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Building High-Performing Primary Care Systems: After a Decade of Policy Change, Is Canada "Walking the Talk?".
Milbank Q
December 2023
Dalla Lana School of Public Health, University of Toronto.
Unlabelled: Policy Points Considerable investments have been made to build high-performing primary care systems in Canada. However, little is known about the extent to which change has occurred over the last decade with implementing programs and policies across all 13 provincial and territorial jurisdictions. There is significant variation in the degree of implementation of structural features of high-performing primary care systems across Canada.
View Article and Find Full Text PDFUnderstanding papal documents from the 15th century and the nature and scope of their authority is important when working with Black, Indigenous, and people of color communities influenced by forces and structures of colonialism. Intergenerational trauma has deep roots, which require clinicians to understand historical and cultural context when working with vulnerable patients-in particular, young victims of child abuse and neglect.
View Article and Find Full Text PDFNursing opinions on collaborating with residents in new and legacy OB/GYN programs.
J Healthc Risk Manag
April 2023
Manager, Maternal-Fetal Health Center, HCA Healthcare Graduate Medical Education, Overland Park, Kansas, USA.
Collaboration among physicians and nurses is vital and has shown to lead to better patient care and improve outcomes. Our study surveyed two groups of Labor and Delivery nurses in two regionally similar community hospitals in midwestern United States: one group from a new Obstetrics and Gynecology (OB/GYN) residency program (n = 49) and another from an established (legacy) OB/GYN residency program (n = 49). The survey asked nurses from the hospital with new and legacy residency program about preparedness for working with residents, perceptions of nurse-resident-patient relationships, collaboration and opinions about how resident physicians impact patient safety.
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