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Kristy Buccieri, Abram Oudshoorn, Tyler Frederick, Rebecca Schiff, Alex Abramovich, Stephen Gaetz and Cheryl Forchuk
People experiencing homelessness are high-users of hospital care in Canada. To better understand the scope of the issue, and how these patients are discharged from hospital, a…
Abstract
Purpose
People experiencing homelessness are high-users of hospital care in Canada. To better understand the scope of the issue, and how these patients are discharged from hospital, a national survey of key stakeholders was conducted in 2017. The paper aims to discuss this issue.
Design/methodology/approach
The Canadian Observatory on Homelessness distributed an online survey to their network of members through e-mail and social media. A sample of 660 stakeholders completed the mixed-methods survey, including those in health care, non-profit, government, law enforcement and academia.
Findings
Results indicate that hospitals and homelessness sector agencies often struggle to coordinate care. The result is that these patients are usually discharged to the streets or shelters and not into housing or housing with supports. The health care and homelessness sectors in Canada are currently structured in a way that hinders collaborative transfers of patient care. The three primary and inter-related gaps raised by survey participants were: communication, privacy and systems pressures.
Research limitations/implications
The findings are limited to those who voluntarily completed the survey and may indicate self-selection bias. Results are limited to professional stakeholders and do not reflect patient views.
Practical implications
Identifying systems gaps from the perspective of those who work within health care and homelessness sectors is important for supporting system reforms.
Originality/value
This survey was the first to collect nationwide stakeholder data on homelessness and hospital discharge in Canada. The findings help inform policy recommendations for more effective systems alignment within Canada and internationally.
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Marian Shemberg and Cheryl Grossman
In late 1997/early 1998, we conducted a survey dealing with library provision of electronic journals and other electronic resources. We compared the responses from a census of…
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In late 1997/early 1998, we conducted a survey dealing with library provision of electronic journals and other electronic resources. We compared the responses from a census of Association of Research Libraries (ARL) to a sample of non‐ARL Master’s, Doctoral, and Research institutions. Of the 299 libraries surveyed, 250 surveys were returned for a response rate of 83.6 percent. Analysis of the responses emphasizes the number and types of computers available in libraries, electronic resources in libraries, past and future cancellation decisions and archiving responsibilities. It was determined that both ARL and non‐ARL libraries offer extensive electronic services to their constituents. Libraries are beginning to cancel paper journals in favor of electronic versions. There is little consensus about who will archive electronic journals.
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Few issues in recent times have so provoked debate and dissention within the library field as has the concept of fees for user services. The issue has aroused the passions of our…
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Few issues in recent times have so provoked debate and dissention within the library field as has the concept of fees for user services. The issue has aroused the passions of our profession precisely because its roots and implications extend far beyond the confines of just one service discipline. Its reflection is mirrored in national debates about the proper spheres of the public and private sectors—in matters of information generation and distribution, certainly, but in a host of other social ramifications as well, amounting virtually to a debate about the most basic values which we have long assumed to constitute the very framework of our democratic and humanistic society.