A5049468337- Emergency and Acute Care Studies
- Chronic Disease Management Strategies
- Geriatric Care and Nursing Homes
- Patient-Provider Communication in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Family and Patient Care in Intensive Care Units
- Heart Failure Treatment and Management
- Primary Care and Health Outcomes
- Family Support in Illness
- Patient Satisfaction in Healthcare
- Health Literacy and Information Accessibility
- Medication Adherence and Compliance
- Interpreting and Communication in Healthcare
- Healthcare Systems and Technology
- Intergenerational Family Dynamics and Caregiving
- Migration, Health and Trauma
- Social Media in Health Education
- Dupuytren's Contracture and Treatments
- Palliative Care and End-of-Life Issues
- Acute Myocardial Infarction Research
- Family Caregiving in Mental Illness
- Stuttering Research and Treatment
- Healthcare cost, quality, practices
- Frailty in Older Adults
University Health Network
2016-2025
University of Toronto
2017-2025
Lunenfeld-Tanenbaum Research Institute
2014-2024
Health Net
2019-2023
Toronto General Hospital
2021-2023
Institute for Clinical Evaluative Sciences
2023
InternetLab
2023
Public Health Ontario
2022
St. Michael's Hospital
2019-2020
St Michaels Hospital
2020
Background An admission to hospital for acute illness can be difficult patients and lead high levels of anxiety. Patients are given a lot information throughout their stay instructions at discharge follow when they get home. For complex medical patients, the ability retain, understand, adhere these is critical marker successful transition. This study was undertaken explore factors impacting understand instructions. Methods A qualitative design interviews with caregivers used. Participants...
In Canada and worldwide, there is a growing awareness of young carers, or youth under 25 who provide significant ongoing unpaid care to loved one. Previous work by our team has identified that carers interact with healthcare systems at various points experience challenges receiving limited information communication from teams, lacking acknowledgment their caring role, balancing caregiving responsibilities school/work, some are tasked making critical decisions minimal support. Little also...
The Canadian Institutes of Health Research (CIHR) launched a strategic research funding program called Transforming with Integrated Care (THINC). This initiative is bold step forward to address the very complex challenges associated implementing and sustaining integrated care at scale. Upwards 100 grants have been funded contribute knowledge base application improve patient caregiver experience, provider health outcomes costs while considering addressing equity (Quintuple Aim). flagship...
Fragmented care and communication gaps for patients transitioning between acute hospitals home with community support can lead to poorer patient experience health outcomes. As a result, there is an urgent need develop models of that reduce dependence on prevent avoidable readmissions ageing multimorbid population. Since 2019, University Health Network in Toronto, Ontario, Canada has been enrolling integrated (IC) program which links one team through single contact by phone, provides shared...
From January through March 2015, eight hospital departments across Toronto came together to implement Patient-Oriented Discharge Summaries (PODS), a tool developed co-design process involving patients, caregivers and providers. This paper presents data on how the hospitals impact of PODS patient provider experience these discusses it implications.
For hospitalized patients, the transition from hospital to home is frequently accompanied by a significant amount of information absorb. The objective this work was engage caregivers, and healthcare providers in codeveloping patient‐oriented discharge instructions, (ie, brief plan with that patients want). Overseen multidisciplinary advisory team, participatory action approach using mixed methods employed. Although formal inclusion exclusion criteria were not used, deliberate efforts made...
<h3>Background:</h3> The choice of surgical approach for total hip arthroplasty (THA) remains a contentious issue with regards to clinical outcome optimization and restoring patient function. purpose this study was determine the impact THA on quantitative gait analysis. <h3>Methods:</h3> Patients undergoing primary osteoarthritis were assigned 1 3 approaches: anterior, posterior lateral. Standardized implants used at time surgery. Three-dimensional analysis performed preoperatively 6 12...
Patients and caregivers often face significant challenges when they are discharged home from hospital. We sought to understand what influenced patient caregiver experience in the transition hospital which of these aspects prioritised for health system improvement.We conducted group concept mapping over 11 months with patients-and their caregivers-who were admitted a overnight last 3 years Ontario, Canada home. Home included supportive housing, shelters long-term care. Participants responded...
Medication changes during transitions of care is a recognized challenge that has been linked to adverse events. The delivery medication instructions transition from hospital home priority area for improvement. goals this work were 1) understand the current experiences patients and families; 2) co-design tools improve information transfer together with patients, families, providers. A participatory action approach, using mixed methods within design thinking framework was used. Participants...
Abstract Background Patients with chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) are at high-risk of readmission after hospital discharge. There is conflicting evidence however on whether timely follow-up a primary care provider reduces that risk. The objective this study to understand the perspectives patients COPD CHF, their caregivers, role Methods A qualitative design semi-structured interviews was conducted among or family caregivers admitted CHF who...
OBJECTIVE Our objective was to examine the effect of language barriers on risk acute and chronic complications diabetes mortality among immigrants. RESEARCH DESIGN AND METHODS Linked health immigration databases were used identify 87,707 adults with who immigrated Ontario, Canada, between 1985 2005. These individuals included in our cohort stratified by ability at time their application. Primary end points included: one or more emergency department visit hospitalization for 1) hypo-...
Abstract Background Traditional discharge processes lack a patient-centred focus. This project studied the implementation and effectiveness of an individualized tool across Ontario hospitals. The Patient Oriented Discharge Summary (PODS) is with guidelines that was co-designed patients families to enable process. Methods Twenty one acute-care rehabilitation hospitals in Ontario, Canada engaged community practice worked over period 18 months implement PODS. An effectiveness-implementation...
Follow-up with a primary care provider within 1-2 weeks of discharge from hospital has been associated reduced readmissions. We sought to determine appointment attendance providers postdischarge and identify factors attendance.We conducted retrospective cohort study involving general medicine patients who had discharged between Sept. 1, 2014, Dec. 30, 2015, 2 Ontario academic hospitals, supported by transitional specialist advised see 1 week. Attendance was determined self-report during...