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The 1996 and 1997 National survey of physician asthma management practices: background and study methodology.

https://arctichealth.org/en/permalink/ahliterature201629
Source
Can Respir J. 1999 May-Jun;6(3):269-72
Publication Type
Article
Author
R L Jin
B C Choi
Author Affiliation
Laboratory Centre for Disease Control, Ottawa, Canada. robert_jin@hc-sc.gc.ca
Source
Can Respir J. 1999 May-Jun;6(3):269-72
Language
English
Publication Type
Article
Keywords
Adolescent
Analysis of Variance
Asthma - therapy
Attitude of Health Personnel
Canada
Child, Preschool
Confidence Intervals
Female
Health Care Surveys
Humans
Male
Physician's Practice Patterns - statistics & numerical data
Practice Guidelines as Topic - standards
Questionnaires
Abstract
To collect national baseline information on asthma management practices by physicians, and to compare these practices with the recommendations of the Canadian Asthma Consensus Conference ('the guidelines').
Cross-sectional survey of representative samples of physicians in Canada in late 1996 and early 1997.
Five specialty types of physicians who manage asthma patients: respirology, pediatrics, internal medicine, allergy and clinical immunology, and general practice and family medicine. Stratified sampling by province and specialty was used to select physicians for the study. Weighting was used in the analysis to generalize the results to the national level for the five specialty groups of physicians.
Mailed questionnaire, self-administered by the respondent; three mailings of the questionnaires were used to increase the response rate.
The frequency with which each of the five specialty types chose specific asthma management choices was determined, using weighted percentages representative of the specialty groups on a national basis. ANOVA determined the statistically significant differences among the five specialties in choosing particular asthma management actions. Then, logistic regression was used to calculate the odds ratios showing an association between the characteristics of the physician respondents and specific asthma management choices that they made in the survey.
The data analysis demonstrated significant variations among physicians in asthma management practices, according to specialty type and other characteristics. The initial report was released in April 1998, and manuscripts for journal submissions are being prepared.
PubMed ID
10393288 View in PubMed
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2003 CAG educational needs assessment report.

https://arctichealth.org/en/permalink/ahliterature183852
Source
Can J Gastroenterol. 2003 Aug;17(8):507-12
Publication Type
Article
Date
Aug-2003
Author
Desmond Leddin
Sandra Daniels
Paul Sinclair
Author Affiliation
Victorial General Hospital Site, Halifax, Nova Scotia.
Source
Can J Gastroenterol. 2003 Aug;17(8):507-12
Date
Aug-2003
Language
English
French
Publication Type
Article
Keywords
Adult
Canada
Female
Gastroenterology - education
Health Care Surveys
Humans
Male
Needs Assessment
Societies, Medical
PubMed ID
12945013 View in PubMed
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The 2012 SAGE wait times program: Survey of Access to GastroEnterology in Canada.

https://arctichealth.org/en/permalink/ahliterature115731
Source
Can J Gastroenterol. 2013 Feb;27(2):83-9
Publication Type
Article
Date
Feb-2013
Author
Desmond Leddin
David Armstrong
Mark Borgaonkar
Ronald J Bridges
Carlo A Fallone
Jennifer J Telford
Ying Chen
Palma Colacino
Paul Sinclair
Source
Can J Gastroenterol. 2013 Feb;27(2):83-9
Date
Feb-2013
Language
English
Publication Type
Article
Keywords
Adult
Canada
Colonoscopy - statistics & numerical data
Female
Gastroenterology - statistics & numerical data - trends
Health Care Surveys
Health Services Accessibility - statistics & numerical data - trends
Humans
Male
Mass Screening - methods - statistics & numerical data
Questionnaires
Referral and Consultation - statistics & numerical data
Time Factors
Waiting Lists
Abstract
Periodically surveying wait times for specialist health services in Canada captures current data and enables comparisons with previous surveys to identify changes over time.
During one week in April 2012, Canadian gastroenterologists were asked to complete a questionnaire (online or by fax) recording demographics, reason for referral, and dates of referral and specialist visits for at least 10 consecutive new patients (five consultations and five procedures) who had not been seen previously for the same indication. Wait times were determined for 18 indications and compared with those from similar surveys conducted in 2008 and 2005.
Data regarding adult patients were provided by 173 gastroenterologists for 1374 consultations, 540 procedures and 293 same-day consultations and procedures. Nationally, the median wait times were 92 days (95% CI 85 days to 100 days) from referral to consultation, 55 days (95% CI 50 days to 61 days) from consultation to procedure and 155 days (95% CI 142 days to 175 days) (total) from referral to procedure. Overall, wait times were longer in 2012 than in 2005 (P
Notes
Cites: Can J Gastroenterol. 2006 Jun;20(6):411-2316779459
Cites: Colorectal Dis. 2006 Jul;8(6):480-316784466
Cites: Am J Gastroenterol. 2007 Mar;102(3):478-8117335442
Cites: Can J Gastroenterol. 2008 Feb;22(2):155-6018299734
Cites: Can J Gastroenterol. 2008 Feb;22(2):161-718299735
Cites: Healthc Q. 2009;12(3):72-919553768
Cites: Health Manag Technol. 2012 Mar;33(3):12-322515048
Cites: Can J Gastroenterol. 2010 Jan;24(1):33-920186354
Cites: Qual Saf Health Care. 2010 Oct;19(5):e2720584706
Cites: Can J Gastroenterol. 2011 Feb;25(2):78-8221321678
Cites: Can J Gastroenterol. 2011 Oct;25(10):547-5422059159
Cites: Can J Gastroenterol. 2012 Jan;26(1):17-3122308578
Cites: Can J Gastroenterol. 2010 Jan;24(1):20-520186352
PubMed ID
23472243 View in PubMed
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Aboriginal physician use in Canada: location, orientation and identity.

https://arctichealth.org/en/permalink/ahliterature209126
Source
Health Econ. 1997 Mar-Apr;6(2):197-207
Publication Type
Article
Author
K B Newbold
Author Affiliation
Department of Geography, University of Illinois, Urbana 61801, USA. newbold@uiuc.edu
Source
Health Econ. 1997 Mar-Apr;6(2):197-207
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Canada - epidemiology
Female
Health Care Surveys
Health status
Humans
Indians, North American
Likelihood Functions
Logistic Models
Male
Middle Aged
Personal Health Services - utilization
Socioeconomic Factors
Abstract
The main objectives of this paper are to compare Aboriginal and Canadian health status and physician use and to identify the factors associated with the use of physician services. Data are drawn from the 1991 Aboriginal Peoples Survey (APS) and the 1991 General Social Survey (GSS), which are weighted random samples of the Aboriginal and total Canadian populations, respectively. The results demonstrate that Aboriginals were much less likely to use physician services, even though Aboriginals rank their health similarly to the total Canadian population. Location becomes an important aspect of both physician use and health status, with Aboriginals residing on-reserve generally having lower levels of self-assessed health and less likely to have seen a physician. While Aboriginals with the poorest health status were more likely to have seen a physician, other factors including education were found to be barriers to use of health care. Aboriginal identity and cultural orientation provided mixed results.
PubMed ID
9158971 View in PubMed
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Academic Alternate Relationship Plans for internal medicine: a lever for health care transformation.

https://arctichealth.org/en/permalink/ahliterature129973
Source
Open Med. 2011;5(1):e28-32
Publication Type
Article
Date
2011
Author
Allison Bichel
Maria Bacchus
Jon Meddings
John Conly
Author Affiliation
Department of Medicine, Calgary Health Region, and University of Calgary, Calgary, Alberta.
Source
Open Med. 2011;5(1):e28-32
Date
2011
Language
English
Publication Type
Article
Keywords
Alberta
Diffusion of Innovation
Health Care Reform - methods
Health Care Surveys
Health Services Accessibility - organization & administration
Health services needs and demand
Humans
Internal Medicine - education
Poisson Distribution
Program Development
Schools, Medical - organization & administration - trends
Notes
Cites: Can Fam Physician. 2000 Jul;46:1438-4410925758
Cites: Can Respir J. 2009 Mar-Apr;16(2):49-5419399308
Cites: Can J Cardiol. 2008 Mar;24(3):195-818340388
Cites: CMAJ. 1999 Jun 15;160(12):1710-410410632
PubMed ID
22046217 View in PubMed
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Academic family physicians' perception of genetic testing and integration into practice: a CERA study.

https://arctichealth.org/en/permalink/ahliterature115009
Source
Fam Med. 2013 Apr;45(4):257-62
Publication Type
Article
Date
Apr-2013
Author
Arch G Mainous
Sharleen P Johnson
Svetlana Chirina
Richard Baker
Author Affiliation
Department of Family Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. mainouag@musc.edu
Source
Fam Med. 2013 Apr;45(4):257-62
Date
Apr-2013
Language
English
Publication Type
Article
Keywords
Adult
Attitude of Health Personnel
Canada
Clinical Competence
Curriculum
Education, Medical, Undergraduate
Faculty, Medical
Family Practice - education - methods
Female
Genetic Testing - methods
Health Care Surveys
Humans
Internship and Residency
Male
Middle Aged
Self Report
United States
Abstract
Genetic testing for a variety of diseases is becoming more available to primary care physicians, but it is unclear how useful physicians perceive these tests to be. We examined academic family physicians' perception of and experiences with clinical genetic testing and direct-to-consumer genetic testing.
This study is an analysis of a survey conducted as part of the Council of Academic Family Medicine Educational Research Alliance (CERA). Academic family physicians in the United States and Canada were queried about their perception of genetic testing's utility, how frequently patients ask about genetic testing, and the importance of genetic testing in future practice and education of students and residents.
The overall survey had a response rate of 45.1% (1,404/3,112). A majority (54.4%) of respondents felt that they were not knowledgeable about available genetic tests. Respondents perceived greater utility of genetic tests for breast cancer (94.9%) and hemochromatosis (74.9%) than for Alzheimer's disease (30.3%), heart disease (25.4%), or diabetes (25.2%). Individuals with greater self-perceived knowledge of genetic tests were more likely to feel that genetic testing would have a significant impact on their future practice (23.1%) than those with less knowledge (13.4%). Respondents had little exposure to direct-to-consumer genetic tests, but a majority felt that they were more likely to cause harm than benefit.
Academic family physicians acknowledge their lack of knowledge about genetic tests. Educational initiatives may be useful in helping them incorporate genetic testing into practice and in teaching these skills to medical students and residents.
PubMed ID
23553089 View in PubMed
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Acceptability of reminder letters for Papanicolaou tests: a survey of women from 23 Family Health Networks in Ontario.

https://arctichealth.org/en/permalink/ahliterature160995
Source
J Obstet Gynaecol Can. 2007 Oct;29(10):829-34
Publication Type
Article
Date
Oct-2007
Author
Tina Karwalajtys
Janusz Kaczorowski
Lynne Lohfeld
Stephanie Laryea
Kelly Anderson
Stefanie Roder
Rolf J Sebaldt
Author Affiliation
Department of Family Medicine, McMaster University, Hamilton ON.
Source
J Obstet Gynaecol Can. 2007 Oct;29(10):829-34
Date
Oct-2007
Language
English
Publication Type
Article
Keywords
Adult
Aged
Female
Health Care Surveys
Health Promotion - methods
Humans
Middle Aged
Ontario
Papanicolaou test
Patient compliance
Reminder Systems
Vaginal Smears
Women's health
Abstract
To explore women's perspectives on the acceptability and content of reminder letters from the family physician for Papanicolaou (Pap) test screening and the effect of reminder letters on compliance with screening recommendations.
A population-based survey was conducted in 23 Family Health Networks and Primary Care Networks participating in a demonstration project to increase the delivery of preventive services in Ontario. Questionnaires were mailed to randomly selected women aged 35 to 69 years who had received a reminder letter for a Pap test from their family physician within the previous six months. Two focus groups were conducted with a volunteer sample of respondents.
The usable response rate was 54.3% (406/748). Two-thirds (65.8%, 267/406) of women who completed the survey recalled receiving the reminder letter. Overall, 52.3% (212/405) reported having a Pap test in the past six months. Among women who recalled the reminder letter and scheduled or had a Pap test, 71.4% (125/175) reported that the letter influenced their decision to be screened. The majority of respondents (80.8%, 328/406) wanted to continue to receive reminder letters for Pap tests from their physician, and 34.5% (140/406) wanted to receive additional information about cervical screening. Focus group interviews indicated that women who have had a Pap test may still be unsure about screening recommendations, what the test detects, and the rationale for follow-up procedures.
Reminder letters in family practice were viewed as useful and influenced women's decisions to undergo Pap test screening. Women who have had a Pap test may still need additional information about the test.
PubMed ID
17915066 View in PubMed
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Access and perceived need for physical and occupational therapy in chronic arthritis.

https://arctichealth.org/en/permalink/ahliterature144640
Source
Disabil Rehabil. 2010;32(22):1827-32
Publication Type
Article
Date
2010
Author
Debbie Ehrmann Feldman
Sasha Bernatsky
Jean Frédéric Lévesque
My Tram Van
Michelle Houde
Karine Toupin April
Author Affiliation
Université de Montréal, Ecole de Réadaptation, C.P. 6128, Succ. Centre-Ville, Pavillon 7077 du Parc, Montreal, Quebec, Canada H3C3J7. debbie.feldman@umontreal.ca
Source
Disabil Rehabil. 2010;32(22):1827-32
Date
2010
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Arthritis, Rheumatoid - rehabilitation
Attitude of Health Personnel
Chronic Disease - rehabilitation
Health Care Surveys
Health Services Accessibility
Health services needs and demand
Humans
Interviews as Topic
Male
Middle Aged
Occupational therapy
Odds Ratio
Physical Therapy Modalities
Physicians, Family
Quebec
Referral and Consultation
Rheumatology
Abstract
Physical and occupational therapy are beneficial for persons with chronic arthritis; however, access is problematic. The goal was to examine issues related to access to these services for patients with chronic arthritis.
We used two data sources: 1) questionnaires sent to a random sample of 600 family physicians and to all 85 rheumatologists in the province of Quebec; and 2) interviews of 211 patients with physician-confirmed chronic arthritis recruited from 34 primary care settings in Quebec.
Only 11.5% of family physicians and 31.7% of rheumatologists referred patients with rheumatoid arthritis (RA) to rehabilitation, whereas 60.4% of family doctors referred patients with osteoarthritis. Only 26.1% of patients felt that they required rehabilitation and this was associated with lower self-efficacy (OR: 0.84, 95% CI: 0.72, 0.99) and higher educational level (OR: 2.10, 95% CI: 1.01, 4.36).
Family physicians are less likely to refer patients with RA to therapy. Only about a quarter of patients with chronic arthritis treated in primary care perceived the need for these services. Efforts to improve arthritis care should address education of physicians and patients regarding the benefits of rehabilitation and there should be efforts to increase therapy resources in order to enhance access.
PubMed ID
20345251 View in PubMed
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1964 records – page 1 of 197.