Primary health care utilization in the first year after arrival by refugee sponsorship model in Ontario, Canada: a population-based cohort study

Abstract

Background

Canada’s approach to refugee resettlement includes government sponsorship, a pioneering private sponsorship model and a third blended approach. Refugees are selected and supported differently in each approach including healthcare navigation. Little is known about how well private sponsors facilitate primary care navigation and whether this changed during the large-scale 2015 Syrian resettlement initiative characterized by civic and healthcare systems engagement.

Virtual care in Ontario community health centres: a cross-sectional study to understand changes in care delivery

Abstract

Background

There has been a large-scale adoption of virtual delivery of primary care as a result of the COVID-19 pandemic.

Aim

In this descriptive study, an equity lens is used to explore the impact of transitioning to greater use of virtual care in community health centres (CHCs) across Ontario, Canada.

Design & setting

A cross-sectional survey was administered and electronic medical record (EMR) data were extracted from 36 CHCs.

“Can you hear me now?”: a qualitative exploration of communication quality in virtual primary care encounters for patients with intellectual and developmental disabilities

Abstract

Background

High quality communication is central to effective primary care. The COVID-19 pandemic led to a dramatic increase in virtual care but little is known about how this may affect communication quality. Adults with intellectual and developmental disabilities (IDD) can experience challenges communicating or communicate in non-traditional ways. This study explored how the use of virtual modalities, including telephone and video, affects communication in primary care interactions for patients with IDD.

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.

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