A5021768435- Telemedicine and Telehealth Implementation
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Mobile Health and mHealth Applications
- COVID-19 and healthcare impacts
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Cardiac Imaging and Diagnostics
- Healthcare Policy and Management
- Ultrasound in Clinical Applications
- Health Policy Implementation Science
- Healthcare Systems and Technology
- Digital Mental Health Interventions
- Electronic Health Records Systems
- Health Literacy and Information Accessibility
- Chronic Disease Management Strategies
- Heart Failure Treatment and Management
- COVID-19 and Mental Health
- Cardiac, Anesthesia and Surgical Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Medical Malpractice and Liability Issues
- Cardiovascular Function and Risk Factors
- Medication Adherence and Compliance
- Retinal Imaging and Analysis
- Atrial Fibrillation Management and Outcomes
University of Toronto
2016-2025
Women's College Hospital
2015-2025
Institute for Clinical Evaluative Sciences
2014-2024
University Health Network
2014-2024
Ted Rogers Centre for Heart Research
2024
Université Rennes 2
2023
Health Net
2014-2023
Indian Institute of Technology Guwahati
2023
Centre of Biomedical Research
2023
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences
2023
The importance of heart failure with preserved ejection fraction is increasingly recognized. We conducted a study to evaluate the epidemiologic features and outcomes patients compare findings those from who had reduced fraction.
<h3>Background:</h3> The coronavirus disease 2019 (COVID-19) pandemic is thought to have increased use of virtual care, but population-based studies are lacking. We aimed assess the uptake care during COVID-19 using comprehensive data from Ontario. <h3>Methods:</h3> This was a repeated cross-sectional study design. used administrative evaluate changes in in-person and visits among all residents Ontario before (2012–2019) (January–August 2020) pandemic. included patients who had an ambulatory...
Choosing Wisely (CW) campaigns globally have focused attention on the need to reduce low-value care, which can represent up 30% of costs healthcare. Despite early enthusiasm for CW initiative, few large-scale changes in rates care been reported since launch these campaigns. Recent commentaries suggest that focus campaign should be implementation evidence-based strategies effectively care. This paper describes De-Implementation Framework (CWDIF), a novel framework builds previous work field...
Background: As the increasing prevalence of type 2 diabetes mellitus has put pressure on health systems to appropriately manage these patients, there have been a growing number mobile apps designed improve self-management diabetes. One such app, BlueStar, shown significantly reduce hemoglobin A1c (HbA1c) levels in small studies and is first app United States receive Food Drug Administration approval as prescription therapy. However, impact across real-world population among different...
This Viewpoint discusses the importance of value as policy makers consider role telemedicine for remainder and following COVID-19 pandemic, how to calibrate payment services that in a likely expansion video audio-only visits.
Background The COVID-19 pandemic has led to a notable increase in telemedicine adoption. However, the impact of on use at population level rural and remote settings remains unclear. Objective This study aimed evaluate changes rate among populations identify patient characteristics associated with prior during pandemic. Methods We conducted repeated cross-sectional all monthly quarterly visits from January 2012 June 2020, using administrative data Ontario, Canada. compared residents urban...
Background— The CArdiovascular HEalth in Ambulatory care Research Team (CANHEART) is conducting a unique, population-based observational research initiative aimed at measuring and improving cardiovascular health the quality of ambulatory provided Ontario, Canada. A particular focus will be on identifying opportunities to improve primary secondary prevention events Ontario’s diverse multiethnic population. Methods Results— cohort comprising 9.8 million Ontario adults ≥20 years 2008 was...
Background The development of new virtual care technologies (including telehealth and telemedicine) is growing rapidly, leading to a number challenges related health policy planning for systems around the world. Methods We brought together diverse group system stakeholders, including patient representatives, engage in dialogue set priorities application primary sector Province Ontario, Canada. applied nominal technique (NGT) process determine key priorities, synthesized these with discussion...
Background: The increasing use of Web-based solutions for health prevention and promotion presents opportunities to improve self-management adherence guideline-based therapy individuals with type 2 diabetes (T2DM). Despite promising preliminary evidence, many users stop using due the burden data entry, hidden costs, loss interest, a lack comprehensive features. Evaluations tend focus on effectiveness or impact fail evaluate nuanced variables that may interact contribute outcome success (or...
High-level policy barriers impede widespread adoption for even the most well-positioned innovations. Most of work in this field assumes rather than analyzes driving forces health innovation. Objective: The aim study was to explore challenges and opportunities experienced by system stakeholders implementation digital innovation Ontario.The Ontario.We completed semistructured interviews with 10 members senior leadership across key organizations that are engaged care-related activities. Data...
Abstract Background Studies have shown that telehealth applications in palliative care are feasible, can improve quality of care, and reduce costs but few studies focused on user acceptance current technology care. Furthermore, the perspectives health administrators not been explored yet they often heavily involved, alongside providers, coordination use technologies. The study aim was to explore both provider administrator perceptions regarding usefulness ease using Methods Technology...
It is currently unclear how the shift towards virtual care during 2019 novel coronavirus (COVID-19) pandemic may have impacted chronic disease management at a population level. The goals of our study were to provide description levels use services relative in-person in patients with across Ontario, Canada and describe healthcare utilization low versus high users.We used linked health administrative data conduct population-based, repeated cross-sectional all ambulatory patient visits (January...
<h3>Background:</h3> There is concern about increasing utilization of low-value health care services, including preoperative testing for low-risk surgical procedures. We investigated temporal trends, explanatory factors, and institutional regional variation in the before <h3>Methods:</h3> For this retrospective cohort study, we accessed linked population-based administrative databases from Ontario, Canada. A 1 546 223 patients 18 years or older underwent a total 2 224 070 procedures,...
Clinical guidelines advise against routine electrocardiograms (ECG) in low-risk, asymptomatic patients, but the frequency and impact of such ECGs are unknown.
Objectives To evaluate the uptake of a platform for virtual visits in primary care, examine patient and physician preferences communication methods report on characteristics patients experience care. Design A retrospective cohort study. Setting Primary care practices within five regions Ontario, Canada after 18 months access to services. Participants 326 providers 14 291 registered patients. Interventions Providers used that allowed them connect with their through synchronous (audio/video)...
Abstract Objective To test a scalable health system intervention to improve long term adherence secondary prevention treatments among patients who have had recent myocardial infarction. Design Three arm, pragmatic randomised controlled trial with blinded outcome assessment. Setting Nine cardiac centres in Ontario, Canada. Participants 2632 obstructive coronary artery disease after infarction, identified from centralised registry. Interventions were 1:1:1 receive usual care, five mail-outs...