A5027965468- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Interprofessional Education and Collaboration
- Patient Satisfaction in Healthcare
- Healthcare Systems and Technology
- Global Health Workforce Issues
- Health Policy Implementation Science
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Nursing Roles and Practices
- Health Sciences Research and Education
- Patient-Provider Communication in Healthcare
- Child and Adolescent Health
- Telemedicine and Telehealth Implementation
- Child and Adolescent Psychosocial and Emotional Development
- Frailty in Older Adults
- Indigenous Health, Education, and Rights
- Migration, Health and Trauma
- Emergency and Acute Care Studies
- Global Cancer Incidence and Screening
- Medical Coding and Health Information
- Indigenous Studies and Ecology
- Public Health Policies and Education
- Clinical practice guidelines implementation
University of British Columbia
2015-2024
Institute of Health Services and Policy Research
2010-2024
Capilano University
2024
National Institute of Nursing Research
2023-2024
Office of Extramural Research
2024
Women's College Hospital
2023
3M (United States)
2023
University of Toronto
2017-2023
National Institutes of Health
2023
Queen's University
2022-2023
Objective. Unmet need for health care is a critical indicator of access problems. Among children, unmet has special significance inasmuch as the failure to obtain treatment can affect status and functioning in near- long-term. The purpose this study was present current prevalence estimates descriptive characteristics children with needs using nationally representative household survey data. Methods. We analyzed 4 years National Health Interview Survey data spanning 1993 through 1996. Our...
Structural violence shapes the health of Indigenous peoples globally, and is deeply embedded in history, individual institutional racism, inequitable social policies practices. Many communities have flourished, however, impact colonialism continues to profound effects for Canada internationally. Despite increasing evidence status inequities affecting populations, services often fail address as routine aspects care delivery. In this paper, we discuss an evidence-based framework specific...
International evidence shows that enhancement of primary health care (PHC) services for disadvantaged populations is essential to reducing and inequities. However, little known about how enhance equity at the organizational level within PHC sector. Drawing on research conducted two Centres in Canada whose explicit mandates are provide marginalized populations, purpose this paper discuss (a) key dimensions equity-oriented guide organizations, (b) strategies operationalizing services,...
Wrinkled gold thin films on elastomeric substrates are used as robust parallel plate electrodes for soft capacitive pressure sensors. The wrinkled structures create a integration with the polymer, allowing repeated normal force to deform film without failure. By incorporating microridged that support counter air cavities within dielectric layer, sensitivity is further increased 0.148 kPa-1 over wide dynamic range of up 10 kPa. and sensor allow consistent measurements exerted by radial artery...
Cultural safety is a relatively new concept that has emerged in the New Zealand nursing context and being taken up various ways Canadian health care discourses. Our research team been exploring relevance of cultural context, most recently relation to knowledge-translation study conducted with nurses practising large tertiary hospital. We were drawn using because we conceptualized it as compatible critical theoretical perspectives foster focus on power imbalances inequitable social...
Policy Points A consensus regarding the need to orient health systems address inequities is emerging, with much of this discussion targeting population interventions and indicators. We know less about applying these approaches primary care. This study empirically demonstrates that providing more equity‐oriented care (EOHC) in care, including trauma‐ violence‐informed, culturally safe, contextually tailored predicts improved outcomes across time for people living marginalizing conditions....
The health care sector has a significant role to play in fostering equity the context of widening global social and inequities. purpose this paper is illustrate process impacts implementing an organizational-level intervention aimed at enhancing capacity provide equity-oriented care.The theoretically-informed evidence-based known as 'EQUIP' included educational components for staff, integration three key dimensions care: cultural safety, trauma- violence-informed care, tailoring context. was...
AimThe purpose of this scoping literature review was to determine what is known about: 1) structures and processes required build successful collaborations between primary care (PC) public health (PH); 2) outcomes such collaborations; 3) markers their success.BackgroundCollaboration PC PH believed enable more effective individual population services than might be achieved by either alone.MethodsThe study followed established methods for a guided framework that identifies systemic,...
Background Research on the integration of artificial intelligence (AI) into community-based primary health care (CBPHC) has highlighted several advantages and disadvantages in practice regarding, for example, facilitating diagnosis disease management, as well doubts concerning unintended harmful effects this integration. However, there is a lack evidence about comprehensive knowledge synthesis that could shed light AI systems tested or implemented CBPHC. Objective We intended to identify...
Among Asian Americans, colorectal cancer (CRC) is the second most commonly diagnosed cancer, and it third highest cause of cancer-related mortality. The 2001 California Health Interview Survey (CHIS 2001) was used to examine 1) CRC screening rates between different Asian-American ethnic groups compared with non-Latino whites 2) factors related screening. CHIS a population-based telephone survey that conducted in California. Responses about were analyzed from 1771 Americans age 50 years older...
Objectives. To examine, among older Chinese and Korean immigrants: (1) the concept measurement of perceived social support; (2) levels support psychological well-being by living arrangement; (3) whether is positively related to well-being. Design. A convenience sample 200 self-identified Koreans, aged 65 years older, were interviewed. Psychometric analysis was conducted examine reliability validity a new measure. Bivariate multivariate analyses used relationship between Results. Factor...
AimThis paper describes the methods, strategies and technologies used to conduct a scoping literature review examining primary care (PC) public health (PH) collaboration. It presents challenges encountered as well recommendations 'lessons learned' from conducting with large geographically distributed team comprised of researchers decision-makers using an integrated knowledge translation approach.BackgroundScoping studies comprehensively map in specific area guided by general research...
Public health and primary care are distinct sectors within western systems. Within each sector, work is carried out in the context of organizations, for example, public units clinics. Building on a scoping literature review, our study aimed to identify influencing factors these organizations that affect ability collaborate with one another Canadian context. Relationships between were also explored. We conducted an interpretive descriptive qualitative involving in-depth interviews 74 key...
Objectives Frailty is a multidimensional syndrome of loss reserves in energy, physical ability, cognition and general health. Primary care key preventing managing frailty, mindful the social dimensions that contribute to its risk, prognosis appropriate patient support. We studied associations between frailty levels both chronic conditions socioeconomic status (SES). Design Cross-sectional cohort study Setting A practice-based research network (PBRN) Ontario, Canada, providing primary 38 000...
<h3>Objective</h3> To describe the citation impact and characteristics of Canadian primary care researchers research publications. <h3>Design</h3> Citation analysis. <h3>Setting</h3> Canada. <h3>Participants</h3> A total 266 established researchers. <h3>Main outcome measures</h3> The 50 most cited in Canada were identified by analyzing data from Scopus database. Various parameters, including number publications citations, themes, <i>h</i> index, content analysis, journal factors,...
Abstract Background Research evidence to inform primary care policy and practice is essential for building high-performing systems. Nevertheless, research output relating remains low worldwide. This study describes the factors associated with productivity of researchers. Methods A qualitative, descriptive key informant approach was used conduct semi-structured interviews twenty-three researchers across Canada. Qualitative data were analyzed using reflexive thematic analysis. Results...
This study explored social support domains and actual sources of for older Chinese Korean immigrants compared them to the traditional based on mainly White, middle class populations. Fifty-two Cantonese speaking participated in one eight focus groups. We identified four similar domains: tangible, information/advice, emotional support, companionship. also needing language which is relevant non-English minority Participants discussed not support. These had a small number relying adult children...
Objective. To determine whether socioeconomic disparities exist in the financial burden of out‐of‐pocket (OOP) health care expenditures for families with children, and insurance coverage decreases low‐income families. Data Source. The Household Component 2001 Medical Expenditure Panel Survey. Study Design. Cross‐sectional family‐level analysis. We used bivariate statistics to examine varied by poverty level. Multivariate regression models were assess family was associated level main outcome...
Abstract Background Health systems in Canada and elsewhere are at a crossroads of reform response to rising economic societal pressures. The Quadruple Aim advocates for: improving patient experience, reducing cost, advancing population health the provider experience. It is forefront Canadian debates aimed improve complex often-fragmented care system. Concurrently, collaboration between primary public has been focus current research, looking for integrated community-based models that best...
Introduction Sleep-time blood pressure correlates more strongly with adverse cardiovascular events than does daytime pressure. The BedMed trial evaluates whether bedtime antihypertensive administration, as compared conventional morning use, reduces major events. Methods and analysis Design Prospective randomised, open-label, blinded end-point trial. Participants Hypertensive primary care patients using lowering medication free from glaucoma. Setting Community providers in 5 Canadian...