Akram Mahani

Akram Mahani
Johnson Shoyama Graduate School of Public Policy

PhD-Health Policy & Management

About

36
Publications
15,900
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
296
Citations
Citations since 2017
30 Research Items
268 Citations
2017201820192020202120222023020406080
2017201820192020202120222023020406080
2017201820192020202120222023020406080
2017201820192020202120222023020406080
Additional affiliations
October 2020 - June 2022
University of Regina
Position
  • Evaluator
December 2016 - August 2019
University of Calgary
Position
  • Researcher
September 2015 - October 2016
University of Ottawa
Position
  • Researcher

Publications

Publications (36)
Article
Full-text available
Background Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded through capitation, and opera...
Preprint
Full-text available
Background: Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded through capitation, and oper...
Preprint
Full-text available
Background: Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded through capitation, and oper...
Preprint
Full-text available
Background: Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded through capitation, and oper...
Preprint
Full-text available
Background: Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded through capitation, and oper...
Article
Full-text available
Background: Persons with developmental disabilities (PWDD) face a number of individual, environmental and societal barriers when seeking employment. Integrated knowledge translation (IKT) involves ongoing and dynamic interactions between researchers and stakeholders for the purpose of engaging in mutually beneficial research to address these types...
Article
Full-text available
Introduction With governments worldwide reducing their involvement in the provision of institutional long-term elder care, community-based family caregivers (FCs) have become a key element in policies aimed at improving the quality of health care systems and maintaining their financial sustainability. This paper uses data from focus groups with FCs...
Article
Full-text available
Background: As global populations age, governments have come to rely heavily on family carers (FCs) to care for older adults and reduce the demands made of formal health and social care systems. Under increasing pressure, sustainability of FC's unpaid care work has become a pressing issue. Using qualitative data, this paper explores FCs' care-rela...
Preprint
Background As global populations age, governments have come to rely heavily on family carers (FCs) to care for older adults and reduce the demands made of formal health and social care systems. Under increasing pressure, sustainability of FC’s unpaid care work has become a pressing issue. This paper explores FCs’ care-related work goals, and descri...
Article
Full-text available
Technology has been identified as an important strategy in making caring sustainable. This article takes the design process for carer support technology as a lens on the divergent definitions that are in play when governments, technology developers and carers contemplate ‘sustainability’. We argue that a central impediment to finding a productive p...
Article
Full-text available
Technology has been identified as an important strategy in making caring sustainable. This article takes the design process for carer support technology as a lens on the divergent definitions that are in play when governments, technology developers and carers contemplate ‘sustainability’. We argue that a central impediment to finding a productive p...
Preprint
Background As global populations age, governments have come to rely heavily on family carers (FCs) to care for older adults and reduce the demands made of formal health and social care systems. Under increasing pressure, FCs’ resilience and the sustainability of their unpaid care work have become pressing issues. This paper explores FCs’ care-relat...
Article
Full-text available
Family caregivers are a significant unpaid labour force that provides at least 70% of all care to seniors in the community. It was estimated in 2009 that the formal Canadian healthcare system would have to spend $25 billion annually to replace the contributions of family caregivers. More recent estimates have placed the value of family caregiver la...
Article
Full-text available
Background With patient and public engagement in many aspects of the healthcare system becoming an imperative, the recruitment of patients and members of the public into service and research roles has emerged as a challenge. The existing literature carries few reports of the methods – successful and unsuccessful – that researchers engaged in user-c...
Article
Full-text available
Background: The formation of any effective intersectoral collaboration requires a coherent and stable structure in order to build a sustainable collaboration. There is little evidence of the characteristics of an effective intersectoral collaboration structure, especially in the field of health, which highlights the need for research. Methods: Th...
Article
Full-text available
Purpose: Persons with a developmental disability have the lowest rate of labour force participation relative to other disabilities. The widening gap between the labour force participation of persons with versus without disability has been an enduring concern for many governments across the globe, which has led to policy initiatives such as labour m...
Article
Full-text available
Introduction Integrated care is viewed widely as a potential solution to some of the major challenges faced by health and social care systems, such as those posed by service duplication, fragmentation and poor care coordination, and associated impacts on the quality and cost of services. Fragmented models of allocating funds to and across sectors,...
Article
Full-text available
In April 2017, the Canadian Institute for Health Information, together with Choosing Wisely Canada, released a report entitled “Unnecessary Care in Canada.”1 This first ever national report echoes findings in other jurisdictions2,3 as it tracks a key element in the global drive to reduce per capita costs while improving quality.4 The Canadian numbe...
Chapter
Full-text available
Health issues have received unprecedented attention in global policy negotiations in recent decades. Ongoing global health challenges, the pressing need to address global health disparities, and recent calls for collaboration as part of the sustainable development goals process have contributed to increasing consideration of the intersection among...
Article
Full-text available
Introduction As the population ages, governments worldwide have begun seeking ways to support informal caregiving. In this light, Canada is no exception, but despite the centrality of the informal care strategy in elder care, we know little about the intertwining and overlapping policies that have been implemented to support informal caregivers pro...
Article
The Health in All Policies (HiAP) approach requires formal and sustained governance structures and mechanisms to ensure that the policies of various non-health sectors maximize positive and minimize negative impacts on population health. In this paper, we demonstrate the usefulness of a network perspective in understanding and contributing to the e...
Article
Full-text available
In this viewpoint we take Leonard Cohen’s late-in-life decision to recommence smoking as a lens on the clinical dilemmas and moral values that inform care delivery. The physician’s dilemma when counselling a senior citizen with a desire to return to tobacco rests on the uncertain application of population health data to individual cases. We show ho...
Research
Full-text available
The vast literature shows a fast growing health expenditures worldwide, growing at a faster rate than the economy. The recent economic crisis has further increased concerns over health system performance and value for money. These challenges have led health systems globally to embark on various health sector reforms to find more effective cost cont...
Article
The World Health Organization Commission on Social Determinants of Health (SDH) places great emphasis on the role of multi-sector collaboration in addressing SDH. Despite this emphasis on this need, there is surprisingly little evidence for this to advance health equity goals. One way to encourage more successful multi-sector collaborations is anch...
Article
Introduction Shisha smoking is a widespread custom in Iran with a rapidly growing prevalence especially among the youth. In this article, we analyze the policy process of enforcing a federal/state ban on shisha smoking in all public places in Kerman Province, Iran. Guided by the Advocacy Coalition Framework (ACF), we investigate how a shisha smokin...
Article
The multi-factorial causes of obesity demand integrated prevention policies with the collaboration of diverse sectors, although to date, there is little evidence of engagement by non-health sectors in developing obesity prevention policies. In this commentary, we develop a three-step argument for improving intersectoral collaboration. We first note...
Article
Full-text available
Population health is influenced by many factors beyond the control of health system which should be addressed by other sectors through inter-sectoral collaboration (ISC). Countries have adopted diverse initiatives to operationalize ISC for health such as establishment of Councils of Health and Food Security (CHFSs) and development of provincial Hea...
Article
Full-text available
Management of financial resources in health systems is one of the major issues of concern for policy makers globally. As a sub-set of financial management, accounting system is of paramount importance. In this paper, which presents part of the results of a wider research project on transition process from a cash accounting system to an accrual acco...
Article
Full-text available
Nationwide implementation of Family Physician (FP) program started in 2005 and targeted almost 25,000,000 citizens residing in rural areas and cities with less than 20,000 populations in Iran. Despite its blatant initiation that resulted in some modest achievements,1,2 the future of FP looks unclear in Iran. Thus far, no longitudinal evaluation of...
Article
Full-text available
Purpose – The purpose of this paper is to explore how the clinical governance policy and its main component, patient satisfaction, turned into practice and what they look like on the ground in the centralised health system of Iran. Design/methodology/approach – A qualitative research stance was adopted incorporating three main sources of informati...
Article
Full-text available
Priority setting in health care means making distributional decisions, which inherently involves limiting access to some health services. Public health ethics involves many ethical principles like efficiency, equity and individual choice, which are frequently appealed to but rarely analysed. How these concepts are understood and applied impacts on...
Article
Full-text available
The question of how priority setting processes work remains topical, contentious and political in every health system across the globe. It is particularly acute in the context of developing countries because of the mismatch between needs and resources, which is often compounded by an underdeveloped capacity for decision making and weak institutiona...

Network

Cited By

Projects

Projects (4)
Project
The project has a focus on performance measurement in primary health care and how this could be achieved through consensus-building across three key constituencies: public-policy makers-providers. We are currently conducting a thorough pan-Canadian policy document analysis to better understand policy development, implementation, and change in Canada since 2000. Meanwhile, we have deep dived into Alberta context, using key stakeholder interviews and policy document analysis, to identify and explore key players and key drivers of change.
Project
To explore policy supports for Canada’s unpaid family caregivers.
Project
To investigate the conditions and processes for designing a funding model to integrate care between levels (or across continuum) of care within the health system and also between health and social car