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Managing Chronic Disease in Ontario Primary Care: The Impact of Organizational Factors

ABSTRACT

PURPOSE

New approaches to chronic disease management emphasize the need to improve the delivery of primary care services to meet the needs of chronically ill patients. This study (1) assessed whether chronic disease management differed among 4 models of primary health care delivery and (2) identifi ed which practice organizational factors were independently associated with high-quality care.

Family-centred care delivery: Comparing models of primary care service delivery in Ontario

Editor's Key Points

  • In Ontario, different models of primary care service delivery coexist. The organization and remuneration of primary care services might influence many aspects of quality of care and provider behaviour. Therefore, it is important to evaluate these models in order to better understand their performance and function.
  • This study found that patients and providers reported high levels of family-centred care in all models of primary care service delivery.

Team composition and chronic disease management within primary healthcare practices in eastern Ontario: an application of the Measuring Organizational Attributes of Primary Health Care Survey

Abstract

Background

Various organizational-level attributes are being implemented in primary healthcare to improve healthcare delivery. There is a need to describe the distribution and nature of these attributes and explore differences across practices.
 

Aim

Implementation contexts and the impact of policing on access to supervised consumption services in Toronto, Canada: a qualitative comparative analysis

Abstract

Background

Supervised consumption services (SCS) are being implemented across Canada in response to a variety of drug-related harms. We explored the implementation context of newly established SCS in Toronto and the role of policing in shaping program access by people who inject drugs (PWID).

“That's a double-edged sword”: Exploring the integration of supervised consumption services within community health centres in Toronto, Canada

Highlights

  • Integrating SCS within health centres provided clients access other health services.
  • Hours of operation were seen as a barrier to SCS service uptake.
  • The building layouts created privacy and anonymity concerns for clients.


Abstract

Characteristics of health care related to mental health and substance use disorders among Community Health Centre clients in Ontario: a population-based cohort study

Abstract

Background: Community Health Centre (CHC) client populations with a history of mental illness or substance use disorders, or both, are not described well in the literature. We identified CHC clients in Ontario with a history of health care related to mental health or substance use disorders, or both, and describe their demographic characteristics, health system use and related health risks in comparison to other people in the province with similar diagnoses who did not use CHC services.

Community orientation in primary care practices: Results from the Comparison of Models of Primary Health Care in Ontario Study

Abstract

Objective: To determine which of 4 organizational models of primary care in Ontario were more community oriented.

Design: Cross-sectional investigation using practice and provider surveys derived from the Primary Care Assessment Tool, with nested qualitative case studies (2 practices per model).

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