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139 records – page 1 of 14.

[Activities of a consultation and diagnostic polyclinic for AIDS and AIDS-related infections].

https://arctichealth.org/en/permalink/ahliterature103740
Source
Sov Zdravookhr. 1990;(6):45-9
Publication Type
Article
Date
1990
Author
A G Rakhmanova
V K Prigozhina
A Iu Kolmakov
Iu K Chernyshev
S A Gordeev
V A Smirnov
G A Makarenko
V D Chuprina
Source
Sov Zdravookhr. 1990;(6):45-9
Date
1990
Language
Russian
Publication Type
Article
Keywords
AIDS-Related Complex - diagnosis
Acquired Immunodeficiency Syndrome - diagnosis
Community Health Centers - organization & administration
Humans
Referral and Consultation
Russia
Urban Population
Abstract
The analysis of curative and diagnostic work of AIDS counselling and diagnostic units (CDU) showed that during a year and a half 15,000 people had been screened, 27 of these were identified as persons infected with human immunodeficiency virus (HIV) and 4 persons identified at other places, were registered for followup. It was found that 51.3 percent of people were screened anonymously, reason for screening being epidemiological indications--history of blood transfusions, homosexual contacts, irregular sexual intercourse. The rest did not observe anonymity, 10.7 percent of these persons were screened by clinical indications. The in-depth clinical screening of patients who sought care in CDU, patients infected with HIV and persons who had contacts with them, required the consultative services of different specialists--dermatovenerologists, gynaecologists, sexologists, stomatologists and some others. It determined the necessity of establishing an outpatient department of "AIDS and AIDS-indicatory infections" which represented a new organizational form of AIDS service.
PubMed ID
2145635 View in PubMed
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[Activities of an antituberculosis dispensary and medical sanitary unit with regard to the detection of patients with chronic nonspecific lung diseases].

https://arctichealth.org/en/permalink/ahliterature239651
Source
Probl Tuberk. 1985;(1):17-9
Publication Type
Article
Date
1985

[Analysis and management of comorbidity among the elderly must be coordinated. Treatment can be evaluated with the DBU method implemented at community centers for the aged].

https://arctichealth.org/en/permalink/ahliterature175189
Source
Lakartidningen. 2005 Mar 7-13;102(10):758-9, 762-3, 765
Publication Type
Article

An investigation of satellite hemodialysis fallbacks in the province of Ontario.

https://arctichealth.org/en/permalink/ahliterature152264
Source
Clin J Am Soc Nephrol. 2009 Mar;4(3):603-8
Publication Type
Article
Date
Mar-2009
Author
Robert M Lindsay
Janet Hux
David Holland
Steven Nadler
Robert Richardson
Charmaine Lok
Louise Moist
David Churchill
Author Affiliation
The University of Western Ontario and London Health Sciences Centre, London, Ontario, Canada. Robert.lindsay@lhsc.on.ca
Source
Clin J Am Soc Nephrol. 2009 Mar;4(3):603-8
Date
Mar-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Community Health Centers - organization & administration
Delivery of Health Care - organization & administration
Female
Hospitalization
Hospitals, Satellite - organization & administration
Humans
Kidney Transplantation
Length of Stay
Male
Middle Aged
National health programs - organization & administration
Nephrology - organization & administration
Ontario - epidemiology
Outcome and Process Assessment (Health Care)
Patient Transfer - organization & administration
Personnel Staffing and Scheduling - organization & administration
Regional Health Planning - organization & administration
Renal Dialysis - adverse effects - mortality
Risk assessment
Risk factors
Treatment Outcome
Young Adult
Abstract
In Ontario, Canada, hemodialysis services are organized in a "hub and spoke" model comprised of regional centers (hubs), satellites, and independent health facilities (IHFs; spokes). Rarely is a nephrologist on site when dialysis treatments take place at satellite units or IHFs. Situations occur that require transfer of the patient back ("fallbacks") to the regional center that necessitate either in- or outpatient care. Growth in the satellite dialysis population has led to an increased burden on the regional centers. This study was carried out to determine the incidence, nature, and outcome of such fallbacks to aid resource planning.
Data were collected on 565 patients from five regional centers over 1 yr. These regional centers controlled 19 satellite dialysis centers including 7 IHFs.
There were 681 fallbacks in 328 patients: 1.21 incidents per patient or 2.1 incidents per patient year. Multiple fallbacks occurred in 170 patients. Fallback episodes lasted a mean of 10.3 d, requiring 4.6 dialysis treatments. Forty-five percent of fallbacks required hospitalization with a mean stay of 16.7 d. Access-related problems (33%) and nondialysis medical causes (32%) were the major causes of fallback. Resolution of the problem occurred in 87.8%, with the patient returning to the satellite. By the end of the study 77.3% were still satellite patients, 10.8% died, 3.8% returned to the regional center, 3.4% were transplanted, and 4.7% were transferred to other treatment modalities.
Fallbacks are common, yet the model operates well.
Notes
Comment In: Clin J Am Soc Nephrol. 2009 Mar;4(3):523-419261831
PubMed ID
19261829 View in PubMed
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Assessing the evolution of primary healthcare organizations and their performance (2005-2010) in two regions of Québec province: Montréal and Montérégie.

https://arctichealth.org/en/permalink/ahliterature138946
Source
BMC Fam Pract. 2010;11:95
Publication Type
Article
Date
2010
Author
Jean-Frédéric Levesque
Raynald Pineault
Sylvie Provost
Pierre Tousignant
Audrey Couture
Roxane Borgès Da Silva
Mylaine Breton
Author Affiliation
Institut national de santé publique du Québec, Québec, Canada. jean-frederic.levesque@inspq.qc.ca
Source
BMC Fam Pract. 2010;11:95
Date
2010
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Community Health Centers - organization & administration
Cross-Sectional Studies
Health Care Surveys
Health Services Accessibility
Humans
Models, organizational
Organizational Innovation
Primary Health Care - organization & administration - standards
Quality Indicators, Health Care
Quebec
Questionnaires
Retrospective Studies
Abstract
The Canadian healthcare system is currently experiencing important organizational transformations through the reform of primary healthcare (PHC). These reforms vary in scope but share a common feature of proposing the transformation of PHC organizations by implementing new models of PHC organization. These models vary in their performance with respect to client affiliation, utilization of services, experience of care and perceived outcomes of care.
In early 2005 we conducted a study in the two most populous regions of Quebec province (Montreal and Montérégie) which assessed the association between prevailing models of primary healthcare (PHC) and population-level experience of care. The goal of the present research project is to track the evolution of PHC organizational models and their relative performance through the reform process (from 2005 until 2010) and to assess factors at the organizational and contextual levels that are associated with the transformation of PHC organizations and their performance.
This study will consist of three interrelated surveys, hierarchically nested. The first survey is a population-based survey of randomly-selected adults from two populous regions in the province of Quebec. This survey will assess the current affiliation of people with PHC organizations, their level of utilization of healthcare services, attributes of their experience of care, reception of preventive and curative services and perception of unmet needs for care. The second survey is an organizational survey of PHC organizations assessing aspects related to their vision, organizational structure, level of resources, and clinical practice characteristics. This information will serve to develop a taxonomy of organizations using a mixed methods approach of factorial analysis and principal component analysis. The third survey is an assessment of the organizational context in which PHC organizations are evolving. The five year prospective period will serve as a natural experiment to assess contextual and organizational factors (in 2005) associated with migration of PHC organizational models into new forms or models (in 2010) and assess the impact of this evolution on the performance of PHC.
The results of this study will shed light on changes brought about in the organization of PHC and on factors associated with these changes.
Notes
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Cites: Healthc Q. 2006;9(2):80-5, 416640137
Cites: Health Serv Res. 2006 Dec;41(6):2238-5417116118
Cites: Healthc Manage Forum. 2006 Winter;19(4):18-2317722757
Cites: Healthc Pap. 2008;8(2):10-2418453816
Cites: Can Fam Physician. 2008 May;54(5):712-2018474705
Cites: BMJ. 2002 Jan 19;324(7330):135-4111799029
PubMed ID
21122145 View in PubMed
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Assessment of the effect of asthma education on outcomes.

https://arctichealth.org/en/permalink/ahliterature200445
Source
Manag Care Interface. 1999 May;12(5):89-93
Publication Type
Article
Date
May-1999
Author
W M Hopman
J G Owen
E. Gagne
Author Affiliation
MacKenzie Health Services Research Unit, Department of Community Health and Epidemiology, Queen's University, Kingston, Ontario, Canada.
Source
Manag Care Interface. 1999 May;12(5):89-93
Date
May-1999
Language
English
Publication Type
Article
Keywords
Adolescent
Asthma - physiopathology - therapy
Child
Child, Preschool
Community Health Centers - organization & administration - utilization
Disease Management
Health Services Research
Humans
Infant
Ontario
Outcome Assessment (Health Care)
Outpatient Clinics, Hospital - organization & administration
Patient Admission - statistics & numerical data
Patient Education as Topic - organization & administration
Questionnaires
Self Care
Abstract
Community asthma care centers have been introduced to meet the increasing need for community-based assessment, management, and education of patients with asthma. The Asthma Education Centre at Oakville-Trafalgar Hospital, in Ontario, Canada, has implemented a comprehensive assessment, treatment, and education program with a collection of relevant patient data. The findings presented in this article suggest that these specific education and treatment programs are associated with not only significant reductions in the use of health services, but improvements in health outcomes as well.
Notes
Comment In: Manag Care Interface. 1999 May;12(5):87-810537483
PubMed ID
10537484 View in PubMed
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[Breastfeeding promotion and support services in local community health centers].

https://arctichealth.org/en/permalink/ahliterature176808
Source
Perspect Infirm. 2004 Nov-Dec;2(2):12-7, 19-20, 22
Publication Type
Article
Author
Sylvie Champagne
Lucie Richard
Louise Séguin
Danielle D'Amour
Jean-François Labadie
Jean-Marc Brodeur
Raynald Pineault
Robert Latour
Author Affiliation
Fondation de recherche en sciences infirmière du Québec.
Source
Perspect Infirm. 2004 Nov-Dec;2(2):12-7, 19-20, 22
Language
French
Publication Type
Article
Keywords
Breast Feeding - psychology - statistics & numerical data
Community Health Centers - organization & administration
Female
Health Promotion - organization & administration
Health Services Research
Humans
Interinstitutional Relations
Models, organizational
Mothers - education - psychology - statistics & numerical data
Organizational Objectives
Patient Education as Topic - organization & administration
Quebec
Questionnaires
Social Support
Abstract
This study had a two-fold goal. First, to document services relating to breastfeeding promotion and support in CLSCs and, second, to examine the links between the delivery of such services and certain organizational and environmental factors. The data were collected in 1999 by means of a self-administered questionnaire sent to all CLSCs in Quebec. The responses indicated that breastfeeding is most often systematically addressed at prenatal meetings and through integrated perinatal programs. CLSCs belonging to a multipurpose establishment are more apt to integrate the issue of breastfeeding into perinatal activities; in addition, many of them offer breastfeeding activities considered innovative, although the average for this kind of activities is fairly low (33%). In addition, CLSCs that collaborate more closely with community organizations and those that spend more on perinatal programs are the ones that most often offer "innovative" breastfeeding activities.
PubMed ID
15624636 View in PubMed
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Bringing healthcare closer to home: one province's approach to home care.

https://arctichealth.org/en/permalink/ahliterature184895
Source
Healthc Pap. 2000;1(4):98-102, discussion 109-12
Publication Type
Article
Date
2000
Author
E. Witmer
Author Affiliation
Health and Long-Term Care for the Province of Ontario.
Source
Healthc Pap. 2000;1(4):98-102, discussion 109-12
Date
2000
Language
English
Publication Type
Article
Keywords
Community Health Centers - organization & administration
Continuity of Patient Care
Cost Savings
Financing, Government
Forecasting
Health Expenditures
Health Services Accessibility
Home Care Services - organization & administration
Humans
Long-Term Care
National health programs - organization & administration
Ontario
Organizational Objectives
Referral and Consultation
Abstract
Ontario is implementing a number of steps to address the growing need for home care and continuing care. One of these steps is the establishment of Ontario's network of 43 Community Care Access Centres (CCACs). Responsible for aiding Ontario residents who seek community-based long-term healthcare, CCACs coordinate access to home services such as nursing and homemaking, manage placement to long-term care facilities and provide information and referral services. In 2000/01 the Ontario government announced 92.5 million Canadian dollars in new funding for long-term community services. This new funding includes 70.1 million Canadian dollars for CCACs. During this time, the provincial government will spend more than 1.6 billion Canadian dollars for long-term-care community-based services. Of this amount, 1.1 Canadian dollars billion will go to CCACs. Community Care Access Centres served more than 400,000 people in 1998/99 and are estimated to serve more than 420,000 in 2000/01. The administrative funds saved by this province-wide system are reinvested in front-line health services.
Notes
Comment On: Healthc Pap. 2000 Fall;1(4):9-3612811170
PubMed ID
12811181 View in PubMed
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A Canadian model for building university and community partnerships: centre for research & education on violence against women and children.

https://arctichealth.org/en/permalink/ahliterature131655
Source
Violence Against Women. 2011 Sep;17(9):1159-75
Publication Type
Article
Date
Sep-2011
Author
Peter G Jaffe
Helene Berman
Barb MacQuarrie
Author Affiliation
Center for Research & Education on Violence against Women and Children, University of Western Ontario, London, Ontario, Canada. pjaffe@uwo.ca
Source
Violence Against Women. 2011 Sep;17(9):1159-75
Date
Sep-2011
Language
English
Publication Type
Article
Keywords
Battered Women - education
Canada
Child
Child Abuse
Community Health Centers - organization & administration
Community-Institutional Relations
Female
Humans
Research - organization & administration
Universities - organization & administration
Violence - prevention & control
Abstract
The importance of Canadian research on violence against women became a national focus after the 1989 murder of 14 women at École Polytechnique in Montreal. This tragedy led to several federal government studies that identified a need to develop centers for applied research and community-university alliances on violence against women. One such center is the Centre for Research & Education on Violence against Women and Children. The Centre was founded in London, Canada in 1992 out of a partnership of a university, a community college, and community services. The centre's history and current activities are summarized as a model for the development and sustainability of similar centers.
PubMed ID
21890531 View in PubMed
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139 records – page 1 of 14.