSM) University and Health Sciences North in Sudbury, Ont; and has been a member of the College of Family Physicians of Canada's Social Accountability Working Group.
Medical student at NOSM University in Thunder Bay, Ont.
Can Fam Physician. 2023 Sep;69(9):630-634. doi: 10.46747/cfp.6909630.
Family physicians stand to benefit from assistance with the implementation of social accountability strategies.
To develop rapid evidence narratives for key social accountability topics that summarize and mobilize evidence for practical use in social accountability strategies linking front-line, "bottom-up" actions with complementary "top-down" standards from the SAFE (Social Accountability as the Framework for Engagement) for Health Institutions evaluation tool.
The SAFE for Health Institutions project aims to accelerate transformation toward greater social accountability in family medicine practices and in other settings where family physicians work. A social accountability evaluation tool was developed to help with this transformation and includes a framework of 253 comprehensive top-down standards. Key social accountability topics linked to these standards were identified for rapid reviews of the literature, conducted between June and November 2021, with evidence reported as narratives. These rapid evidence narratives provide practical, evidence-based context including suggestions on how to address each topic across the micro, meso, and macro levels of care, connecting bottom-up actions with corresponding considerations for top-down policies, processes, and structures. Summaries of the rapid evidence narratives are being developed as a series of articles for , focusing on what family physicians can do in clinical practices, with interdisciplinary teams, and in other work settings to accelerate change toward adopting or advancing socially accountable strategies.
Rapid evidence narratives that summarize and mobilize evidence on key social accountability topics further the understanding of social accountability in family medicine and in other settings where family physicians work. Mapping actions across the micro, meso, and macro levels of care is a practical way to link front-line, bottom-up actions with a top-down social accountability strategy.
家庭医生在实施社会责任策略方面将受益于协助。
为关键社会责任主题开发快速证据叙述，总结和调动证据，以便在将基层、“自下而上”的行动与来自 SAFE（社会问责制作为参与框架）健康机构评估工具的互补“自上而下”标准联系起来的社会责任策略中实际使用。
SAFE for Health Institutions 项目旨在加速家庭医学实践和家庭医生工作的其他环境中更大程度的社会责任转型。开发了一个社会责任评估工具来帮助实现这一转变，其中包括一个包含 253 项全面的“自上而下”标准的框架。确定了与这些标准相关的关键社会责任主题，以进行文献快速审查，审查于 2021 年 6 月至 11 月进行，证据以叙述形式报告。这些快速证据叙述提供了实用的、基于证据的背景，包括在微观、中观和宏观护理层面上如何解决每个主题的建议，将基层行动与相应的自上而下政策、流程和结构考虑联系起来。正在为 系列文章开发快速证据叙述的摘要，重点是家庭医生如何在临床实践中、跨学科团队中以及在其他工作环境中采取行动，以加速采用或推进有社会责任的策略。
总结和调动关键社会责任主题证据的快速证据叙述进一步了解家庭医学和家庭医生工作的其他环境中的社会责任。在微观、中观和宏观护理层面上映射行动是将基层、“自下而上”的行动与自上而下的社会责任策略联系起来的一种实用方法。
