Who gets access to an interprofessional team-based primary care program for patients with complex health and social needs? A cross-sectional analysis

ABSTRACT

Objectives

To determine whether a voluntary referralbased interprofessional team-based primary care programme reached its target population and to assess the representativeness of referring primary care physicians.

Design

Cross-sectional analysis of administrative health data.

Setting

Ontario, Canada.

Intervention

TeamCare provides access to Community Health Centre services for patients of non-team physicians with complex health and social needs.

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.

Accessibility of Virtual Primary Care for Adults With Intellectual and Developmental Disabilities During the COVID-19 Pandemic: Qualitative Study

Background

The COVID-19 pandemic has led to an unprecedented increase in the delivery of virtual primary care. Adults with intellectual and developmental disabilities (IDDs) have complex health care needs, and little is known about the value and appropriateness of virtual care for this patient population.

Objective

The aim of this study was to explore the accessibility of virtual primary care for patients with IDDs during the pandemic.

Physician and nurse practitioner home visits at end of life associated with better patient outcomes: a population-based study

Context

Home visits at the end of life decrease hospitalizations and hospital deaths, which reduces healthcare costs and aligns with most patients’ wishes. In addition to family physicians, nurse practitioners (NPs) play a critical role in meeting the rising demand for home and community-based palliative care. However, very few population-level studies have examined practice patterns of NPs delivering home-based end-of-life care and the collaboration between physicians and NPs.

Equity, Community and Trust: Building vaccine confidence with marginalized populations

Context

The Alliance for Healthier Communities, a network of team-based comprehensive primary health care organizations across Ontario, has implemented a Community Vaccination Promotion project to promote access to and uptake of COVID-19 vaccines for children and their families in marginalized communities most affected by COVID-19.

Objective

To examine how an equity-informed approach using community leadership, and trusted relationships built vaccine confidence and vaccination uptake through 12 diverse communities.

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