Brief on Primary Care Part 2: Factors Affecting Primary Care Capacity in Ontario for Pandemic Response and Recovery

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. The Science Advisory Table’s mandate is to provide summaries of relevant scientific evidence to public health and health care professionals, as well as the general public, by integrating information from existing scientific tables, Ontario’s universities and agencies, and the best global evidence. The Science Advisory Table is hosted by Public Health Ontario (PHO).

Brief on Primary Care Part 1: The Roles of Primary Care Clinicians and Practices in the First Two Years of the COVID-19 Pandemic in Ontario

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. The Science Advisory Table’s mandate is to provide summaries of relevant scientific evidence to public health and health care professionals, as well as the general public, by integrating information from existing scientific tables, Ontario’s universities and agencies, and the best global evidence. The Science Advisory Table is hosted by Public Health Ontario (PHO).

Longitudinal costs and health service utilisation associated with primary care reforms in Ontario: a retrospective cohort study protocol

Abstract

Introduction

Over the last 20 years, the Canadian province of Ontario implemented several new models of primary care focusing on changes to physician remuneration, clinics led by nurse practitioners and the introduction of interprofessional primary care teams. Health outcome and cost evaluations of these models thus far have been mostly cross-sectional and in some cases results from these studies were conflicting. The aim of this population-based study is to investigate short, medium and long-term effectiveness of these reforms over the past 15–20 years.

Using Learning Collaborative Teams to Address the COVID-19 Cancer-Screening Backlog

This research poster was presented at the North American Primary Care Research Group (NAPCRG) Practice-Based Research Network Conference in June 2022. It presents the results of the Alliance's first learning collaborative, which supported member centres in equitably clearing their cancer screening backlogs built up through the COVID-19 pandemic.

The Alliance for Healthier Communities as a Learning Health System for primary care: A qualitative analysis in Ontario, Canada

Abstract

Rationale, Aims and Objectives

A learning health system model can be used to efficiently evaluate and incorporate evidence-based care into practice. However, there is a paucity of evidence describing key organizational attributes needed to ensure a successful learning health system within primary care. We interviewed stakeholders for a primary care learning health system in Ontario, Canada (the Alliance for Healthier Communities) to identify strengths and areas for improvement.

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.

 

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

The Alliance for Healthier Communities, a network of team-based comprehensive primary health care organizations across Ontario, is implementing the Community Vaccination Promotion – Ontario (CVP-ON) project to promote equitable access to and uptake of COVID-19 vaccines for in marginalized communities most affected by the pandemic. 12 Alliance member organizations are being resourced to provide tailored vaccine promotion communication and outreach initiatives.

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. 

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.

Pages