Purpose: Burnout is a syndrome comprised of three major dimensions, namely, emotional exhaustion, depersonalization, and reduced personal accomplishment. Its etiology appears to be multifactorial, involving work-related factors including personality traits. Personality has been associated with burnout among various physician groups; however, this not studied well amongst primary care physicians. This study therefore aimed investigate the association between type in physicians Canada Jamaica....

The aim of this cross-sectional study was to examine the prevalence and correlates pharmacotherapy for current daily pain in older home care clients, focusing on analgesic type potential contraindications treatment. sample included 2779 clients aged 65+years receiving services from Community Care Access Centres Ontario during 1999-2001. Clients were assessed with Resident Assessment Instrument-Home (RAI-HC). Prescription over-the-counter (OTC) medications listed RAI-HC used categorize...

Objective: To analyse the relationships between factors related to school location and motor vehicle versus child pedestrian collisions. Methods: Data on all police-reported collisions involving pedestrians less than 18 years of age that occurred in Toronto, Canada, 2000 2005 were analysed. Geographic information systems (GIS) software was used assess distance each collision relative location. The from collision-related such as temporal patterns travel times crossing locations Results: Study...

Data on the social determinants of health can help primary care practices target improvement efforts, yet relevant data are rarely available. Our family practice located in Toronto, Ontario routinely collects patient-level sociodemographic via a pilot-tested survey developed by multi-organizational steering committee. We sought to use these assess relationship between and colorectal, cervical breast cancer screening, describe opportunities challenges using from self-administered patient...

Acute kidney injury may be promoted by critical illness, preexisting medical conditions, and treatments received both before during ICU admission. We aimed to estimate the frequency of acute treatment determine factors, occurring stay, associated with development injury.Cohort study critically ill children.University-affiliated PICU.Eligible patients were admitted between January 2006 June 2009. excluded those known primary renal failure, chronic failure or postrenal transplant, conditions...

Abstract Background The purpose of this study was to quantify the contribution comorbidity activity limitations in populations with chronic cardiovascular disease, diabetes or respiratory disease (index conditions), emphasis on musculoskeletal (arthritis back problems). Methods Analysis 2005 Canadian Community Health Survey 3.1 (age 20+ years, n = 115,915). Prevalence ratios for people index conditions and co-occurring adjusted age, gender, socioeconomic factors, were used estimate...

"Brain drain" is a colloquial term used to describe the migration of health care workers from low-income and middle-income countries higher-income countries. The consequences this can be significant for donor where physician densities are already low. In addition, number migrating physicians fall victim "brain waste" upon arrival in countries, with their skills either underutilized or not utilized at all. order better understand phenomena brain drain waste, we conducted an anonymous online...

Background: The healthcare system in Ontario, Canada is being reorganized into Ontario Health Teams, which are learning health systems based on the principles of integrated care and guided by Quintuple Aims. Community engagement to address inequities faced Indigenous peoples a stated objective new Teams. This research aims examine collaboration processes with community partners governance activities Frontenac, Lennox & Addington Team (FLA OHT), located southeastern Ontario. Methods: Case...

<h3>BACKGROUND:</h3> Diabetes mellitus is an established health concern in First Nations communities and associated with complex influences of colonization. This study, a partnership between academic researchers, was undertaken to determine patterns diabetes prevalence, incidence mortality Ontario. <h3>METHODS:</h3> Using services population data from Ontario for 1995 2014, linked the federal Indian Register, we calculated age- sex-adjusted annual estimates people (living within outside...

<h3>Background:</h3> To improve diabetes care, First Nations leaders and others need access to population-level health data. We provide details of the collaborative methods we used describe prevalence incidence in people Ontario present demographic data for this population compared rest population. <h3>Methods:</h3> identify other Ontario, created annual cohorts each year between Apr. 1, 1995, Mar. 31, 2015. Through a partnership academic researchers, linked provincial population-based...

To implement and evaluate a private Facebook group for members of large Ontario multisite Family Health Team (FHT) to facilitate improved communication collaboration.Program implementation subsequent survey team members.A FHT in Toronto, Ontario.Health professionals the FHT.Usage patterns self-reported perceptions by members.At time evaluation survey, had 43 (37.4% all members). Activity was never high, posts who were not among researchers infrequent throughout study period. The content fell...

Some evidence supports the use of a short list essential medicines to improve prescribing. We aimed create preliminary for in Canada.The 2013 World Health Organization Model List Essential Medicines was initially adapted by research team. Fourteen Canadian clinicians gave suggestions changes list. Literature relevant each unique suggestion gathered and presented 3 clinician-scientists who used modified nominal group technique make recommendations on suggested changes. Audits prescriptions 2...

Objective: Context/Objective: Family physicians may lack the knowledge or resources to adequately support patients with spinal cord injury (SCI). Our objectives were determine patterns of preventive care for SCI in a primary setting (i.e. cancer screening, influenza vaccinations, general physicals, bone mineral density tests), and physicians' level comfort providing SCI.Design: i) Retrospective chart review, ii) Survey family practice.Setting: Six practice sites Ontario, Canada.Participants:...

First Nations people are known to have a higher risk of childhood-onset type 2 diabetes, yet population-level data about diabetes in children unavailable. In partnership between Chiefs Ontario and academic researchers, we describe the epidemiologic features outcomes Ontario.We created annual cohorts from 1995/96 2014/15 using Registered Persons Database linked with federal Indian Register. We used Diabetes identify all types calculated prevalence incidence for other Ontario. glycemic control...

Background: The use of booster seats continues to be low, despite their effectiveness in reducing injury motor vehicle collisions. Many jurisdictions have introduced legislation requiring the seats. To date, there been no Canadian studies evaluating on seat use. Objectives: describe restraint among children aged 4–8 years, and compare between provinces/territories with without legislation. Methods: data were obtained from a National Survey Child Restraint Use/Misuse conducted June August...

Context Substantive equity-focused policy changes in Ontario, Canada have yet to be realized and may limited by a lack of widespread public support. An understanding how the attributes inequalities can informative for developing Therefore, objectives this study were examine Ontarians attribute income-related health inequalities. Methods We conducted telephone survey 2,006 using random digit dialing. The included thirteen questions relevant theme attributions inequalities, with each statement...

Objective: To determine whether the severity of injuries sustained by pedestrians involved in motor vehicle collisions varies road type and age. Methods: All police-reported pedestrian city Toronto, Canada, between January 1, 2000, December 31, 2005, were analyzed. Geographic Information Systems software was used to occurred on major or neighborhood roads. Age-specific estimates burden are presented. Odds ratios 95 percent confidence intervals calculated examine age-specific relationships...

Context: Higher income countries have an average physician density of 300 physicians per 100,000 people. In stark contrast, lower 17 A major cause this discrepancy is the migration healthcare professionals from to higher countries, a phenomenon colloquially known as “brain drain”. Objective: To explore factors that led International Medical Graduate (IMG) leave their home and migrate Canada. Methods: An anonymous questionnaire with mix open- close-ended questions was sent 500 randomly...