Operationalizing Patient-Centred Integrated Care: The Gap Between Discourse and Action in Ontario’s Health Links

2017

Presentation

“It’s a Fight to Get Anything You Need” — Accessing Care in the Community from the Perspectives of People with Multimorbidity

2017

Background There is a growing interest in redesigning health‐care systems to better manage the increasing numbers of people with multimorbidity. Knowing how patients experience health‐care delivery and what they need from the health‐care system are critical pieces of evidence that […]

Journal Article

“It’s a Waiting Game” a Qualitative Study of the Experience of Carers of Patients Who Require an Alternate Level of Care

2017

Background Delayed hospital discharge (also known as Alternate Level of Care or ALC) is a global health care quality issue with negative implications for people (e.g., functional decline) and the health care system (e.g., costly interruptions in hospital flow and […]

Journal Article

A Review of the Literature on Barriers and Facilitators to Implementing Family Support in Early Psychosis Intervention Programs

2017

Family support and education is a core component of the Ontario Early Psychosis Intervention Program Standards, released in 2011. However, feedback from key informant surveys of Ontario early psychosis intervention (EPI) programs indicated that it can be challenging for programs […]

Journal Article

Family Work in Four Early Psychosis Intervention Programs: An Exploratory Study

2016

Family support is a recommended practice in guidelines for Early Psychosis Intervention (EPI) programs worldwide and is included in the Ontario Early Psychosis Intervention Program Standards1. However, implementation is often a challenge due to time and resource constraints. Additionally, a […]

Report

A Patient-Centered Transitions Framework for Persons With Complex Chronic Conditions

2015

Hospitals are under increasing pressures by governing bodies to meet mandated performance standards and fiscal targets. As a result, hospitals are incentivized by funders to discharge patients efficiently and effectively. Being discharged from hospital is a vulnerable process for patients. […]

Journal Article

Perceived Value of Support for Older Adults Coping With Multimorbidity: Patient, Informal Care-Giver and Family Physician Perspectives

2015

In Ontario, Canada, Community Care Access Centres (CCACs) organize government-funded home-care services including professional care, home-making and personal support services. Over time, CCACs have increasingly provided more medicalized, post-acute care rather than chronic disease management due to budget constraints. Informal […]

Journal Article

Perceived Risk Factors of Health Decline: A Qualitative Study of Hospitalized Patients With Multimorbidity

2015

Effectively preventing and managing chronic illness are key goals for health systems worldwide. A growing number of people are living longer with multiple chronic illnesses, accompanied by a high degree of treatment burden and heavy use of health care resources. […]

Journal Article