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https://www.readbyqxmd.com/read/28050654/misalignments-of-purpose-and-power-in-an-early-canadian-interprofessional-education-initiative
#1
Sarah Whyte, Elise Paradis, Carrie Cartmill, Ayelet Kuper, Heather Boon, Corinne Hart, Saleem Razack, Mandy Pipher, Cynthia R Whitehead
Interprofessional education (IPE) has been widely incorporated into health professional curricula and accreditation standards despite an arguably thin base of evidence regarding its clinical effects, theoretical underpinnings, and social implications. To better understand how and why IPE first took root, but failed to grow, this study examines one of the earliest documented IPE initiatives, which took place at the University of British Columbia between 1960 and 1975. We examined a subset of 110 texts (academic literature, grey literature, and unpublished records) from a larger study that uses Critical Discourse Analysis to trace the emergence of IPE in Canada...
January 3, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28032827/designing-integrated-approaches-to-support-people-with-multimorbidity-key-messages-from-systematic-reviews-health-system-leaders-and-citizens
#2
Michael G Wilson, John N Lavis, Francois-Pierre Gauvin
BACKGROUND: Living with multiple chronic conditions (multimorbidity) - and facing complex, uncoordinated and fragmented care - is part of the daily life of a growing number of Canadians. METHODS: We undertook: a knowledge synthesis; a "gap analysis" of existing systematic reviews; an issue brief that synthesized the available evidence about the problem, three options for addressing it and implementation considerations; a stakeholder dialogue involving key health-system leaders; and a citizen panel...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032822/stepping-up-to-the-plate-an-agenda-for-research-and-policy-action-on-electronic-medical-records-in-canadian-primary-healthcare
#3
Amanda L Terry, Moira Stewart, Martin Fortin, Sabrina T Wong, Inese Grava-Gubins, Lisa Ashley, Patricia Sullivan-Taylor, Frank Sullivan, Lynne Zucker, Amardeep Thind
Building on a previous study, which identified gaps in primary healthcare electronic medical record (emr) research and knowledge, a one-day conference was held to facilitate a strategic discussion of these issues. This paper offers a multi-faceted research agenda and suggestions for policy actions as a way forward in bridging the gaps. one facet focuses on the need for research. The second facet focuses on harnessing the knowledge of primary healthcare emr stakeholders. finally, the third facet focuses on policy actions...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28032821/doctors-lawyers-and-advance-care-planning-time-for-innovation-to-work-together-to-meet-client-needs
#4
Nola M Ries, Maureen Douglas, Jessica Simon, Konrad Fassbender
Health organizations in canada have invested considerable resources in strategies to improve knowledge and uptake of advance care planning (acp). Yet barriers persist and many canadians do not engage in the full range of acp behaviours, including writing an advance directive and appointing a legally authorized decision-maker. not engaging effectively in acp disadvantages patients, their loved ones and their healthcare providers. This article advocates for greater collaboration between health and legal professionals to better support clients in acp and presents a framework for action to build connections between these typically siloed professions...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28018888/health-care-for-children-with-diabetes-mellitus-from-low-income-families-in-ontario-and-california-a-population-based-cohort-study
#5
Sunitha V Kaiser, Vandana Sundaram, Eyal Cohen, Rayzel Shulman, Jun Guan, Lee Sanders, Astrid Guttmann
BACKGROUND: Children with diabetes mellitus in low-income families have poor outcomes, but little is known as to how this relates to healthcare system structure. Our objective was to gain insight into how best to structure health systems to serve these children by describing their health care use in 2 health system models: a Canadian model, with an organized diabetes care network that includes generalists, and an American model, with targeted support services for children from low-income families...
October 2016: CMAJ Open
https://www.readbyqxmd.com/read/28018878/regulatory-approval-time-for-hormonal-contraception-in-canada-the-united-states-and-the-united-kingdom-2000-2015-a-retrospective-data-analysis
#6
Christine Troskie, Judith A Soon, Arianne Y Albert, Wendy V Norman
BACKGROUND: Access to a wide range of contraceptive methods improves prevention of unintended pregnancy by ensuring the best method fit for each individual. We compared approval times of new hormonal contraceptives by Health Canada, the US Food and Drug Administration (FDA), and the UK Medicines and Healthcare Products Regulatory Agency (MHRA). METHODS: We obtained dates of applications to Health Canada, the FDA and the MHRA for contraceptive methods approved from January 2000 to January 2015...
October 2016: CMAJ Open
https://www.readbyqxmd.com/read/28003283/clinical-practitioners-views-on-the-management-of-patients-with-medically-unexplained-physical-symptoms-mups-a-qualitative-study
#7
A Keith W Brownell, Chloe Atkins, Andrea Whiteley, Robert F Woollard, Jude Kornelsen
OBJECTIVES: By identifying strategies that practicing physicians use in managing patients with medically unexplained physical symptoms (MUPS), we present an interim practical management guide (IPMG) that clinical practitioners may find useful in their clinical practices and that may help guide future research. DESIGN: A qualitative research study based on interview data from practicing physicians with experience in dealing with MUPS and known to the physician members of the research team...
December 21, 2016: BMJ Open
https://www.readbyqxmd.com/read/27997577/spatial-accessibility-to-health-care-services-identifying-under-serviced-neighbourhoods-in-canadian-urban-areas
#8
Tayyab Ikram Shah, Scott Bell, Kathi Wilson
BACKGROUND: Urban environments can influence many aspects of health and well-being and access to health care is one of them. Access to primary health care (PHC) in urban settings is a pressing research and policy issue in Canada. Most research on access to healthcare is focused on national and provincial levels in Canada; there is a need to advance current understanding to local scales such as neighbourhoods. METHODS: This study examines spatial accessibility to family physicians using the Three-Step Floating Catchment Area (3SFCA) method to identify neighbourhoods with poor geographical access to PHC services and their spatial patterning across 14 Canadian urban settings...
2016: PloS One
https://www.readbyqxmd.com/read/27996376/sexual-orientation-disclosure-in-primary-care-settings-by-gay-bisexual-and-other-men-who-have-sex-with-men-in-a-canadian-city
#9
Todd A Coleman, Greta R Bauer, Daniel Pugh, Gloria Aykroyd, Leanne Powell, Rob Newman
PURPOSE: Sexual orientation affects individuals' health histories and is fundamental to providers' understanding of patients as a whole. Gay, bisexual, and other men who have sex with men (GB-MSM) are vulnerable to certain health conditions, including HIV. The aim of this exploratory analysis was to examine factors associated with sexual orientation disclosure and communication with providers about GB-MSM health issues and to discuss implications. METHODS: We conducted a cross-sectional internet survey of GB-MSM (n = 202) in London-Middlesex, Ontario, Canada; analyses were limited to those with a regular primary provider (n = 173)...
December 20, 2016: LGBT Health
https://www.readbyqxmd.com/read/27990295/a-retrospective-analysis-of-personality-disorder-presentations-in-a-canadian-university-affiliated-hospital-s-emergency-department
#10
Sarah Penfold, Dianne Groll, Dane Mauer-Vakil, Jennifer Pikard, Megan Yang, Mir Nadeem Mazhar
BACKGROUND: Individuals with personality disorders often have extensive involvement with healthcare services including frequent utilisation of emergency departments. AIMS: The aim of this study was to identify factors associated with emergency department presentations by individuals with personality disorders. METHOD: A 12-month retrospective data analysis of all mental-health-related emergency department visits was performed. Age, gender, time and season of presentation, length of stay, mode of arrival and discharge arrangements for individuals with personality disorders were compared to individuals with other psychiatric diagnoses...
November 2016: BJPsych Open
https://www.readbyqxmd.com/read/27988789/systematic-review-of-rheumatic-disease-phenotypes-and-outcomes-in-the-indigenous-populations-of-canada-the-usa-australia-and-new-zealand
#11
REVIEW
Kelle Hurd, Cheryl Barnabe
We performed a systematic review designed to characterize clinical phenotypes and outcomes in Indigenous populations with rheumatic disease to enhance the understanding of how rheumatic disease presents in Indigenous populations and allow for better projection of the healthcare needs of the communities affected. A systematic search was performed in medical (Medline, EMBASE, CINAHL), Indigenous and conference abstract databases (to June 2015). Search terms for Indigenous populations were combined with terms for inflammatory arthritis conditions, connective tissue disorders, crystal arthritis and osteoarthritis...
December 17, 2016: Rheumatology International
https://www.readbyqxmd.com/read/27986744/selling-falsehoods-a-cross-sectional-study-of-canadian-naturopathy-homeopathy-chiropractic-and-acupuncture-clinic-website-claims-relating-to-allergy-and-asthma
#12
Blake Murdoch, Stuart Carr, Timothy Caulfield
OBJECTIVE: To identify the frequency and qualitative characteristics of marketing claims made by Canadian chiropractors, naturopaths, homeopaths and acupuncturists relating to the diagnosis and treatment of allergy and asthma. DESIGN: Cross-sectional study. SETTING: Canada. DATA SET: 392 chiropractic, naturopathic, homeopathic and acupuncture clinic websites located in 10 of the largest metropolitan areas in Canada, as identified using 400 Google search results...
December 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27965523/a-prospective-multicenter-registry-of-patients-undergoing-hysteroscopic-morcellation-of-uterine-polyps-and-myomas
#13
Michael D Scheiber, Serena H Chen
Background: Hysteroscopic morcellation removes uterine pathology under direct visualization with continuous real-time tissue fragment removal. Objective: The aim of this study was to explore the feasibility of hysteroscopic morcellation across a diverse set of facilities, including both surgical and office-based settings. Design: This was a prospective, single-arm, multicenter registry development (Canadian Task Force classification II-3). Materials and Methods: Thirty-four U.S. obstetrics and gynecology facilities enrolled subjects into the registry...
December 1, 2016: Journal of Gynecologic Surgery
https://www.readbyqxmd.com/read/27941505/perceptions-of-the-canadian-occupational-performance-measure-in-enhancing-the-client-centered-approach-in-the-rehabilitation-process-a-systematic-review-protocol
#14
Anette Enemark Larsen, Betina Rasmussen
The objective of this qualitative systematic review is to identify whether the use of the Canadian occupational performance measure (COPM) enhances the perceived experience of a client-centered approach throughout the rehabilitation process. Specifically the review questions are:How do healthcare professionals and their clients perceive the use of the COPM as an instrument to enhance the client-centered approach in the rehabilitation process?Does the use of the COPM provide a more client-centered approach and more involvement in the rehabilitation process, as experienced by the client and professionals?How do the clients and/or the professionals perceive the usability of the COPM in regard to facilitating the client-centered approach in specific settings or phases of the rehabilitation process?...
November 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27921632/access-to-healthcare-services-during-incarceration-among-female-inmates
#15
Rabia Ahmed, Cybele Angel, Rebecca Martel, Diane Pyne, Louanne Keenan
Purpose Incarcerated women have a disproportionate burden of infectious and chronic disease, in addition to substance use disorder and mental health illness, when compared to the general population ( Binswanger et al., 2009 ; Fazel et al., 2006 ; Fuentes, 2013; Kouyoumdjian et al., 2012 ). Women often enter the correctional system in poor health, making incarceration an opportunity to address health issues. The purpose of this paper is to explore the barriers to accessing health services that female inmates face during incarceration, the consequences to their health, and implications for correctional health services delivery...
December 19, 2016: International Journal of Prisoner Health
https://www.readbyqxmd.com/read/27919239/psychosocial-determinants-of-parental-human-papillomavirus-hpv-vaccine-decision-making-for-sons-methodological-challenges-and-initial-results-of-a-pan-canadian-longitudinal-study
#16
Samara Perez, Ovidiu Tatar, Gilla K Shapiro, Eve Dubé, Gina Ogilvie, Juliet Guichon, Vladimir Gilca, Zeev Rosberger
BACKGROUND: HPV vaccination decision-making is a complex process that is influenced by multiple psychosocial determinants. Given the change in policy recommendation to include males in routine HPV vaccination, our goals were to assess the HPV vaccination uptake in Canada, to understand where Canadian parents were situated in the HPV vaccine decision-making process for their son, how they changed over time and which psychosocial determinants were relevant for this process. METHODS: We used an online survey methodology and collected data from a nationally representative sample of Canadian parents of boys aged 9-16 at baseline (T1, February 2014) and at 9 months' follow-up (T2)...
December 5, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27918860/where-is-the-client-patient-voice-in-interprofessional-healthcare-team-assessments-findings-from-a-one-day-forum
#17
Sophie Soklaridis, Donna Romano, Wai Lun Alan Fung, Maria Athina Tina Martimianakis, Joan Sargeant, Jennifer Chambers, David Wiljer, Ivan Silver
There is a growing interest in interprofessional care (IPC) as a way to provide better healthcare. However, it is difficult to evaluate this mode of healthcare delivery because identifying the appropriate measurement tool is a challenge, given the wide diversity in team composition and settings. Adding to this complexity is a key gap in the IPC evaluation research: the client/patient perspective. This perspective has generally not been included in the development of IPC healthcare team evaluations. The authors received a Canadian Institute for Health Research Planning Grant to host a one-day forum with 24 participants from across Canada representing health professions such as social work, medicine, occupational therapy, and physical therapy, in addition to researchers, client/patient advocates, and hospital administrators...
January 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27902568/health-utilities-in-people-with-chronic-pain-using-a-population-level-survey-and-linked-health-care-administrative-data
#18
Mary-Ellen Hogan, Anna Taddio, Joel Katz, Vibhuti Shah, Murray Krahn
Health utilities are a preference-based measure of health-related quality of life that facilitates comparison of disease burden across conditions. We estimated utilities using a population-based, matched sample of adolescents and adults with and without chronic pain, controlling for comorbidity. Ontarians aged ≥12 years with and without chronic pain were identified from the Canadian Community Health Survey (CCHS) 2000-2001 and 2009-2010 and linked to their provincial health care administrative data. Individuals with chronic pain were matched to those without using age, sex, survey year, and a propensity score for having chronic pain estimated from a rurality index, income quintile, and comorbidity...
November 24, 2016: Pain
https://www.readbyqxmd.com/read/27878690/willingness-to-pay-and-the-sensitivity-of-willingness-to-pay-for-interdisciplinary-musculoskeletal-clinics-a-contingent-valuation-study-in-quebec-canada
#19
Thomas G Poder, Jie He
Orthopedics is a discipline that requires a continuum of care in close collaboration with physicians, nurses, and healthcare professionals to ensure effective rehabilitation. In some cases, the wait time for a consultation may be very long, which can jeopardize the patient's rehabilitation and sometimes even cause complications that lead to a loss of autonomy. In Quebec, there is a severe shortage of healthcare professionals-and of orthopedic surgeons, in particular-specializing in musculoskeletal problems...
December 2016: Int J Health Econ Manag
https://www.readbyqxmd.com/read/27868201/assembling-activity-setting-participation-with-disabled-young-people
#20
Barbara E Gibson, Gillian King, Gail Teachman, Bhavnita Mistry, Yani Hamdani
Rehabilitation research investigating activity participation has been largely conducted in a realist tradition that under-theorises the relationship between persons, technologies, and socio-material places. In this Canadian study we used a post-critical approach to explore activity/setting participation with 19 young people aged 14 to 23 years with complex communication and/or mobility impairments. Methods included integrated photo-elicitation, interviews, and participant observations of community-based activities...
November 21, 2016: Sociology of Health & Illness
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