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University of Toronto
1.
Hirji, Nazlin Zaherali.
Identifying Effective Instructional Design Features of Simulation in Nursing Education: A Realist Review.
Degree: 2015, University of Toronto
URL: http://hdl.handle.net/1807/70327 
► Simulation is increasingly being used as an instructional strategy, yet evidence-informed guides for how to use simulation effectively in nursing training is lacking. A realist…
(more)
▼ Simulation is increasingly being used as an instructional strategy, yet evidence-informed guides for how to use simulation effectively in nursing training is lacking. A realist review of the nursing simulation literature was conducted to determine how simulation is currently being used in nursing training. Unfortunately, the majority (69%) of primary studies were excluded due to missing information about the context, mechanism, or outcome of the study. In the remaining 13 studies, four themes of instructional design features emerged including: feedback, debriefing, self-regulated learning, and the intersection between feedback and self-regulated learning. However, the small number of studies permits only cautious recommendations for nursing educators. Improved reporting standards in nursing education journals are imperative so that authors of original studies are prompted to report all relevant information, and so authors of knowledge syntheses are better able to make recommendations about when simulation should be used, for which trainees, under which circumstances, and why.
M.Sc.
Advisors/Committee Members: Cockerill, Rhonda, Brydges, Ryan, Health Policy, Management and Evaluation.
Subjects/Keywords: Debriefing; Feedback; Instructional Design; Realist Review; Self-Regulated Learning; Simulation; 0569
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APA (6th Edition):
Hirji, N. Z. (2015). Identifying Effective Instructional Design Features of Simulation in Nursing Education: A Realist Review. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/70327
Chicago Manual of Style (16th Edition):
Hirji, Nazlin Zaherali. “Identifying Effective Instructional Design Features of Simulation in Nursing Education: A Realist Review.” 2015. Masters Thesis, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/70327.
MLA Handbook (7th Edition):
Hirji, Nazlin Zaherali. “Identifying Effective Instructional Design Features of Simulation in Nursing Education: A Realist Review.” 2015. Web. 27 Feb 2021.
Vancouver:
Hirji NZ. Identifying Effective Instructional Design Features of Simulation in Nursing Education: A Realist Review. [Internet] [Masters thesis]. University of Toronto; 2015. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/70327.
Council of Science Editors:
Hirji NZ. Identifying Effective Instructional Design Features of Simulation in Nursing Education: A Realist Review. [Masters Thesis]. University of Toronto; 2015. Available from: http://hdl.handle.net/1807/70327
University of Toronto
2.
Haney, James.
Pursuing Enterprise Risk Management: A Local Roadmap for Canadian Health Care Leaders.
Degree: 2012, University of Toronto
URL: http://hdl.handle.net/1807/32465
► An in-depth analysis of organizational risk management in health care, and in particular the concepts of Enterprise Risk Management (ERM), has identified a five part…
(more)
▼ An in-depth analysis of organizational risk management in health care, and in particular the concepts of Enterprise Risk Management (ERM), has identified a five part model that can be used by Canadian health care leaders as an evidence supported approach to successful organizational risk management. The Model for Organizational Risk Management has been developed as a basis for linking the components of an ERM framework into a Canadian health organization in order to overcome the barriers that commonly disrupt strategic risk management. The Model addresses how an ERM framework can fit within an existing health organization by building off of and enhancing existing processes and resources in order to ensure familiarity, acceptance, and sustainability of the risk management program. By approaching the Model in a stepwise fashion (based on individual organizational context) health care leaders are provided with a roadmap from which to advance their own organizational risk management program.
MAST
Advisors/Committee Members: Cockerill, Rhonda, Church, John, Health Policy, Management and Evaluation.
Subjects/Keywords: ERM; Risk Management; Organizational Risk; Health Care; Corporate Risk; Clinical Risk; Planning; Mitigation; Decision Support; Enterprise Risk; Health Care Management; Risk Assessment; Risk Program; Liability; Risk Model; Knowledge Transfer; Canadian Health Care; Public Health Care; Enterprise Risk Management; 0769; 0454
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APA (6th Edition):
Haney, J. (2012). Pursuing Enterprise Risk Management: A Local Roadmap for Canadian Health Care Leaders. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/32465
Chicago Manual of Style (16th Edition):
Haney, James. “Pursuing Enterprise Risk Management: A Local Roadmap for Canadian Health Care Leaders.” 2012. Masters Thesis, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/32465.
MLA Handbook (7th Edition):
Haney, James. “Pursuing Enterprise Risk Management: A Local Roadmap for Canadian Health Care Leaders.” 2012. Web. 27 Feb 2021.
Vancouver:
Haney J. Pursuing Enterprise Risk Management: A Local Roadmap for Canadian Health Care Leaders. [Internet] [Masters thesis]. University of Toronto; 2012. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/32465.
Council of Science Editors:
Haney J. Pursuing Enterprise Risk Management: A Local Roadmap for Canadian Health Care Leaders. [Masters Thesis]. University of Toronto; 2012. Available from: http://hdl.handle.net/1807/32465
University of Toronto
3.
Elias, Evelyn.
The Role of the Physician in the Reach and Adoption of Online Health Resources - A Qualitative Study of the Perspectives of Patients and Health Care Providers.
Degree: 2018, University of Toronto
URL: http://hdl.handle.net/1807/91617
► Introduction: Prostate cancer (PCa) patients are living longer with side effects of their treatments, which are often debilitating. Online health resources (OHRs) could provide PCa…
(more)
▼ Introduction: Prostate cancer (PCa) patients are living longer with side effects of their treatments, which are often debilitating. Online health resources (OHRs) could provide PCa patients with health information and support needs they often lack.
Purpose: To understand the contextual aspects of reach and adoption within the RE-AIM framework, and how they inter-relate through the role of the physician within the context of online health resources.
Methods: Secondary qualitative analysis using data collected to inform the design of an interactive OHR. Inductive/deductive hybrid analysis was used.
Results: Findings yielded three main categories of use and uptake of online health resources by patients: reach, patient uptake of OHRs, and physician uptake of OHRs.
Conclusions: By contributing to both reach and adoption, physicians can increase patients’ use of OHRs. These findings can improve the implementation OHRs for patients, fulfilling the need for information that PCa survivors have and increasing their quality of life.
M.Sc.
Advisors/Committee Members: Gilbert, Julie, Cockerill, Rhonda, Health Policy, Management and Evaluation.
Subjects/Keywords: Adoption; Implementation; Physician Role; Reach; RE-AIM; 0566
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APA (6th Edition):
Elias, E. (2018). The Role of the Physician in the Reach and Adoption of Online Health Resources - A Qualitative Study of the Perspectives of Patients and Health Care Providers. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/91617
Chicago Manual of Style (16th Edition):
Elias, Evelyn. “The Role of the Physician in the Reach and Adoption of Online Health Resources - A Qualitative Study of the Perspectives of Patients and Health Care Providers.” 2018. Masters Thesis, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/91617.
MLA Handbook (7th Edition):
Elias, Evelyn. “The Role of the Physician in the Reach and Adoption of Online Health Resources - A Qualitative Study of the Perspectives of Patients and Health Care Providers.” 2018. Web. 27 Feb 2021.
Vancouver:
Elias E. The Role of the Physician in the Reach and Adoption of Online Health Resources - A Qualitative Study of the Perspectives of Patients and Health Care Providers. [Internet] [Masters thesis]. University of Toronto; 2018. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/91617.
Council of Science Editors:
Elias E. The Role of the Physician in the Reach and Adoption of Online Health Resources - A Qualitative Study of the Perspectives of Patients and Health Care Providers. [Masters Thesis]. University of Toronto; 2018. Available from: http://hdl.handle.net/1807/91617
University of Toronto
4.
Kuehner, Zachary.
Peace Through Health: Theory and Practice of the International Pediatric Emergency Medicine Elective (IPEME).
Degree: 2010, University of Toronto
URL: http://hdl.handle.net/1807/24592
► This thesis seeks to evaluate the International Pediatric Emergency Medicine Elective (IPEME) as a case study of a peace-through-health initiative. Using the reasoning of Scolnik…
(more)
▼ This thesis seeks to evaluate the International Pediatric Emergency Medicine Elective (IPEME) as a case study of a peace-through-health initiative. Using the reasoning of Scolnik (2006), IPEME is first evaluated in terms of narrow, short-term outcomes and subsequently considered in terms of the greater body of peace-through-health work. A novel evaluation tool was designed to examine change in students’ ethical and professional attitudes over the course of the four-week elective. Supplementary qualitative data was collected to shed light on evaluation findings and provide insight into the advantages and disadvantages of the IPEME curriculum. Ethics and professionalism were defined in terms of the WHO 5 Star Global Criteria for Global Doctors conceptualized by the World Health Organization (Boelen, 1996). This research discusses these findings in light of the study’s limitations and considers their implications for IPEME as a medical elective and for its contribution to the greater body of peace-through-health work.
MAST
Advisors/Committee Members: Cockerill, Rhonda, Health Policy, Management and Evaluation.
Subjects/Keywords: Peace Through Health; Medical Elective; Collaboration; Peacebuilding; Evaluation; IPEME; 0350; 0573; 0680
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APA (6th Edition):
Kuehner, Z. (2010). Peace Through Health: Theory and Practice of the International Pediatric Emergency Medicine Elective (IPEME). (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/24592
Chicago Manual of Style (16th Edition):
Kuehner, Zachary. “Peace Through Health: Theory and Practice of the International Pediatric Emergency Medicine Elective (IPEME).” 2010. Masters Thesis, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/24592.
MLA Handbook (7th Edition):
Kuehner, Zachary. “Peace Through Health: Theory and Practice of the International Pediatric Emergency Medicine Elective (IPEME).” 2010. Web. 27 Feb 2021.
Vancouver:
Kuehner Z. Peace Through Health: Theory and Practice of the International Pediatric Emergency Medicine Elective (IPEME). [Internet] [Masters thesis]. University of Toronto; 2010. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/24592.
Council of Science Editors:
Kuehner Z. Peace Through Health: Theory and Practice of the International Pediatric Emergency Medicine Elective (IPEME). [Masters Thesis]. University of Toronto; 2010. Available from: http://hdl.handle.net/1807/24592
University of Toronto
5.
Reid, Nadine.
A Realist Evaluation of Family Navigation in Youth Mental Health and Addictions.
Degree: PhD, 2017, University of Toronto
URL: http://hdl.handle.net/1807/80976
► In Canada today, many families of youth with mental health and/or addiction concerns are struggling to access the care they need. The Family Navigation Project…
(more)
▼ In Canada today, many families of youth with mental health and/or addiction concerns are struggling to access the care they need. The Family Navigation Project is a service affiliated with Sunnybrook Health Sciences Centre in
Toronto, Ontario, which aims to provide needs-based, family-centred system navigation to families of youth aged 13 to 26 with mental health and/or addiction concerns. The current study is a Realist Evaluation of the Family Navigation Project. The objectives of this study were a) to describe the population being served by the Family Navigation Project; b) to develop a conceptual framework for family navigation and a program theory for the Family Navigation Project; and c) to test the program theory, and refine it based on the results. This multi-phase, mixed methods study applied a Realist Evaluation framework and a cross-sectional methodological design in which both quantitative and qualitative data were collected through an online survey package in order to evaluate the sample characteristics; perception of navigation; the impact of perceived experience on family empowerment, family quality of life, and service satisfaction; and the influence of context. Data was collected from a convenience sample of 134 families seeking care on behalf of youth, who were registered with the Family Navigation Project at the time of the study. Descriptive, inferential and qualitative analyses were performed. Results indicated that the Family Navigation Project reached its target population in this sample; that families in this sample were highly satisfied with the services they received; that most families in this sample perceived care to be accessible, continuous, and family-inclusive; that this perceived experience significantly influenced family empowerment, family quality of life, and service satisfaction; and that both individual and systemic-level contexts influence experience and outcomes to varying extents. The conceptual framework and program theory were subsequently refined. Applications, contributions and limitations are noted.
Advisors/Committee Members: Cockerill, Rhonda, Durbin, Janet, Health Policy, Management and Evaluation.
Subjects/Keywords: Evaluation; Families; Mental health; Navigation; Youth; 0347
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APA (6th Edition):
Reid, N. (2017). A Realist Evaluation of Family Navigation in Youth Mental Health and Addictions. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/80976
Chicago Manual of Style (16th Edition):
Reid, Nadine. “A Realist Evaluation of Family Navigation in Youth Mental Health and Addictions.” 2017. Doctoral Dissertation, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/80976.
MLA Handbook (7th Edition):
Reid, Nadine. “A Realist Evaluation of Family Navigation in Youth Mental Health and Addictions.” 2017. Web. 27 Feb 2021.
Vancouver:
Reid N. A Realist Evaluation of Family Navigation in Youth Mental Health and Addictions. [Internet] [Doctoral dissertation]. University of Toronto; 2017. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/80976.
Council of Science Editors:
Reid N. A Realist Evaluation of Family Navigation in Youth Mental Health and Addictions. [Doctoral Dissertation]. University of Toronto; 2017. Available from: http://hdl.handle.net/1807/80976
University of Toronto
6.
Murphy, John Harvey.
Corporate Board Health and Safety Governance Committees: Do They Make Any Difference?.
Degree: PhD, 2016, University of Toronto
URL: http://hdl.handle.net/1807/76574
► A three phase mixed methods study (records research, survey, case analysis) was undertaken to develop understanding of board of director health and safety governance committees…
(more)
▼ A three phase mixed methods study (records research, survey, case analysis) was undertaken to develop understanding of board of director health and safety governance committees (â BHSCsâ ) amongst large market capitalization Canadian public companies, and ascertain their impact on company health and safety performance outcomes. This goal was deconstructed into a series of 12 research questions. The study determined that as of 2010, 58 companies with market capitalizations of $1.5 billion or higher (out of 146) had BHSCs. Forty percent had BHSCs dating back to 2001, and 60% formed BHSCs between 2002 and 2010. Factors accounting for the emergence of BHSCs included legislative changes, liability concerns, risk reduction objectives, corporate social responsibility pressures, emulation of peers, and industry sector guidelines and standards. Approximately 2/3rds of the companies with BHSCs were in mining or oil and gas. Most companies with BHSCs published descriptive information on their structures and processes in annual sustainability reports, and / or in filings with securities regulators. Using those sources it was possible to characterize patterns over the 2001-2010 period in the evolution of BHSC mandates, terms of reference, member composition and characteristics, levels of activity, and governance practices. Information was also available for many companies on occupational health and safety program evolution and injury rates for all or portions of the period 2002-2014. A conceptual framework consistent with available empirical research and theory was created to describe mechanisms whereby BHSCs could be instrumental in the achievement of improvements in company injury rates. Evidence for the existence and operation of those mechanisms was obtained via review of company data, survey responses, and case analyses of three specific companies. The study found evidence of BHSC instrumentality in company health and safety performance improvements, and that the conceptual framework presents a plausible model of this phenomenon.
Advisors/Committee Members: Cockerill, Rhonda, Dalla Lana School of Public Health.
Subjects/Keywords: Board; Canada; Corporations; Governance; Health; Safety; 0354
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APA (6th Edition):
Murphy, J. H. (2016). Corporate Board Health and Safety Governance Committees: Do They Make Any Difference?. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/76574
Chicago Manual of Style (16th Edition):
Murphy, John Harvey. “Corporate Board Health and Safety Governance Committees: Do They Make Any Difference?.” 2016. Doctoral Dissertation, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/76574.
MLA Handbook (7th Edition):
Murphy, John Harvey. “Corporate Board Health and Safety Governance Committees: Do They Make Any Difference?.” 2016. Web. 27 Feb 2021.
Vancouver:
Murphy JH. Corporate Board Health and Safety Governance Committees: Do They Make Any Difference?. [Internet] [Doctoral dissertation]. University of Toronto; 2016. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/76574.
Council of Science Editors:
Murphy JH. Corporate Board Health and Safety Governance Committees: Do They Make Any Difference?. [Doctoral Dissertation]. University of Toronto; 2016. Available from: http://hdl.handle.net/1807/76574
University of Toronto
7.
Greenspan, Nicole Rachel.
Frontline Measures: Evaluating HIV Prevention at AIDS Service Organizations.
Degree: PhD, 2015, University of Toronto
URL: http://hdl.handle.net/1807/69297
► A key component in the response to HIV is the delivery of prevention programs by community-based organizations, especially those that reach communities most affected by…
(more)
▼ A key component in the response to HIV is the delivery of prevention programs by community-based organizations, especially those that reach communities most affected by the epidemic. The effectiveness of these programs remains hard to determine. In Ontario, there have been a number of efforts to support AIDS Service Organizations (ASOs) with research and evaluation. Yet issues regarding evaluation and decision-making continue to pervade HIV prevention work, and this remains an area that is not widely researched. In order to expand understanding of HIV prevention program evaluation, I carried out a qualitative case study of two ASOs in Ontario and their HIV prevention program monitoring and evaluating (M) practices. Employing a constructivist approach, I conducted in-depth interviews with 23 ASO managers, staff, volunteers, and government funders, and reviewed approximately 100 documents. A Community Reference Group which included policymakers and people living with HIV provided advice on key stages of the research process.Despite differences in size of the organizations, there were common M practices: discrete one-time evaluations, routine monitoring, and tacit assessments. The ways in which these informed each other was complex. Tacit knowledge was drawn upon to make explicit information derived from M required by government funders meaningful. Overall, relationships were an important theme: relationships were an important indicator of programmatic success; and M practices were important in maintaining relationships between organizations and their funders. Accountability to government funders required M that was different than what was needed to maintain relationships with the communities these organizations served.A deeper understanding of M practices at ASOs can contribute to responses to the `evidence-based practice' movement. This research describes community-based discernment strategies that shed light on the knowledge-building processes in communities, which is an important part of `practice-based' and `community-defined' evidence. The lessons learned in this research may be a resource for evaluators, policymakers, and other stakeholders in HIV prevention.
Advisors/Committee Members: Cockerill, Rhonda, Health Policy, Management and Evaluation.
Subjects/Keywords: Evaluation; Health Promotion; HIV/AIDS; Prevention; 0566
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APA (6th Edition):
Greenspan, N. R. (2015). Frontline Measures: Evaluating HIV Prevention at AIDS Service Organizations. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/69297
Chicago Manual of Style (16th Edition):
Greenspan, Nicole Rachel. “Frontline Measures: Evaluating HIV Prevention at AIDS Service Organizations.” 2015. Doctoral Dissertation, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/69297.
MLA Handbook (7th Edition):
Greenspan, Nicole Rachel. “Frontline Measures: Evaluating HIV Prevention at AIDS Service Organizations.” 2015. Web. 27 Feb 2021.
Vancouver:
Greenspan NR. Frontline Measures: Evaluating HIV Prevention at AIDS Service Organizations. [Internet] [Doctoral dissertation]. University of Toronto; 2015. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/69297.
Council of Science Editors:
Greenspan NR. Frontline Measures: Evaluating HIV Prevention at AIDS Service Organizations. [Doctoral Dissertation]. University of Toronto; 2015. Available from: http://hdl.handle.net/1807/69297
University of Toronto
8.
McKellar, Kaileah.
Evaluating Extra-organizational Communities of Practice.
Degree: PhD, 2019, University of Toronto
URL: http://hdl.handle.net/1807/95912
► A community of practice (CoP) is a group of people who work together on an ongoing basis and share knowledge and expertise about common practices,…
(more)
▼ A community of practice (CoP) is a group of people who work together on an ongoing basis and share knowledge and expertise about common practices, problems, or topics. CoPs are increasingly being acknowledged as critical components in sectors such as health care and business management. Although the potential for CoPs to promote learning, knowledge mobilization, and other benefits is recognized, limited research exists on evaluating CoPs and little agreement is evident on approaches to evaluating CoPs. In particular, there is a scarcity of research and evaluation on extra-organizational CoPs. This dissertation starts with a scoping review of evaluation frameworks for CoPs, describing 16 evaluation frameworks and how they were applied or tested. These frameworks were not fully applicable to extra-organizational CoPs; hence, the impetus for the second study, which was to develop an evaluation framework adapted to this type of CoP. The proposed framework guides evaluators to systematically consider the types of value generated by extra-organizational CoPs and the level of analysis at which value occurs. The dissertation proceeds to assess the applicability of the proposed evaluation framework using qualitative interviews with an extra-organizational community of practice (CoPEH-Canada). The findings show that the evaluation framework proved to be comprehensive as a tool for collecting and analyzing data and framing results. The findings from the application of the framework were used to refine the framework and to better understand the potential value generated by extra-organizational CoPs. This dissertation has practical applications for evaluators, CoP members and other stakeholders; it makes a methodological contribution through the development and refinement of an evaluation framework; and it makes a theoretical contribution by expanding knowledge of extra-organizational CoPs and how they could be evaluated.
Advisors/Committee Members: Cockerill, Rhonda W, Cole, Donald C, Health Policy, Management and Evaluation.
Subjects/Keywords: Communities of Practice; Evaluation; Qualitative; 0769
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APA (6th Edition):
McKellar, K. (2019). Evaluating Extra-organizational Communities of Practice. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/95912
Chicago Manual of Style (16th Edition):
McKellar, Kaileah. “Evaluating Extra-organizational Communities of Practice.” 2019. Doctoral Dissertation, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/95912.
MLA Handbook (7th Edition):
McKellar, Kaileah. “Evaluating Extra-organizational Communities of Practice.” 2019. Web. 27 Feb 2021.
Vancouver:
McKellar K. Evaluating Extra-organizational Communities of Practice. [Internet] [Doctoral dissertation]. University of Toronto; 2019. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/95912.
Council of Science Editors:
McKellar K. Evaluating Extra-organizational Communities of Practice. [Doctoral Dissertation]. University of Toronto; 2019. Available from: http://hdl.handle.net/1807/95912
University of Toronto
9.
Mior, Silvano Anthony.
Patients' Perceptions of the Primary Care Characteristics in a Model of Interprofessional Patient-centred Collaboration between Chiropractors and Physicians.
Degree: 2010, University of Toronto
URL: http://hdl.handle.net/1807/24830
► Background: Considerable attention has been paid to evaluating the roles and relationships of professionals participating in team-based or collaborative practice; however, less attention has been…
(more)
▼ Background: Considerable attention has been paid to evaluating the roles and relationships of professionals participating in team-based or collaborative practice; however, less attention has been paid to exploring the patients’ views and impact of such practice despite claims of it being patient-centred.
Objectives: To examine the relationship between patient and provider characteristics and patients’ ratings of measures of quality of care and integration, and to explore the patient views of care delivered in a patient-centred collaborative study involving chiropractors and physicians.
Design: Cross-sectional survey.
Method: A mixed methods sequential approach with a quantitative priority was used in data analysis. Quantitative data were collected from 2597 patients participating in a collaborative study involving chiropractors and physicians and 530 patients attending chiropractors not involved in collaborative care. All participants presented with musculoskeletal pain. The Primary Care Assessment Survey (PCAS) was modified and scores from six of its scales were used to assess attributes of quality patient-centred care between the two study groups. Qualitative transcript-based data from six purposefully selected focus groups was analyzed using an interpretivist approach.
Results: The revised PCAS demonstrated acceptable psychometric properties. Patients in both study groups received quality, patient-centred care. Patients’ reporting being completely satisfied and feeling improved by their care was positively associated with rating chiropractors as high performers on all scales. Survey findings were confirmed in focus groups of study patients. Patients appreciated positive interpersonal interactions, sharing in the treatment decision-making process, having a choice in provider and treatment, and the provision of holistic care. Patients perceived that collaboration between chiropractors and physicians varied, favouring those who were co-located. Patients with chronic or co-morbid conditions desired greater involvement in their care. Patients felt sharing of clinical information was more important than co-location as facilitating coordination and integration of collaborative care.
Conclusion: The study suggests that patients suffering from musculoskeletal pain benefit from interprofessional collaborative care that includes improved access to and choice of providers and treatment options, as well as enhanced interprofessional communication and coordination of care.
PhD
Advisors/Committee Members: Cockerill, Rhonda, Health Policy, Management and Evaluation.
Subjects/Keywords: patient-centred care; patient satisfaction; outcome assessment; interprofessional relations; chirpractic; primary care; 0566
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APA (6th Edition):
Mior, S. A. (2010). Patients' Perceptions of the Primary Care Characteristics in a Model of Interprofessional Patient-centred Collaboration between Chiropractors and Physicians. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/24830
Chicago Manual of Style (16th Edition):
Mior, Silvano Anthony. “Patients' Perceptions of the Primary Care Characteristics in a Model of Interprofessional Patient-centred Collaboration between Chiropractors and Physicians.” 2010. Doctoral Dissertation, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/24830.
MLA Handbook (7th Edition):
Mior, Silvano Anthony. “Patients' Perceptions of the Primary Care Characteristics in a Model of Interprofessional Patient-centred Collaboration between Chiropractors and Physicians.” 2010. Web. 27 Feb 2021.
Vancouver:
Mior SA. Patients' Perceptions of the Primary Care Characteristics in a Model of Interprofessional Patient-centred Collaboration between Chiropractors and Physicians. [Internet] [Doctoral dissertation]. University of Toronto; 2010. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/24830.
Council of Science Editors:
Mior SA. Patients' Perceptions of the Primary Care Characteristics in a Model of Interprofessional Patient-centred Collaboration between Chiropractors and Physicians. [Doctoral Dissertation]. University of Toronto; 2010. Available from: http://hdl.handle.net/1807/24830
University of Toronto
10.
Kennedy-MacDonald, Tamara.
Adoption of a Clinical Innovation "Best Practices for Concurrent Mental Health and Substance Use Disorders" in Ontario, a One-year Follow up.
Degree: 2008, University of Toronto
URL: http://hdl.handle.net/1807/11147
► Objectives: To determine the level of adoption and which characteristics are most strongly associated with the adoption of a clinical innovation in Mental Health and…
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▼ Objectives: To determine the level of adoption and which characteristics are most strongly associated with the adoption of a clinical innovation in Mental Health and Addiction Service organizations in Ontario, one year after dissemination.
Methods: This cross-sectional study included a voluntary quantitative mail-out survey, using a self administered questionnaire that was sent to 260 mental health and addiction service organizations in Ontario. Linear regression analysis was conducted to identify significant predictors of the overall adoption-decision of the best practice recommendations.
Results: Individuals’ tenure within the organization and the provision of screening (organizational variable) was identified to be predictors of adoption for the organization.
Conclusions: The results of this study demonstrated the majority of the organizations are on the path towards a finale decision of adopting or rejecting the recommendations. The results also demonstrate the importance of individual characteristics and organizational characteristics in identifying predictors of adoption.
MAST
Advisors/Committee Members: Cockerill, Rhonda, Barnsley, Janet, Health Policy, Management and Evaluation.
Subjects/Keywords: diffusion; best practices; Concurrent disorders; mental health; 0769
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APA (6th Edition):
Kennedy-MacDonald, T. (2008). Adoption of a Clinical Innovation "Best Practices for Concurrent Mental Health and Substance Use Disorders" in Ontario, a One-year Follow up. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/11147
Chicago Manual of Style (16th Edition):
Kennedy-MacDonald, Tamara. “Adoption of a Clinical Innovation "Best Practices for Concurrent Mental Health and Substance Use Disorders" in Ontario, a One-year Follow up.” 2008. Masters Thesis, University of Toronto. Accessed February 27, 2021.
http://hdl.handle.net/1807/11147.
MLA Handbook (7th Edition):
Kennedy-MacDonald, Tamara. “Adoption of a Clinical Innovation "Best Practices for Concurrent Mental Health and Substance Use Disorders" in Ontario, a One-year Follow up.” 2008. Web. 27 Feb 2021.
Vancouver:
Kennedy-MacDonald T. Adoption of a Clinical Innovation "Best Practices for Concurrent Mental Health and Substance Use Disorders" in Ontario, a One-year Follow up. [Internet] [Masters thesis]. University of Toronto; 2008. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/1807/11147.
Council of Science Editors:
Kennedy-MacDonald T. Adoption of a Clinical Innovation "Best Practices for Concurrent Mental Health and Substance Use Disorders" in Ontario, a One-year Follow up. [Masters Thesis]. University of Toronto; 2008. Available from: http://hdl.handle.net/1807/11147
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