Supporting Quality Integrated Care for Adolescent Depression in Primary Care: A Learning System Approach.

Background: Quality integrated care, which involves primary care and mental health clinicians working together, can help identify and treat adolescent depression early. We explored systemic barriers to quality integrated care at the provincial level in Ontario, Canada using a learning system approach.

Methods: Two Ontario Health Teams (OHTs), regional networks designed to support integrated care, completed the Practice Integration Profile (PIP) and participated in focus groups.

Country learning on maintaining quality essential health services during COVID-19 in Timor-Leste: a qualitative analysis.

Objective: This case study examines the enabling factors, strengths, challenges and lessons learnt from Timor-Leste (TLS) as it sought to maintain quality essential health services (EHS) during the COVID-19 pandemic.

Design: A qualitative case study triangulated information from 22 documents, 44 key informant interviews and 6 focus group discussions. The framework method was used to thematically examine the factors impacting quality EHS in TLS.

Achieving Quality Integrated Care for Adolescent Depression: A Scoping Review.

Introduction: While primary care is often the first point of contact for adolescents with depression, more than half of depressed adolescents are either untreated or undertreated. A scoping review had been completed to summarize approaches for achieving quality integrated care in primary care focused on adolescent depression.

Methods: The scoping review followed the methodological framework for scoping studies from Arksey and O'Malley.

Gift of time: learning together to embed a palliative approach to care in long-term care.

Background: Embedding a Palliative Approach to Care (EPAC) is a model that helps shift the culture in long-term care (LTC) so that residents who could benefit from palliative care are identified early. Healthcare Excellence Canada supported the implementation of EPAC in seven teams from across Canada between August 2018 and September 2019.

Objective: To identify effective strategies for supporting the early identification of palliative care needs to improve the quality of life of residents in LTC.

Aiming for quality: a global compass for national learning systems.

Introduction: Transforming a health system into a learning one is increasingly recognized as necessary to support the implementation of a national strategic direction on quality with a focus on frontline experience. The approach to a learning system that bridges the gap between practice and policy requires active exploration.

Methods: This scoping review adapted the methodological framework for scoping studies from Arksey and O'Malley.

Development and Validation of Quality Criteria for Providing Patient- and Family-centered Injury Care.

Objective: The aim of this study was to develop and evaluate the content validity of quality criteria for providing patient- and family-centered injury care.

Background: Quality criteria have been developed for clinical injury care, but not patient- and family-centered injury care.

Methods: Using a modified Research AND Development Corporation (RAND)/University of California, Los Angeles (UCLA) Appropriateness Methodology, a panel of 16 patients, family members, injury and quality of care experts serially rated and revised criteria for patient- and family-centered injury care identified from patient and family focus groups.