Publications by authors named "Claire Sethuram"

Article Synopsis
  • The study aimed to evaluate how accessible specialist medical advice is for primary care providers working in Ontario's correctional facilities through an electronic consultation system (eConsult).
  • A total of 906 eConsults were submitted by 21 primary care providers over a four-year period, with cardiology being the most common specialty requested.
  • The eConsult system significantly reduced the need for in-person specialist visits, lowered healthcare costs, and minimized potential security risks associated with transporting incarcerated individuals for appointments.
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Introduction: The usual referral pathway is from a primary care provider (PCP) to a specialist; however, specialists also refer to and consult with other specialists. Electronic consultation (eConsult) allows clinicians to submit questions on behalf of patients to specialists to receive timely advice. Most eConsult studies in the past have examined questions asked from PCPs to specialists.

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Objective: To identify the types of osteoporosis-related questions being asked by primary care providers (PCPs) and describe the impact of the advice provided by osteoporosis specialists using eConsult.

Methods: We performed a cross-sectional study of osteoporosis-related eConsults submitted to endocrinologists between January 2018 and December 2020 on the Champlain eConsult BASE™ Service in Ontario, Canada. Each eConsult was coded according to clinical question and answer type through consensus between 2 authors, based on predetermined taxonomies.

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Background: Ontario Health Teams (OHTs) are an integrated care system introduced in Ontario, Canada in 2019 after the 14 Local Health Integrated Networks (LHINs) were dissolved. The objective of this study is to give an overview of the current state of the OHT model's implementation, and what priority populations and transitions of care models were identified by OHTs.

Methods: This scan involved a structured search for each approved OHT of publicly available resources with three main sources: the full application submitted by the OHT, the OHT website, and a Google search with the name of the OHT.

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Dementia is a growing concern in Canada, affecting peoples' health and raising the cost of care. Between June and October 2019, we conducted an environmental scan to identify primary care models, strategies, and resources for dementia care from 11 pre-selected countries and assess their impact on quality-of-life measures. Search strategies included a rapid scoping review, grey literature search, and discussions with stakeholders.

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Objective: To provide an overview of the use of and evidence for eConsult in correctional facilities worldwide.

Design: Scoping review.

Data Sources: Three academic databases (MEDLINE, Embase and CINAHL) were searched to identify papers published between 1990 and 2020 that presented data on eConsult use in correctional facilities.

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This paper reports on a multimethod cross-sectional study of the Ontario electronic consultation (eConsult) service. Utilization and closeout survey data from July 2018 through June 2020 were analyzed using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. Requesting clinicians submitted 60,474 eConsults, and monthly cases increased from 1,487 in July 2018 to 4,179 in June 2020.

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Article Synopsis
  • - The COVID-19 pandemic has highlighted the importance of digital learning tools in training for postgraduate family medicine, prompting departments to recognize and integrate these tools effectively into their curricula.
  • - This scoping review aims to systematically explore and organize knowledge about digital learning tools in family medicine training using a comprehensive methodology that includes literature searches across multiple databases.
  • - As of October 2021, the review has progressed through initial stages, identifying 132 studies from academic sources and 127 from gray literature, with ongoing refinement of data extraction to establish a clearer understanding of digital tool effectiveness in training.
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The objective of our study is to characterize the knowledge, information sources, and institutional trust of patients regarding medication use in pregnancy. We conducted a review of three databases: MEDLINE, EMBASE, and CINAHL. We included observational studies and knowledge assessments that examined the knowledge, attitudes, beliefs or information sources of pregnant patients related to medication use during pregnancy.

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Electronic consultation (eConsult) allows asynchronous virtual communication between primary care providers (PCPs) and specialists regarding patient care. The Ontario eConsult Program enables timely and equitable access to specialist advice for Ontarians. This study examines clinicians' perspectives and experiences with the program.

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