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.

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.

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.

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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