Medicine and Health Sciences Commons^™

The Prevalence Of Multimorbidity In Primary Care: A Comparison Of Two Definitions Of Multimorbidity With Two Different Lists Of Chronic Conditions In Singapore, Eng Sing Lee, Poay Sian Sabrina Lee, Ying Xie, Bridget L. Ryan, Martin Fortin, Moira Stewart

Family Medicine Publications

Background: The prevalence of multimorbidity varies widely due to the lack of consensus in defining multimorbidity. This study aimed to measure the prevalence of multimorbidity in a primary care setting using two definitions of multimorbidity with two different lists of chronic conditions. Methods: We conducted a cross-sectional study of 787,446 patients, aged 0 to 99 years, who consulted a family physician between July 2015 to June 2016. Multimorbidity was defined as ‘two or more’ (MM2+) or ‘three or more’ (MM3+) chronic conditions using the Fortin list and Chronic Disease Management Program (CDMP) list of chronic conditions. Crude and standardised prevalence …

Primary Care Bonus Payments And Patient-Reported Access In Urban Ontario: A Cross-Sectional Study, Kamila Premji, Ewa Sucha, Richard H. Glazier, Michael E. Green, Walter P. Wodchis, William E. Hogg, Tara Kiran, Eliot Frymire, Thomas R. Freeman, Bridget L. Ryan

Family Medicine Publications

BACKGROUND: Rurality strongly correlates with higher pay-for-performance access bonuses, despite higher emergency department use and fewer primary care services than in urban settings. We sought to evaluate the relation between patient-reported access to primary care and access bonus payments in urban settings. METHODS: We conducted a cross-sectional, secondary data analysis using Ontario survey and health administrative data from 2013 to 2017. We used administrative data to calculate annual access bonuses for eligible urban family physicians. We linked this payment data to adult (≥ 16 yr) patient data from the Health Care Experiences Survey to examine the relation between access bonus …

Are Family Medicine Residents Trained To Counsel Patients On Physical Activity? The Canadian Experience And A Call To Action., Jane Thornton, Karim Khan, Richard Weiler, Christopher Mackie, Robert Petrella

Family Medicine Publications

Physical inactivity is a leading risk factor for non-communicable diseases (NCDs) and early mortality. Family physicians have an important role in providing physical activity counselling to patients to help prevent and treat NCDs. Lack of training on physical activity counselling is a barrier in undergraduate medical education, yet little is known regarding physical activity teaching in postgraduate family medicine residency. We assessed the provision, content and future direction of physical activity teaching in Canadian postgraduate family medicine residency programs to address this data gap. Fewer than half of Canadian Family Medicine Residency Programme directors reported providing structured physical activity counselling …

Environmental Scan Of Primary Care Needs In The Last Decade (2010-2020), Ravninder Bahniwal

Family Medicine Publications

No abstract provided.

Primary Care Informatics Response To Covid-19 Pandemic: Adaptation, Progress, And Lessons From Four Countries With High Ict Development, Siaw Teng Liaw, Craig Kuziemsky, Richard Schreiber, Jitendra Jonnagaddala, Harshana Liyanage, Aliasgar Chittalia, Ravninder Bahniwal, Jennifer W. He, Bridget L. Ryan, Daniel J. Lizotte, Jacqueline K. Kueper, Amanda L. Terry, Simon De Lusignan

Family Medicine Publications

OBJECTIVE: Internationally, primary care practice had to transform in response to the COVID pandemic. Informatics issues included access, privacy, and security, as well as patient concerns of equity, safety, quality, and trust. This paper describes progress and lessons learned. METHODS: IMIA Primary Care Informatics Working Group members from Australia, Canada, United Kingdom and United States developed a standardised template for collection of information. The template guided a rapid literature review. We also included experiential learning from primary care and public health perspectives. RESULTS: All countries responded rapidly. Common themes included rapid reductions then transformation to virtual visits, pausing of non-COVID …

Development Of A Primary Care Pandemic Plan Informed By In-Depth Policy Analysis And Interviews With Family Physicians Across Canada During Covid-19: A Qualitative Case Study Protocol, Maria Mathews, Sarah Spencer, Lindsay Hedden, Emily Gard Marshall, Julia Lukewich, Leslie Meredith, Dana Ryan, Richard Buote, Tiffany Liu, Emily Volpe, Paul S. Gill, Bridget Ryan, Gordon Schacter, Jamie Wickett, Thomas R. Freeman, Shannon L. Sibbald, Eric Wong, Maddi Mckay, Rita Mccracken, Judith Belle Brown

Family Medicine Publications

Introduction Given the recurrent risk of respiratory illness-based pandemics, and the important roles family physicians play during public health emergencies, the development of pandemic plans for primary care is imperative. Existing pandemic plans in Canada, however, do not adequately incorporate family physicians' roles and perspectives. This policy and planning oversight has become increasingly evident with the emergence of the novel coronavirus disease, COVID-19, pandemic. This study is designed to inform the development of pandemic plans for primary care through evidence from four provinces in Canada: British Columbia, Newfoundland and Labrador, Nova Scotia, and Ontario. Methods and analysis We will employ …

Systematic Review On The Instruments Used For Measuring The Association Of The Level Of Multimorbidity And Clinically Important Outcomes, Eng Sing Lee, Hui Li Koh, Elaine Qiao Ying Ho, Sok Huang Teo, Fang Yan Wong, Bridget L. Ryan, Martin Fortin, Moira Stewart

Family Medicine Publications

Objectives There are multiple instruments for measuring multimorbidity. The main objective of this systematic review was to provide a list of instruments that are suitable for use in studies aiming to measure the association of a specific outcome with different levels of multimorbidity as the main independent variable in community-dwelling individuals. The secondary objective was to provide details of the requirements, strengths and limitations of these instruments, and the chosen outcomes. Methods We conducted the review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO registration number: CRD42018105297). We searched MEDLINE, Embase and CINAHL electronic databases …

The Prevalence Of Physical Multimorbidity Among People With Non-Affective Psychotic Disorders 10 Years After First Diagnosis: A Matched Retrospective Cohort Study, Myanca Rodrigues, Saverio Stranges, Bridget L. Ryan, Kelly K. Anderson

Family Medicine Publications

Aims: The higher prevalence of chronic physical health conditions among people with psychotic disorders may result in a reduced life expectancy as compared to the general population. More research is needed on the risk of multiple co-occurring chronic health conditions, known as multimorbidity, for people with psychotic disorders.

Methods: We conducted a matched retrospective cohort study to quantify the prevalence of multimorbidity and associated factors among people with psychotic disorders over the 10-year period following first diagnosis, relative to those without psychosis. Data from an early psychosis intervention program in London, Canada were linked to population-based health administrative data to …