Resultados: 167

    Examining the impacts of accountable care organizations on patient experience, population health and costs

    Strengthening Ontario’s health system is important for achieving the triple aim outcomes of: 1) improving the patient experience of care; 2) improving population health; and 3) keeping per capita costs of healthcare manageable.(3-4) Strengthening the system is particularly important for patients with c...

    Key Features and effects of educational Approaches to improve clinical performance

    The College of Physicians and Surgeons of Ontario (CPSO) and Cancer Care Ontario (CCO) have formed a partnership to support ongoing training, education and quality improvement across the province. This partnership will develop provincial quality-management programs for the service areas of colonoscopy, m...

    Identifying when, why and how to analyze and learn from deaths in healthcare settings

    Each year more than 1,000 children and youth (0-19 years of age) die in Ontario.(1) The Office of the Chief Coroner has consistently investigated between 43-49% of these deaths each year,(1) and many of these investigations offer opportunities to learn from the circumstances of the death, although the ex...

    Examining the impact of drop-in centres

    The three reviews with evidence regarding the impact of drop-in centres were conducted recently. Two of the reviews (both of medium quality) focused on adult day centres for older adults,(10;11) and the third (a high-quality review) focused on interventions for promoting reintegration and reducing harmfu...

    Comparing multi-component chronic-disease programs to disease-specific programs

    The provincial Chronic Disease Prevention and Management Strategy from 2008-12 (and then renewed until 2016) began with a focus on diabetes.(1) The strategy had a stated intention to expand beyond diabetes to a broader chronic-disease management approach. However, to determine whether it would be benefic...

    Changing sexual offender behaviour and assessing risk for reoffending

    We found 11 systematic reviews and 21 primary studies and non-systematic reviews relevant to the questions. Of these, seven reviews and 11 studies addressed the first question about remediation/rehabilitation models in changing sexual offender behaviour, and five reviews and 10 primary studies addressed ...

    Identifying risk and protective factors for quality clinical practice

    We identified two overviews of systematic reviews, 18 systematic reviews and 17 primary studies from our searches that were relevant to the questions posed. The primary studies address the first question about risk factors for unsafe clinical practice, and both of the overviews and all of the systematic ...

    Optimizing clinical practice in Ontario based on data, evidence and guidelines

    Optimizing clinical practice based on data, evidence and guidelines is a challenge faced in every health system around the world. The way the challenge manifests itself at the level of the patient has been remarkably consistent over time: tough decisions made at the intersection of clinical expertise, pa...

    Preventing interpersonal and self-directed violence and injuries in the Caribbean

    The issue of violence and injuries and its status as a major public health problem has gained significant political traction both internationally and within the Caribbean region during the last two decades. Internationally, the momentum began to build across the Americas in 1993 with PAHO resolution CD37...