Publications by authors named "P Koto"

Article Synopsis
  • There is a lack of Canadian studies analyzing the costs of catheter ablation (CA) for atrial fibrillation (AF) using patient-specific data; this study aims to fill that gap.
  • A cost analysis was conducted on AF patients in Nova Scotia, comparing health care costs 2 years before and after CA, highlighting a significant decrease in hospitalizations and ER visits post-ablation.
  • Although the immediate costs of the treatment were high, the overall reduction in health care usage suggests that CA could be a cost-effective solution for AF treatment in the long run.
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Background: While previous studies have examined various platforms that enable providers to connect, Virtual Hallway (VH) stands out with its unique features. The value add is that this online platform connects primary care providers and specialists for synchronous phone-based conversations and aims to reduce referrals and enhance the quality of referrals. VH allows providers to easily log in, select the required specialty, book call times, receive reminders, and have calls documented, ensuring a high connection rate.

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Unlabelled: In this single-blind randomized controlled trial, we tested the hypotheses that, in comparison with control participants receiving only self-study materials (SS group), caregivers of manual wheelchair users who additionally receive remote training (RT group) have greater total Wheelchair Skills Test Questionnaire (WST-Q) performance and confidence scores post-training and at follow-up; and that self-study and remote training each individually lead to such gains. We studied 23 dyads of wheelchair users and their caregivers. Caregivers in the SS group received a handbook and videorecording.

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Article Synopsis
  • Nearly 18% of Canadians reported needing mental health support, but only 56.2% said their needs were fully met, highlighting a significant gap in accessible care.
  • Nova Scotia Health has launched the Rapid Access and Stabilization Program (RASP) to provide mental health services without emergency visits or hospitalization, aiming to reduce high-cost health service utilization.
  • A mixed methods study is being conducted to evaluate RASP's effectiveness, looking at health services use before and after participation, as well as assessing healthcare partner perceptions and patient satisfaction.
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