Defining a public health approach to substance use: Perspectives from professionals and practitioners across Canada.

Background: While increasingly referenced in the literature and policy discussions, a "public health approach" (PHA) to substance use has been inconsistently defined or remained undefined. As part of a larger project on building the capacity to implement a PHA to substance use, we aimed to understand how professionals and practitioners across Canada who work with or whose work directly impacts the lives of people who use substances conceptualize a PHA.

Methods: We conducted a cross-sectional national online survey of public health professionals, public safety professionals, health and social service providers, and other relevant professionals and practitioners.

Validation and endorsement of health system performance measures for opioid use disorder in British Columbia, Canada: A Delphi panel study.

Background: Limited data exists on the performance of the healthcare system in opioid use disorder (OUD). We evaluated the face validity and potential risks of a set of health system performance measures for OUD collaboratively with clinicians, policymakers and people with lived experience of opioid use (PWLE) in the interest of establishing an endorsed set of measures for public reporting.

Methods: Through a two-stage Delphi-panel approach, a panel of clinical and policy experts validated and considered 102 previously constructed OUD performance measures for endorsement using information on measurement construction, sensitivity analyses, quality of evidence, predictive validity, and feedback from local PWLE.

Connect 2 Care, a Novel Community Outreach Program for Vulnerably Housed Patients With High Acute Care Use: A Mixed-Methods Study Protocol.

Vulnerably housed individuals, especially those experiencing homelessness, have higher acute care use compared with the general population. Despite available primary care and social services, many face significant challenges accessing needed services. Connect 2 Care (C2C) is a novel transitional case management program that includes registered nurses and health navigators with complementary expertise in chronic disease management, mental health and addictions, social programs, community health, and housing, financial, transportation and legal resources.

A Portrait of Late Life Homelessness in Calgary, Alberta.

Le présent article vise à évaluer les problèmes de santé des Calgariens de plus de 50 ans en situation d'itinérance chronique, à identifier les manques en matière de services pour cette population et à cerner les prédicteurs de l'itinérance chronique, tels que les traumatismes durant l'enfance, qui pourraient être atténués par des modifications touchant les politiques ou la prestation de services. Des personnes en situation d'itinérance, dont trois cents provenaient de refuges d'urgence, ont été recrutées à Calgary (Canada) à hiver 2016. Les logiciels Excel et SPSS ont été utilisés pour l'analyse des statistiques descriptives des participants qui ont été séparés en deux groupes, soit les répondants de 50 ans et plus (n = 142) et ceux de moins de 50 ans (n = 158).

Transfers from intensive care unit to hospital ward: a multicentre textual analysis of physician progress notes.

Background: Little is known about documentation during transitions of patient care between clinical specialties. Therefore, we examined the focus, structure and purpose of physician progress notes for patients transferred from the intensive care unit (ICU) to hospital ward to identify opportunities to improve communication breaks.

Methods: This was a prospective cohort study in ten Canadian hospitals.