A5033184742- Healthcare Systems and Technology
- Patient-Provider Communication in Healthcare
- Tracheal and airway disorders
- Medical Research and Practices
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Health Literacy and Information Accessibility
- Social Media in Health Education
- Palliative Care and End-of-Life Issues
- Chronic Disease Management Strategies
- Telemedicine and Telehealth Implementation
- Radiology practices and education
- Reproductive System and Pregnancy
- Emergency and Acute Care Studies
- Electronic Health Records Systems
- Medical Coding and Health Information
- Healthcare Policy and Management
- Global Cancer Incidence and Screening
- Geriatric Care and Nursing Homes
- Frailty in Older Adults
- Healthcare innovation and challenges
- RNA Interference and Gene Delivery
- Endometriosis Research and Treatment
- Biomedical Text Mining and Ontologies
- Pregnancy and Medication Impact
Public Health Ontario
2022
Champlain Regional College
2015-2021
Bruyère
2015-2021
Tabriz University of Medical Sciences
2016-2018
Ottawa Hospital
2015-2018
University of Ottawa
2015-2018
Health Net
2017-2018
Digital Health Cooperative Research Centre
2018
Ottawa Hospital Research Institute
2016-2017
Winchester Hospital
2017
Access to specialist advice remains a barrier for primary care providers (PCPs) and their patients. Virtual consultations have been used expedite access. There are few studies demonstrating the utilization impact of such services. We established regional e-consultation service that was across wide range specialty services PCPs.We prospectively collected all e-consultations submitted from April 1, 2011 June 30, 2012. Utilization data included number submitted, response, time required complete...
<h3>Objectives:</h3> We have improved access to specialist care and decreased wait times in our region through the development implementation of Champlain BASE (Building Access Specialists eConsultation) service. This secure, web-based tool allows primary providers (PCPs) quick advice for their patients often helps avoid need a face-to-face referral. Our successful eConsult provides unique opportunity examine PCPs9 satisfaction overall perspective on using <h3>Methods:</h3> Following closure...
In the current study, we aimed to identify nanocurcumin effects on microRNAs (miRNAs) in peripheral blood of patients with relapsing-remitting multiple sclerosis (RRMS). We intended investigate expression pattern these miRNAs experimental settings vivo. The levels selected 27 known be involved regulation immune responses were analyzed 50 RRMS and 35 healthy controls. miRNA profiles investigated by quantitative PCR (qPCR) at baseline after 6 months therapy. Our data revealed that a number...
There is dissatisfaction among primary care physicians, specialists, and patients with respect to the consultation process. Excessive wait times for receiving specialist services inefficient communication between practitioners result in decreased access jeopardize patient safety. We created implemented an electronic (e-consultation) system Eastern Ontario address these problems improve The e-consultation has passed through proof-of-concept pilot study stages effectively reduced unnecessary...
Objective This study estimates the costs and potential savings associated with all eConsult cases completed between 1 April 2014 31 March 2015. Design Costing evaluation from societal perspective estimating eConsults during period. Setting Champlain health region in Eastern Ontario, Canada. Population Primary care providers specialists registered to use service. Main outcome measures Costs included (1) delivery costs; (2) specialist remuneration; (3) traditional (face-to-face) referrals...
Objectives/Hypothesis Prolonged wait times have become common. Electronic consultations (eConsults) been shown in previous studies to reduce unnecessary face‐to‐face specialists, but no prior study has investigated the feasibility or efficacy of eConsults an otolaryngology–head and neck surgery (OTO‐HNS) practice. Study Design Prospective observational study. Methods The Champlain BASE eConsult system is a secure web portal allowing primary care physicians (PCPs) communicate asynchronously...
Background: Residents of remote communities face inequities in access to specialists, excessive wait times, and poorly coordinated care. The Champlain BASETM (Building Access Specialists through eConsultation) service facilitates asynchronous communication between primary care providers (PCP) specialists. was extended several PCPs Nunavut 2014.Objective: To (1) describe the use eConsult services Nunavut, (2) conduct a costing evaluation.Design: A cross-sectional study cost analysis all cases...
<h3>PURPOSE</h3> Excessive wait times for specialist appointments pose a serious barrier to patient care. To improve access care and reduce times, we launched the Champlain BASE (Building Access Specialists through eConsultation) eConsult service in April 2011. The objective of this study is report on impact our multiple specialty during first 5 years use after implementation, with focus growth sustainability. <h3>METHODS</h3> We conducted cross-sectional all cases submitted between 1, 2011...
Background Champlain BASE™ (Building Access to Specialists through eConsultation) is a web-based asynchronous electronic communication service that allows primary-care- practitioners (PCPs) submit “elective” clinical questions specialist. For adults, PCPs have reported improved access and timeliness specialist advice, averted face-to-face referrals in up 40% of cases high provider satisfaction. Objective To determine whether the expansion eConsult pediatric setting would result similar...
Access to neurology consultation is limited by high demand and urgency of the presentation. Champlain BASETM (Building Specialists through eConsultation) (eConsult service) aims increase access direct communication between primary care providers (PCPs) specialists. Rapid responses PCP questions can guide management sometimes relieve need for a formal consultation. We reviewed which topics were frequently addressed, types asked, effect on patient.This retrospective review 387 consecutive...
Patients in long-term care (LTC) homes face barriers to accessing specialist advice. Electronic consultation (eConsult) has the potential improve access for these patients. We used a multi-method approach evaluate adoption of Champlain BASE eConsult service LTC across Eastern Ontario, Canada. conducted cross-sectional study all eConsults submitted by primary providers (PCPs) working at between January 1, 2018 and December 31, 2018. Service use data were collected descriptive statistics...
Excessive wait times for specialist care can have a substantial negative impact on health outcomes. The Champlain BASETM (Building Access to Specialists through eConsultation) eConsult service based in Ottawa, Canada has demonstrated the ability improve patients' access care. We interviewed patients who were treated using order explore their attitudes towards and experiences of receiving via service. conducted thematic analysis patient interviews constant comparative approach. Patients whose...
Electronic consultation can improve access to specialist care. However, specialists have been identified as less likely adopt electronic solutions in clinical settings. We conducted an online survey explore the perspectives of who use Champlain BASE eConsult service Eastern Ontario, Canada. Specialists were asked their opinions on experience with service, current consult/referral practices, recommendations for change and expansion compensation models. tabulated descriptive statistics from...
Introduction The Champlain BASE (Building Access to Specialists through eConsultation) eConsultation service was designed address the limited access specialist care in Canada, which can lead long waiting times and, subsequently, negative patient outcomes. Our primary objective perform an in-depth analysis of use, content, and perceived value haematology electronic consults (eConsults) submitted by providers (PCPs) eConsult service. Methods We conducted a cross-sectional study using...
To describe the effectiveness of an electronic consultation (eConsult) service by examining number traditional referrals that were avoided as a result service, to characterize type and content clinical questions being asked, time required for specialist complete each eConsult.This is retrospective chart review study. All eConsults directed obstetrics gynecology from July 2011 January 2015 reviewed. Each eConsult was categorized topic question in predetermined categories. Mandatory...
The Champlain BASE™ (Building Access to Specialists through eConsultation) eConsult service allows primary care providers (PCPs) submit patient-specific clinical questions specialists via a secure web service.Our objective was describe the types of nephrology asked an based in eastern Ontario and assess service's impact on need for face-to-face consultations.Cross-sectional study using descriptive statistics conducted cases submitted between May 2011 January 2015. Specialist response times...
Background:Wait times to access specialist care remain a huge frustration for patients and providers. In Ontario, two electronic consultation (eConsult) services provide prompt, secure advice: The Champlain Building Access Specialists through eConsultation (BASE™) eConsult-managed service, the Ontario Telemedicine Network (OTN). Introduction:To gain broader understanding of specialists' perspectives providing eConsult services, we surveyed all specialists actively participating in either...
Background: Patients with complex circumstances pertaining to geography, socioeconomic status, or functional health often face inequities in accessing care. Electronic consultation (eConsult) is a secure online application that allows primary care providers (PCPs) and specialists communicate regarding patient's eConsult has demonstrated an ability improve access specialist care, may be of particular use cases inequitable access. Methods: We examined how used equity for patients by conducting...
Objective. To describe the use and benefits of an innovative eConsult service to improve access rheumatologists. Methods. There were 225 eConsults directed rheumatology that categorized by type question effect on face-to-face referral rates. Results. The median response time rheumatologists was 1.9 days. Clinical questions included drug treatment (34%), diagnosis (26%), or management (14%). Osteoporosis most common (22%), followed pain in multiple joints (11%), polyarthritis (10%). A avoided...
Electronic consultation (eConsult) services are secure online applications facilitating provider-to-provider communication. They have been found to improve access specialist care. However, little is known about eConsult's impact on family physicians' referral rates specialty The objective of this study was assess the a multispecialty eConsult service from primary In parallel-arm, randomized controlled trial, we recruited care providers across Ontario not previously enrolled with eConsult. We...