Publications by authors named "Andrew David Pinto"

Hypertension is one of the most important chronic diseases worldwide. Hypertension is a critical condition encountered frequently in daily life, forming a significant area of service in Primary Health Care (PHC), which healthcare professionals often confront. It serves as a precursor to many critical illnesses and can lead to fatalities if not addressed promptly.

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Background: Social isolation is associated with increased all-cause and premature mortality, poor chronic disease management, and mental health concerns. Limited research exists on interventions addressing social isolation among individuals under 65 despite its increasing prevalence among young and middle-aged adults.

Aim: To identify interventions from the extant literature that address social isolation and loneliness in ambulatory healthcare settings in adults aged 18-64 and to identify elements of successful studies for future intervention design.

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Article Synopsis
  • The BETTER WISE study aimed to evaluate a cancer and chronic disease prevention program's effectiveness by comparing outcomes between participants facing financial difficulties versus those who did not.
  • The study analyzed data from a cluster-randomized trial involving 596 participants from 59 physicians across 13 clinics, comparing a 1-hour intervention visit to usual care.
  • Results indicated that participants without financial difficulties in the intervention group had a higher completion rate of eligible preventive actions (29%) compared to the control group (23%), while there was no significant difference in those with financial difficulties.
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Efforts to contain the COVID-19 pandemic should take into account worsening health inequities. While many public health experts have commented on inequities, no analysis has yet synthesized recommendations into a guideline for practitioners. The objective of this rapid review was to identify the areas of greatest concern and synthesize recommendations.

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Background: Income is a key social determinant of health, yet it is rare for data on income to be routinely collected and integrated with electronic health records.

Aim: To examine response bias and evaluate patient perspectives of being asked about income in primary care.

Design & Setting: Mixed-methods study in a large, multi-site primary care organisation in Toronto, Canada, where patients are asked about income in a routinely administered sociodemographic survey.

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Objectives: Addressing the social determinants of health has been identified as crucial to reducing health inequities. However, few evidence-based interventions exist. This study emerges from an ongoing collaboration between physicians, researchers and a financial literacy organisation.

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Introduction: Cost-related non-adherence to medicines is common in low-income, middle-income and high-income countries such as Canada. Medicine non-adherence is associated with poor health outcomes and increased mortality. This randomised trial will test the impact of a carefully selected list of essential medicines at no charge (compared with usual medicine access) in primary care patients reporting cost-related non-adherence.

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