A5057033721- Telemedicine and Telehealth Implementation
- Mobile Health and mHealth Applications
- COVID-19 and healthcare impacts
- Schizophrenia research and treatment
- Primary Care and Health Outcomes
- Digital Mental Health Interventions
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- COVID-19 and Mental Health
- Mental Health Treatment and Access
- Delphi Technique in Research
- Chronic Disease Management Strategies
- Emergency and Acute Care Studies
- Opioid Use Disorder Treatment
- Electronic Health Records Systems
- Muscle metabolism and nutrition
- Diabetes Management and Education
- Health Promotion and Cardiovascular Prevention
- Health Literacy and Information Accessibility
- Diabetes Treatment and Management
- Global Cancer Incidence and Screening
- Meta-analysis and systematic reviews
- Blood Pressure and Hypertension Studies
- Statistical Methods and Inference
- Pharmaceutical industry and healthcare
St. Michael's Hospital
2020-2024
University of Toronto
2015-2024
North York General Hospital
2016-2024
Health Solutions (Sweden)
2021-2024
Unity Health Toronto
2022-2024
York General Hospital
2021-2023
Unity Health System
2023
Schwartz/Reisman Emergency Medicine Institute
2023
Public Health Ontario
2023
University Health Network
2019-2021
Despite Canada's universal healthcare system, significant barriers impede individuals experiencing homelessness from accessing health services. Furthermore, there is a paucity in the qualitative literature describing how Canadians access care Our objective was to qualitatively explore perceived needs and among one large Canadian city – Calgary, Alberta. We conducted descriptive study that included open-ended interviews focus groups with variety of stakeholders who are involved Calgary's...
Purpose We aimed to determine the degree which reasons for primary care visits changed during COVID-19 pandemic. Methods used data from University of Toronto Practice Based Research Network (UTOPIAN) compare most common before and after onset pandemic, focusing on number patients seen each 25 diagnostic codes. The proportion involving virtual was assessed as a secondary outcome. Results UTOPIAN family physicians ( N = 379) conducted 702,093 visits, 264,942 between March 14 December 31, 2019...
With the onset of COVID-19, general practitioners (GPs) and patients worldwide swiftly transitioned from face-to-face to digital remote consultations. There is a need evaluate how this global shift has impacted patient care, healthcare providers, carer experience, health systems. We explored GPs' perspectives on main benefits challenges using virtual care. GPs across 20 countries completed an online questionnaire between June-September 2020. perceptions barriers were free-text questions....
Venoplasty has been proposed, alongside the theory of chronic cerebrospinal venous insufficiency (CCSVI), as a treatment for multiple sclerosis (MS). Despite concerns about its efficacy and safety, thousands patients have undergone procedure. This paper analyses YouTube videos where shared their experiences.Content analysis on 100 most viewed from over 4000 identified in search 'CCSVI', qualitative thematic popular 'channels' demonstrating patients' experiences.Videos adopt an overwhelmingly...
With the increasing recognition of health literacy as a worldwide research priority, development and refinement indices to measure construct is an important area inquiry. Furthermore, proliferation online resources means that there growing need for self-administered instruments. We undertook systematic overview identify all published assessment report their content considerations associated with administration. A primary aim this study was assist those seeking employ self-reported index...
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...
Population-based surveys indicate that many people experienced increased psychological distress during the COVID-19 pandemic. We aimed to determine if there was a corresponding increase in patients receiving services for anxiety and depression from their family physicians.Electronic medical records University of Toronto Practice Based-Research Network (UTOPIAN; N = 322,920 patients) were used calculate incidence rates anxiety/depression related visits antidepressant prescriptions before...
Background: The production of health information has begun to shift from commercial organizations care users themselves. People increasingly go online share their own and illness experiences access others have posted, but this behavior not been investigated at a population level in the United Kingdom. Objective: This study aims explore user-generated content among UK Internet investigate relationships between frequency use other variables. Methods: We undertook an survey 1000 users....
Several new classes of glucose-lowering medications have been introduced in the past two decades. Some, such as sodium-glucose cotransporter 2 inhibitors (SGLT2s), evidence improved cardiovascular outcomes, while others, dipeptidyl peptidase-4 (DPP4s), do not. It is therefore important to identify their uptake order find ways support use more effective treatments.To analyse these among patients with type diabetes.This was a retrospective repeated cross-sectional analysis primary care. Rates...
It has been suggested that the COVID-19 pandemic worsened socioeconomic disparities in access to primary care. Given these concerns, we investigated whether affected visits family physicians differently across sociodemographic groups.We conducted a retrospective cohort study using electronic medical records from physician practices within University of Toronto Practice-Based Research Network. We evaluated care for fixed patients who were active database as Jan. 1, 2019, estimate number...
To assess the extent and nature of claims regarding improved sports performance made by advertisers for a broad range sports-related products, quality evidence on which these are based.The authors analysed magazine adverts associated websites products. The searched references supporting and/or recovery critically appraised methods in retrieved assessing level risk bias. also collected information included participants, adverse events, study limitations, primary outcome interest whether...
High quality primary care is fundamental to achieving health for all. Research priority setting a key facilitator of improving how research activity responds concrete needs. There has never before been an attempt identify international priorities, in order guide resource allocation and enhance global care. This study aimed list top 10 as identified by members the public, professionals working care, researchers, policymakers.We adapted James Lind Alliance Priority Setting Partnership process,...
Preliminary evidence suggests that individuals living in lower income neighbourhoods are at higher risk of COVID-19 infection. The relationship between sociodemographic characteristics and warrants further study.We explored the association test positivity patients' socio-demographic variables, using neighborhood data collected retrospectively from two Assessment Centres Toronto, ON.Eighty-three thousand four hundred forty three tests completed April 5-September 30, 2020, were analyzed....
Abstract Background The impact of social frailty on older adults is profound including mortality risk, functional decline, falls, and disability. However, effective strategies that respond to the needs socially frail are lacking few studies have unpacked how determinants operate or interventions can be adapted during periods requiring distancing isolation such as COVID-19 pandemic. To address these gaps, we conducted a scoping review using JBI methodology identify best potential help (age...
Despite the increasing popularity of Student-Run Clinics (SRCs) in Canada, there is little existing literature exploring their role within Canadian healthcare system. Generalizing American to SRCs inappropriate, given significant differences delivery between two countries. Medical students at University Calgary started a SRC serving Calgary's homeless population Drop-In and Rehabilitation Centre (CDIRC). This study explored stakeholders' desired for primary system potential barriers it may...
Abstract Background More than 90% of antibiotics are prescribed in primary care, but 50% may be unnecessary. Reducing unnecessary antibiotic overuse is needed to limit antimicrobial resistance. We conducted a pragmatic trial care provider-focused stewardship intervention reduce prescriptions care. Methods Primary practitioners from six clinics Toronto, Ontario were assigned or control groups evaluate the effectiveness multi-faceted for reducing adults with respiratory and urinary tract...
Health care routinely fails Indigenous peoples and anti-Indigenous racism is common in clinical encounters. Clinical training programs aimed to enhance cultural safety (ICS) rely on learner reported impact assessment even though clinician self-assessment poorly correlated with observational or patient outcome reporting. We compare the impacts of intensive brief ICS control, assess feasibility evaluation tools, including unannounced standardized (UISP) visits.
Background In recent decades, virtual care has emerged as a promising option to support primary delivery. However, despite the potential, adoption rates remained low. With outbreak of COVID-19, it suddenly been pushed forefront As we progress into second year COVID-19 pandemic, there is need and opportunity review impact remote had in settings reassess its potential future role. Objective This study aims explore perspectives general practitioners (GPs) family doctors on (1) use during (2)...
<h3>Background</h3> Child health care is an important part of the UK general practice workload; in 2009 children aged <15 years accounted for 10.9% consultations. However, only 1.2% UK's Quality and Outcomes Framework pay-for-performance incentive points relate specifically to children. <h3>Aim</h3> To improve quality provided adolescents by defining a set indicators that reflect evidence-based national guidelines are feasible audit using routine computerised clinical records. <h3>Design...
Objective To investigate how primary care access, intensity and quality of changed among patients living with schizophrenia before after the onset COVID-19 pandemic in Ontario, Canada. Methods This cohort study was performed using electronic medical record data from University Toronto Practice-Based Research Network (UTOPIAN), a network > 500 family physicians Data were collected during visits 2643 schizophrenia. Rates health service use (in-person virtual physicians) key preventive...