Using the quadruple aim to understand the impact of virtual delivery of care within Ontario community health centres: a qualitative study

Background

The onset of the COVID-19 pandemic and introduction of various restrictions resulted in drastic changes to 'traditional' primary healthcare service delivery modalities.

Aim

To understand the impact of virtual care on healthcare system performance within the context of Ontario community health centres (CHCs).

Design & setting

Thematic analysis of qualitative interviews with 36 providers and 31 patients.

Effective Modalities of Virtual Care to Deliver Mental Health and Addictions Services in Canada

The Ontario COVID-19 Science Advisory Table is a group of scientific experts and health system leaders who evaluate and report on emerging evidence relevant to the COVID-19 pandemic, to inform Ontario’s response. Our mandate is to provide weekly summaries of relevant scientific evidence for the COVID-19 Health Coordination Table of the Province of Ontario, integrating information from existing scientific tables, Ontario’s universities and agencies, and the best global evidence.

Evaluation of the Implementation of OCEAN Online Appointment Booking, Reminders and Messaging

In July 2021, the Ministry of Health offered one-time funding to Ontario Health Teams (OHTs), ‘In Development Teams’ and other health care organizations to implement, enhance and scale virtual care programs and services. The funding was intended to support the recovery of the health system from Covid-19 by increasing access to services, changing how care is delivered and building digital capacity.

Virtual Care in Canada: Strengthening Data and Information

Executive summary

On the topic of virtual care, health system decision-makers have more questions than answers. This report explores the current landscape of Canadian virtual care data and information. It includes a  snapshot of available virtual care data from the Canadian Institute for Health Information (CIHI), the provinces and territories, and pan-Canadian health care organizations. It also recommends new areas of pan-Canadian focus for measuring the quality and accessibility of virtual care.

Conceptualizing success factors for patient engagement in patient medical homes: a cross-sectional survey

Summary

The research team surveyed primary care leaders across Ontario using validated survey instruments and looked at the below factors, and we found that the Processes directly and positively impacted Outcomes, and the Structures indirectly and favorably impacted Outcomes through - or as mediated by - their direct impact on Processes.

 

Access and Analysis of Provincial Administrative Data for Cohort Disclosure to Guide Community-Based Diabetic Retinopathy Screening

Background 

It is recommended that individuals living with diabetes have their eyes examined for signs of retinopathy annually. Even with access to eye care resources across Canada, including tele-ophthalmology, many individuals with diabetes remain unscreened with screening rates lowest in vulnerable populations. A population-based approach to identify, engage, and provide screening is needed. 

Increasing Diabetic Retinopathy Screening Rates Utilizing Provincial Healthcare Administrative Data

Background

Diabetic retinopathy (DR) is the leading cause of blindness in working age Canadians. Despite all eye care resources, including tele-ophthalmology, DR screening rates remain low; 35% of individuals with diabetes are unscreened for DR. New strategies are required to identify, engage and provide ongoing monitoring to those requiring DR screening.

Mixed-Methods Evaluation of Diabetic Retinopathy Screening Supported by Provincial Healthcare Administrative Data

Background

Diabetic retinopathy (DR) is a public health issue, potentially impacting the lives of 3 million or more Canadians (7.9% of the population). If DR is detected early, vision loss can be averted. It is currently impossible to systematically identify individuals living with diabetes who have not had an annual eye examination using only primary care electronic medical records. A different approach is required.

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