A5102710729- Primary Care and Health Outcomes
- Interprofessional Education and Collaboration
- Health Policy Implementation Science
- Chronic Disease Management Strategies
- Trypanosoma species research and implications
- Mental Health and Patient Involvement
- Patient Satisfaction in Healthcare
- Global Public Health Policies and Epidemiology
- Healthcare Systems and Technology
- Health Systems, Economic Evaluations, Quality of Life
- Research on Leishmaniasis Studies
- Healthcare Policy and Management
- Parasites and Host Interactions
- Health Sciences Research and Education
- Migration, Health and Trauma
- Healthcare innovation and challenges
- Complementary and Alternative Medicine Studies
- Childhood Cancer Survivors' Quality of Life
- Surgical site infection prevention
- Pharmaceutical studies and practices
- Community Health and Development
- Delphi Technique in Research
- Global Health Workforce Issues
- Parasitic Infections and Diagnostics
- Surgical Simulation and Training
University of Edinburgh
2021-2025
University of Calgary
2005-2023
University of British Columbia
2023
University of London
1946-2015
TB Alliance
2015
Alberta Health Services
2007-2013
London School of Hygiene & Tropical Medicine
1976-2007
University of Alberta
2006
University of Bristol
2000
University of Exeter
2000
Abstract Objectives To describe and discuss key findings from a recent research project that challenge an increasingly prevalent theme, apparent in both family‐centred care practice, of conceptualizing as shifting care, management, advocacy responsibilities to families. The purpose the research, which these emerged, was develop conceptualization grounded experiences families direct health‐care providers. Design Qualitative methods, following theory tradition, were used conceptual framework...
Healthcare and social services professionals are being called to engage in interprofessional education (IPE) collaboration (IPC) order provide efficient effective care clients patients. As such, it is important conduct research that contributes evaluation of collaborative practice. A necessary component any strong quantitative methodology the type instruments used for data collection. However, identifying valid reliable use this area can be a daunting task. The purpose paper review measures...
Surgical site infections (SSI) cause substantial morbidity and pose a burden to acute healthcare services after surgery. We aimed investigate whether smartphone-delivered wound assessment tool can expedite diagnosis treatment of SSI emergency abdominal This single-blinded randomised control trial (NCT02704897) enroled adult surgery patients in two tertiary care hospitals. Patients were (1:1) routine postoperative or additional access for 30-days postoperatively. Patient-reported symptoms...
Abstract Remote monitoring is essential for healthcare digital transformation, however, this poses greater burdens on providers to review and respond as the data collected expands. This study developed a multimodal neural network automate assessments of patient-generated from remote postoperative wound monitoring. Two interventional studies including adult gastrointestinal surgery patients images patient-reported outcome measures (PROMs) 30-days postoperatively. Neural networks PROMs were...
Collaboration among health care providers and across systems is proposed as a strategy to improve delivery the world over. Over past two decades, have been encouraged work in partnership build interdisciplinary teams. More recently, notion of networks has entered this discourse but lack consensus understanding about what meant by adopting network approach services limits its use. Also crucial discussion distinguishing nature extent impact social relationships - generally referred capital. In...
Abstract Background In health services research, there is a growing view that partnerships between researchers and decision-makers (i.e., collaborative research teams) will enhance the effective translation use of results into policy practice. For this reason, an increasing expectation by funding agencies system managers, policy-makers, practitioners clinicians be members funded teams. While has merit to improve uptake findings, practical challenges building sustaining teams with from both...
Abstract Background Primary healthcare services must respond to the healthcare-seeking needs of persons with a wide range personal and social characteristics. In this study, examined whether socially vulnerable exhibit lower abilities access healthcare. First, we how characteristics are associated described in patient-centered accessibility framework likelihood reporting problematic access. We then higher protective against Finally, explored vulnerabilities predict after accounting for...
Genome sequencing of the protistan parasite Entamoeba histolytica HM-1:IMSS revealed that almost all tRNA genes are organized into tandem arrays make up over 10% genome. The 25 distinct array units contain to 5 each and some also encode 5S RNA. Between adjacent in complex short repeats (STRs) resembling microsatellites. To investigate origins evolution this unique gene organization, we have undertaken a genome survey determine unit organization 4 other species Entamoeba-Entamoeba dispar,...
Access to primary healthcare (PHC) has a fundamental influence on health outcomes, particularly for members of vulnerable populations. Innovative Models Promoting Access-to-Care Transformation (IMPACT) is 5-year research programme built community-academic partnerships. IMPACT aims design, implement and evaluate organisational innovations improve access appropriate PHC Six Local Innovation Partnerships (LIPs) in three Australian states (New South Wales, Victoria Australia) Canadian provinces...
SUMMARY Thirty-two isolates from man in known areas of Gambian trypanosomiasis, the Sudan, Kenya, Zaire, Nigeria, Ivory Coast, Burkina Faso, Liberia and Senegal, were examined by isoenzyme electrophoresis 11 enzymes. Comparisons also made with our previously published results on 23 other stocks similar origins, which had been same manner. All those low initial virulence to laboratory rodents, thus conform accepted view behaviour Trypanosoma brucei gambiense can be identified characteristic...
The identical electrophoretic isoenzyme patterns of a human-plasma-resistant Trypanozoon stock from sheep and two other stocks trypanosomiasis patients in the Congo Republic indicated that was probably infective to man. These, one further human Congo, closely resembled isolated man Liberia Ivory Coast.
Focus group interviews have become increasingly popular in the past three decades, but ethical issues related to conducting focus groups with participants who preexisting power relationships workplaces has received scant attention methodological qualitative literature. In this paper authors offer propositions strengthen moral geographical space between researchers and participants: (a) prior data collection: highlight risks benefits of method stress that confidentiality cannot be assured...
It is timely to develop improved understandings about strengthening interdisciplinary contexts guide effective and quality healthcare research; in which health social issues occur do not recognize disciplinary boundaries. Similar the notion of "partnership", terms multidisciplinary, transdisciplinary are danger becoming conceptually indistinct thus limited usefulness for researchers, practitioners teams. In this paper, we review basic concepts related cross-disciplinary relationships as well...
Comprehensive primary healthcare for patients with complex care needs requires connections to other health services, social services and community supports. This descriptive comparative policy research program used publicly available documents informant interviews examine progress toward integrated comprehensive through the lens of needed by children youth (0-25 years) community-dwelling older adults (≥ 65 high functional needs. article describes five projects. The following three findings...
As healthcare in Canada is provincially operated, the program innovations one jurisdiction may not be readily known other jurisdictions.We examine availability of implementation-specific data for 30 innovative Canadian programs designed to integrate health and social services patients with complex needs.Using publicly available key informant interviews, we were able populate only ~50% our collection tool (on average).Formal evaluations ~30% programs.Multiple barriers exist compilation...
When introducing new health technologies, decision makers must integrate research evidence with local operational management information to guide decisions about whether and under what conditions the technology will be used. Multi-criteria analysis can support adoption or prioritization of interventions by using criteria explicitly articulate organization's needs, limitations, values in addition evaluating for safety effectiveness. This paper seeks describe development a framework create...
Partnerships, collaboration, joined‐up government; these terms have become common elements of global health and social policy discourse. The may be pervasive but there remain significant challenges to collaborative ways working. We argue that some arise from a failure account explicitly for the influence context. Between 1999 2001 we conducted comparative case study partnerships in Canadian systems which examined specifically roles context gender. Social structures directly linked formalized...
Purpose: Introducing new health technologies, including medical devices, into a local setting in safe, effective, and transparent manner is complex process, involving many disciplines players within an organization. Decision making should be systematic, consistent, transparent. It involve translating integrating scientific evidence, such as technology assessment (HTA) reports, with context-sensitive evidence to develop recommendations on whether under what conditions will introduced....
Abstract Background and Aims Multi‐stakeholder partnerships offer strategic advantages in addressing multi‐faceted issues complex, fast‐paced, rapidly‐evolving community health contexts. Synergistic mobilize partners' complementary financial nonfinancial resources, resulting improved outcomes beyond that achievable through individual efforts. Our objectives were to explore the manifestations of synergy involving stakeholders from different organizations with an interest implementing...
The integration of care services and providers across the health-social-community continuum has helped improve lives many children youth living with complex health conditions. Using environmental scan data, 16 promising multi-service programs were selected analyzed qualitatively through a deliberative conversation approach. Descriptive data are presented, as well thematic analysis results. An important program strength is its clear founding principles engagement patients families. However,...
With input from patients and healthcare professionals all Canadian provinces, the Comparative Primary Health Care Policy Analysis Research Program team identified health, social community care services that ought to be prioritized address need for primary integration those with complex needs.
Abstract Background We aimed to contribute developing practical guidance for implementing person-centred quality indicators (PC-QIs) primary care in Alberta, Canada. As a first step this process, we conducted stakeholder-guided prioritization of PC-QIs and implementation strategies. Stakeholder engagement is necessary ensure PC-QI adapted the context local needs. Methods used an nominal group technique (NGT) consensus process. Panelists were presented with 26 PC-QIs, Both strategies...