Institution
Saskatchewan Health
Government•Regina, Saskatchewan, Canada•
About: Saskatchewan Health is a government organization based out in Regina, Saskatchewan, Canada. It is known for research contribution in the topics: Population & Health care. The organization has 442 authors who have published 489 publications receiving 7728 citations.
Papers published on a yearly basis
Papers
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TL;DR: Both unmet need and psychological distress were independent predictors of ED visits, and future investigations of un met need and health services utilization should include psychological distress to improve the internal validity of statistical models.
Abstract: Background
Unmet need to perform activities of daily living (ADL) is associated with increased use of urgent health services by the elderly. However, the reported associations may be confounded by psychological distress. We examine the independent effects of unmet need and psychological distress upon emergency department (ED) visits.
18 citations
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TL;DR: This study demonstrated that the analytical sensitivity of commercial assays is highly variable compared to that of CDC-based in-house NAATs for the detection of H7N9.
Abstract: The recent emergence of influenza A virus (H7N9) emphasizes the need for its rapid detection. While commercial nucleic acid amplification tests (NAATs) are commonly used to detect seasonal influenza virus, this study demonstrated that the analytical sensitivity of commercial assays is highly variable compared to that of CDC-based in-house NAATs for the detection of H7N9.
18 citations
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18 citations
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18 citations
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TL;DR: A comparative case study of two strategies for implementing PtDAs in clinical pathways for men with localized prostate cancer, evaluating PtDA use; impact on men, practitioners, and health system outcomes; and factors influencing sustained use.
Abstract: Men with localized prostate cancer often have unrealistic expectations. Practitioners are poor judges of men’s preferences, contributing to preference misdiagnosis and unwarranted practice variation. Patient decision aids (PtDAs) can support men with decisions about localized prostate cancer. This is a comparative case study of two strategies for implementing PtDAs in clinical pathways for men with localized prostate cancer, evaluating (a) PtDA use; (b) impact on men, practitioners, and health system outcomes; and (c) factors influencing sustained use. Guided by the Knowledge to Action Framework, this comparative case study will be conducted using administrative data, interviews, and surveys. Cases will be bound by geographic location (one hospital in Ontario; province of Saskatchewan) and time. Eligible participants will be all men newly diagnosed with localized prostate cancer, with outcomes assessed using administrative data and interviews. Nurses, urologists, radiation oncologists, and managers will be surveyed and a smaller sample interviewed. Cases will be established for each setting with findings compared across cases. Changes in the proportions of men given the PtDA over 2 years will be determined from administrative data. Factors associated with receiving the PtDA will be explored using multivariable logistic regression analysis. To assess the impact of the PtDA, outcomes will be described using mean and standard deviation (men’s decisional conflict) and frequency and proportions (practitioners consulted, uptake of treatment). To estimate the effect of the PtDA on these outcomes, adjusted mean differences and odds ratios will be calculated using exploratory multivariable general linear regression and binary or multinomial logistic regression. Factors influencing sustained PtDA use will be assessed using descriptive analysis of survey findings and thematic analysis of interview transcripts. Determining how to embed PtDAs effectively within clinical pathways for men with localized prostate cancer is essential. PtDAs have the potential to strengthen men’s active role in making prostate cancer decisions, enhance uptake of shared decision-making by practitioners, and reduce practice variation. Our team of researchers and knowledge users will use findings to improve current PtDA use and consider scaling-up implementation.
18 citations
Authors
Showing all 449 results
Name | H-index | Papers | Citations |
---|---|---|---|
Gary R. Hunter | 71 | 337 | 16410 |
Lisa M. Lix | 59 | 462 | 13778 |
Peter O'Hare | 55 | 126 | 9246 |
Edward D. Chan | 54 | 224 | 9014 |
Paul Babyn | 54 | 307 | 11466 |
Roland N. Auer | 52 | 120 | 8564 |
Paul N. Levett | 44 | 137 | 8486 |
Alan A. Boulton | 39 | 183 | 5253 |
Carl D'Arcy | 38 | 129 | 5002 |
Vikram Misra | 37 | 116 | 4363 |
Andrew W. Lyon | 28 | 109 | 2449 |
Denis C. Lehotay | 27 | 52 | 1756 |
Gary F. Teare | 26 | 61 | 2749 |
Greg B. Horsman | 25 | 49 | 1727 |
Emina Torlakovic | 24 | 96 | 1899 |