4 results match your criteria: "Author Affiliation: Ontario Shores Centre for Mental Health Sciences[Affiliation]"

Changes in comprehensiveness of services delivered by Canadian family physicians: Analysis of population-based linked data in 4 provinces.

Can Fam Physician

August 2023

Associate Faculty member at the School of Leadership Studies, Royal Roads University, Victoria, BC and a certified health care consultant.

Article Synopsis
  • The study aims to analyze changes in the range of services provided by family physicians in four Canadian provinces, focusing on which areas and settings experienced the most significant changes.
  • Using billing data linked to physician registries, the research evaluates service comprehensiveness over two fiscal years (1999-2000 and 2017-2018) across various medical settings and service areas.
  • Results indicate a decline in service comprehensiveness across all provinces, with the most significant reductions occurring in specific service settings, especially among seasoned male physicians practicing in urban environments.
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Introduction: The Canadian population has poor and inequitable access to psychiatric care despite a steady per-capita supply of psychiatrists in most provinces. There is some quantitative evidence that practice style and characteristics vary substantially among psychiatrists. However, how this compares across jurisdictions and implications for workforce planning require further study.

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Project management (PM) is considered an important competency for improving organizational efficiencies, and its practice is evolving in health care organizations. As a medium-sized health care organization, Ontario Shores Centre for Mental Health Sciences used a hybrid PM office model and created a PM network to connect the small, centralized PM office to the decentralized project leaders. The key components to create the PM network were (1) skilled leader, (2) organizational support, (3) infrastructure, and (4) session content.

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End-of-life disputes in Ontario are currently overwhelmingly assessed through the singular lens of patient autonomy. The current dispute resolution mechanism(s) does not adequately consider evidence-based medical guidelines, standards of care, the patient's best interests, expert opinion, or distributive justice. We discuss two cases adjudicated by the Consent and Capacity board of Ontario that demonstrate the over emphasis on patient autonomy.

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