Research Topics
| Simon MshanaSummaryAffiliation: University of Toronto Country: Canada Publications
| Collaborators
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Detail Information
Publications
What do hospital decision-makers in Ontario, Canada, have to say about the fairness of priority setting in their institutions?David Reeleder
Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
BMC Health Serv Res 5:8. 2005..The purpose of this study is to elicit hospital decision-makers' self-report of the fairness of priority setting in their hospitals using an explicit conceptual framework, 'accountability for reasonableness'...- Interdisciplinary research: putting the methods under the microscopeDavid W Robertson
Department of Psychiatry, University of Toronto, Toronto, Ontario, M5S 1A1, Canada
BMC Med Res Methodol 3:20. 2003..While the desirability of interdisciplinary inquiry has been widely acknowledged, indeed has become 'the mantra of science policy', the methods of interdisciplinary collaboration are opaque to outsiders and generally remain undescribed... - Waiting lists for radiation therapy: a case studyD P D'Souza
Department of Radiation Oncology, Hamilton Regional Cancer Centre, McMaster University, Canada
BMC Health Serv Res 1:3. 2001.... - Priority setting in developing countries health care institutions: the case of a Ugandan hospitalLydia Kapiriri
Joint Centre for Bioethics, University of Toronto, 88 College Street, Toronto, Ontario, M5G 1L4, Canada
BMC Health Serv Res 6:127. 2006..The objective of this paper is to describe priority setting in a teaching hospital in Uganda and evaluate the description against an ethical framework for fair priority setting processes--Accountability for Reasonableness... - Adoption of an innovation to repair aortic aneurysms at a Canadian hospital: a qualitative case study and evaluationNathalie M Danjoux
Department of Health, Policy, Management and Evaluation, University of Toronto, Toronto, Canada
BMC Health Serv Res 7:182. 2007.... - Setting priorities in health care organizations: criteria, processes, and parameters of successJennifer L Gibson
University of Toronto Joint Centre for Bioethics, 88 College Street, Toronto, Ontario, M5G 1L4, Canada
BMC Health Serv Res 4:25. 2004..Very little has been reported from the perspective of Board members and senior managers about what criteria, processes and parameters of success they would use to set priorities fairly... - Priority setting: what constitutes success? A conceptual framework for successful priority settingShannon L Sibbald
Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
BMC Health Serv Res 9:43. 2009..One way to approach this problem is to determine what all relevant stakeholders understand successful priority setting to mean. The goal of this research was to develop a conceptual framework for successful priority setting... - Public involvement in the priority setting activities of a wait time management initiative: a qualitative case studyRebecca A Bruni
Joint Centre for Bioethics, University of Toronto, Toronto, Canada
BMC Health Serv Res 7:186. 2007..The purpose of this study is to describe and evaluate priority setting for the Ontario Wait Time Strategy, with special attention to public engagement... - Evaluating priority setting success in healthcare: a pilot studyShannon L Sibbald
School of Health Studies The University of Western Ontario London, Ontario, N6A 5B9, Canada
BMC Health Serv Res 10:131. 2010..The evaluation process was designed to examine the procedural and substantive dimensions of priority setting using a multi-methods approach, including a staff survey, decision-maker interviews, and document analysis... - Public views on a wait time management initiative: a matter of communicationRebecca A Bruni
Joint Centre for Bioethics, University of Toronto, Toronto, Canada
BMC Health Serv Res 10:228. 2010..Scholars and governmental reports have advocated for increased public involvement in wait time management. We provide empirically derived recommendations for public engagement in a wait time management initiative... - Priority setting for new technologies in medicine: a transdisciplinary studyJennifer L Gibson
University of Toronto Joint Centre for Bioethics, 88 College St, Toronto, Canada M5G 1L4
BMC Health Serv Res 2:14. 2002..Traditional approaches to priority setting for new technologies in medicine are insufficient and there is no widely accepted model that can guide decision makers... - SARS and hospital priority setting: a qualitative case study and evaluationJennifer A H Bell
University of Toronto Joint Centre for Bioethics, University of Toronto, Toronto, Canada
BMC Health Serv Res 4:36. 2004..The purpose of this study is to describe and evaluate priority setting in a hospital in response to SARS using the ethical framework 'accountability for reasonableness'... - Communication of bed allocation decisions in a critical care unit and accountability for reasonablenessAndrew B Cooper
Department of Critical Care Medicine, Sunnybrook and Women s College Health Science Centre, University of Toronto, Toronto, Canada
BMC Health Serv Res 5:67. 2005..Communication may affect perceptions of fair process for intensive care unit bed allocation decisions through its impact on the publicity condition of accountability for reasonableness... - The effect of priority setting decisions for new cancer drugs on medical oncologists' practice in Ontario: a qualitative studyScott R Berry
Division of Medical Oncology Hematology, Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto, Canada
BMC Health Serv Res 7:193. 2007..The purpose of this study is to describe oncologists' perceptions of the impact of NDFP priority setting decisions on their practice... - A strategy to improve priority setting in health care institutionsDoug Martin
Collaborative Program in Bioethics, Department of Health Policy, Management and Evaluation, Joint Centre for Bioethics, University of Toronto, Ontario, Canada M5G IL4
Health Care Anal 11:59-68. 2003..This describe-evaluate-improve strategy is a generalizable method that can be used in different health care institutions to improve priority setting in that context... - An ethical framework for cardiac report cards: a qualitative studyShawn A Richard
University of Toronto Joint Centre for Bioethics, 88 College Street, Toronto, Ontario, M5G, Canada 1L4
BMC Med Ethics 6:E3. 2005..An ethical framework in the context of cardiac care provides guidance for developing cardiac report cards (CRCs) that are relevant and legitimate to all stakeholders. The purpose of this study is to develop an ethical framework for CRCs... - Priority setting in surgery: improve the process and share the learningDouglas K Martin
Department of Health Policy, Management, and Evaluation, University of Toronto, 88 College Street, Toronto, Ontario M5G 1L4, Canada
World J Surg 27:962-6. 2003.... - What do district health planners in Tanzania think about improving priority setting using 'Accountability for reasonableness'?Simon Mshana
Department of Health Policy, Management and Evaluation and the Joint Centre for Bioethics, University of Toronto, Toronto, Canada
BMC Health Serv Res 7:180. 2007..Can 'accountability for reasonableness' be helpful for improving priority setting in less wealthy countries?.. - Access to intensive care unit beds for neurosurgery patients: a qualitative case studyD K Martin
Department of Health Policy, Management and Evaluation, University of Toronto, Canada
J Neurol Neurosurg Psychiatry 74:1299-303. 2003.... - Public perceptions of ethical issues regarding adult predictive genetic testingDouglas K Martin
Department of Health Policy, Management and Evaluation and the Joint Centre for Bioethics, University of Toronto, 88 College St, Toronto, ON, M5G 1L4, Canada
Health Care Anal 18:103-12. 2010..Members of the general public emphasized ethical issues that were different than those identified by experts and patients. It is essential that members of the public be included in complex and controversial public policy decisions... - Fairness, accountability for reasonableness, and the views of priority setting decision-makersDouglas K Martin
Department of Health Policy, Management and Evaluation, and the Joint Centre for Bioethics, University of Toronto, 88 College Street, Toronto, Ont M5G 1L4, Canada
Health Policy 61:279-90. 2002..According to these decision makers, accountability for reasonableness is acceptable and applicable. Our findings also provide refinements to accountability for reasonableness... - Priority setting in a hospital drug formulary: a qualitative case study and evaluationDouglas K Martin
Joint Center for Bioethics, University of Toronto, 88 College Street, Toronto, Ont, Canada M5G 1L4
Health Policy 66:295-303. 2003..The process we utilized here, describing using case study methods and evaluating using 'accountability for reasonableness', is a generalizable process for improving the fairness of priority setting in hospital drug formularies... - Healthcare sustainability and the challenges of innovation to biopharmaceuticals in CanadaZahava R S Rosenberg-Yunger
Department of Health Policy Management and Evaluation and the Joint Centre for Bioethics, University of Toronto, Canada
Health Policy 87:359-68. 2008.... - Hospital priority setting with an appeals process: a qualitative case study and evaluationShannon Madden
Department of Health Policy, Management and Evaluation and the Joint Centre for Bioethics, University of Toronto, 88 College Street, Toronto, Ont, Canada M5G 1L4
Health Policy 73:10-20. 2005..Also, we compared the lessons learned from this study with those from a previous study at a different hospital... - Fairness and accountability for reasonableness. Do the views of priority setting decision makers differ across health systems and levels of decision making?Lydia Kapiriri
McMaster University, Hamilton, Ontario, Canada
Soc Sci Med 68:766-73. 2009..However, the framework should be used with flexibility to allow for identification of elements and relevant explicit criteria (such as those identified in this study) - that may not directly fit under any of the four conditions... - Participation in health care priority-setting through the eyes of the participantsDouglas K Martin
Department of Health Policy, Management and Evaluation, University of Toronto, 88 College Street, Toronto, Ontario M5G 1L4, Canada
J Health Serv Res Policy 7:222-9. 2002..CONCLUSIONS: Using the insights from decision-makers, we have described lessons related to direct involvement of members of the public and patients in priority-setting, and have identified six roles and the contributions of each role... - A strategy to improve priority setting in developing countriesLydia Kapiriri
University of Toronto Joint Centre for Bioethics, 88 College Street, Toronto, Ontario, Canada, M5G 1L4
Health Care Anal 15:159-67. 2007.... - Priority setting at the micro-, meso- and macro-levels in Canada, Norway and UgandaLydia Kapiriri
University of Toronto Joint Centre for Bioethics, Toronto, Ontario, Canada
Health Policy 82:78-94. 2007.... - Bedside rationing by health practitioners: a case study in a Ugandan hospitalLydia Kapiriri
Joint Centre for Bioethics, University of Toronto, Toronto, Ontario, Canada
Med Decis Making 27:44-52. 2007..The purpose of this study was to describe bedside rationing by health practitioners in a teaching hospital in Uganda... - Responding to trust: surgeons' perspective on informed consentMartin F McKneally
Toronto General Hospital, University of Toronto, Department of Surgery and Joint Centre for Bioethics, Toronto, ON, Canada
World J Surg 33:1341-7. 2009..We conducted a series of qualitative studies, asking patients and surgeons to describe their experience and beliefs about informed decision-making and consent. This study focuses on surgeons' views... - The Global Fund Secretariat's suspension of funding to Uganda: how could this have been avoided?Lydia Kapiriri
Joint Centre for Bioethics, University of Toronto, Toronto, Ontario, Canada
Bull World Health Organ 84:576-80. 2006.... - Priority setting and cardiac surgery: a qualitative case studyNancy A Walton
Faculty of Community Services, The School of Nursing, Ryerson University, 350 Victoria Street, Toronto, Ont, Canada M5B 2K3
Health Policy 80:444-58. 2007..The purpose of this study is to describe priority setting in cardiac surgery and evaluate it using an ethical framework, "accountability for reasonableness"... - Ethical issues related to cardiac report cardsShauna Nast
Joint Centre for Bioethics, University of Toronto, Toronto, Ontario
Can J Cardiol 20:325-8. 2004..To push forward the report card initiative, a close relationship among stakeholders is encouraged, ie, among those developing cardiac report cards, those whom report cards evaluate and the intended audiences of report cards... - Evidence, economics and ethics: resource allocation in health services organizationsJennifer L Gibson
University of Toronto Joint Centre for Bioethics, Ontario, Canada
Healthc Q 8:50-9, 4. 2005..Various approaches have been developed to assist decision-makers to set priorities in their organizations. The dominant approaches come from evidence-based medicine, economics and ethics... - Leadership and priority setting: the perspective of hospital CEOsDavid Reeleder
Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, Ont, Canada M5T 3M6
Health Policy 79:24-34. 2006..It also provides a leadership guide for decision makers to improve the quality of their leadership, and in so doing, we believe, the fairness of their priority setting... - Priority setting in hospitals: fairness, inclusiveness, and the problem of institutional power differencesJennifer L Gibson
University of Toronto Joint Centre for Bioethics, 88 College Street, Toronto, Ont, Canada M5G 1L4
Soc Sci Med 61:2355-62. 2005.... - Patients' views about cardiac report cards: a qualitative studyShawn A Richard
University of Toronto Joint Centre for Bioethics, Toronto, Ontario, Canada
Can J Cardiol 21:943-7. 2005..In particular, the participants wanted CRCs to provide information about other cardiac patients' experiences... - Concerns about ethical review of health research in IndiaY Mohanan Nair
General Hospital, Thiruvananthapuram, Kerala 695011, India
Indian J Med Ethics 1:119-20. 2004 - Public engagement in setting priorities in health careRebecca A Bruni
University of Toronto Joint Centre for Bioethics, Toronto, Ontario, Canada
CMAJ 179:15-8. 2008 - The leap to trust: perspective of cholecystectomy patients on informed decision making and consentMartin F McKneally
Department of Surgery, Toronto General Hospital, University of Toronto, Ontario, Canada
J Am Coll Surg 199:51-7. 2004..Patients work their way through the decision process along many paths. Some rely on gathering information, but eventually all set aside unresolved residual doubts and fears, enabling a leap to trust and a decision to act... - Theatre as a public engagement tool for health-policy developmentJeff Nisker
Schulich School of Medicine, University of Western Ontario, London, Ontario, Canada
Health Policy 78:258-71. 2006..To explore theatre as a public engagement tool for health-policy development... - A qualitative study of attitudes toward error in patients facing brain tumour surgeryMark Bernstein
Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada
Can J Neurol Sci 31:208-12. 2004..The level of concern about error varies among patients, but most felt that discussion of error was a good thing... - Top ten biotechnologies for improving health in developing countriesAbdallah S Daar
Program in Applied Ethics and Biotechnology, Joint Centre for Bioethics, Department of Public Health Sciences, Pan American Health Organization/World Health Organization Collaborating Centre for Bioethics, University of Toronto, Ontario M5G 1 L4, Canada
Nat Genet 32:229-32. 2002..The results offer concrete guidance to those in a position to influence the direction of research and development, and challenge common assumptions about the relevance and affordability of biotechnology for developing countries... - Nanotechnology and the developing worldFabio Salamanca-Buentello
University of Toronto, Toronto, Canada
PLoS Med 2:e97. 2005 - Regenerative medicine and the developing worldHeather L Greenwood
University of Toronto, Toronto, Canada
PLoS Med 3:e381. 2006 - Evaluation of an integrated model of discharge planning: achieving quality discharges in an efficient and ethical wayDonna L Wells
Faculty of Nursing, University of Toronto, Ontario, Canada
Can J Nurs Res 34:103-22. 2002..Further, hospital resources were used efficiently and patients were involved in decision-making. The study represents a successful implementation of a promising approach to discharge planning... - Seasonal bed closures in an intensive care unit: a qualitative studyGraeme M Rocker
Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
J Crit Care 18:25-30. 2003..To describe perceptions of the administrative procedures for seasonal bed closures and their consequences in the intensive care unit (ICU), and to critique this example of health care priority setting for legitimacy and fairness... - Priority setting in a hospital critical care unit: qualitative case studyJens Mielke
University of Zimbabwe Medical School, Zimbabwe
Crit Care Med 31:2764-8. 2003.... - South Africa--blazing a trail for African biotechnologyMarion Motari
UNU-INTECH-MERIT Programme, United Nations University, Institute for New Technologies, Keizer Karelplein 19, 6211 TC Maastricht, The Netherlands
Nat Biotechnol 22:DC37-41. 2004