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.

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.

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.

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