The Experts below are selected from a list of 9486 Experts worldwide ranked by ideXlab platform
Clare Liddy - One of the best experts on this subject based on the ideXlab platform.
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transforming the specialist referral and Consultation Process in canada
Canadian Medical Association Journal, 2019Co-Authors: Erin Keely, Clare LiddyAbstract:KEY POINTS Canadians take pride in their universal, publicly funded health care system. However, lengthy wait times to see a specialist are a problem. A recent Ontario-based study found that that the median wait time between a patient being referred to a specialist and attending an appointment was
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rationale and model for integrating the pharmacist into the outpatient referral Consultation Process
Canadian Family Physician, 2016Co-Authors: Erin Keely, Clare Liddy, Corey Tsang, Barbara Farrell, Barry PowerAbstract:Primary care providers refer patients to specialists when they need advice on the diagnosis or management of a particular condition; when a technical procedure, surgery, or specialized psychiatric intervention is required; or when additional expertise is needed for care of a complex chronic disease
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patients perspectives on wait times and the referral Consultation Process while attending a tertiary diabetes and endocrinology centre is eConsultation an acceptable option
Canadian Journal of Diabetes, 2015Co-Authors: Erin Keely, Lara Traczyk, Clare LiddyAbstract:Abstract The goal of this study was to establish patients’ perspectives on the acceptability of wait times, the impact of wait times on their health and the possibility of using electronic Consultations (eConsultations) to avoid visits to specialists. A 2-stage patient survey (self-administered and with a follow-up telephone call) and a chart audit was conducted on a sequential sample of patients attending their initial Consultations in a tertiary diabetes and endocrinology centre. Patients’ perspectives on actual and ideal wait times, the impact of waiting for access, the effectiveness of the referral-Consultation Process and attitudes toward eConsultations as an alternative to traditional referral-Consultations were collected. The study involved 101 patients (22% for diabetes, 78% for endocrinologic conditions), whose comments were collated and categorized. Of the 101 patients who completed the survey, 61 also completed telephone interviews. The average wait time was 19 weeks; the median 10 weeks. More than 30% of patients waited longer than 6 months and 6% waited longer than 1 year. Overall, 90% of patients thought that the maximum wait time should be less than 3 months. While waiting, 58% of patients worried about a serious undiagnosed disease, 30% found their symptoms had affected their daily activities and 24% had to miss work or school due to symptoms. Of the patients, 46% considered eConsultation a viable alternative to face-to-face visits. Excessive wait times for specialist care remain barriers and have negative impacts on patients. Wait times significantly exceeded times patients considered acceptable. eConsultations provide acceptable alternatives for many patients, and they reduced the number of patients requiring traditional Consultations.
Erin Keely - One of the best experts on this subject based on the ideXlab platform.
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transforming the specialist referral and Consultation Process in canada
Canadian Medical Association Journal, 2019Co-Authors: Erin Keely, Clare LiddyAbstract:KEY POINTS Canadians take pride in their universal, publicly funded health care system. However, lengthy wait times to see a specialist are a problem. A recent Ontario-based study found that that the median wait time between a patient being referred to a specialist and attending an appointment was
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rationale and model for integrating the pharmacist into the outpatient referral Consultation Process
Canadian Family Physician, 2016Co-Authors: Erin Keely, Clare Liddy, Corey Tsang, Barbara Farrell, Barry PowerAbstract:Primary care providers refer patients to specialists when they need advice on the diagnosis or management of a particular condition; when a technical procedure, surgery, or specialized psychiatric intervention is required; or when additional expertise is needed for care of a complex chronic disease
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patients perspectives on wait times and the referral Consultation Process while attending a tertiary diabetes and endocrinology centre is eConsultation an acceptable option
Canadian Journal of Diabetes, 2015Co-Authors: Erin Keely, Lara Traczyk, Clare LiddyAbstract:Abstract The goal of this study was to establish patients’ perspectives on the acceptability of wait times, the impact of wait times on their health and the possibility of using electronic Consultations (eConsultations) to avoid visits to specialists. A 2-stage patient survey (self-administered and with a follow-up telephone call) and a chart audit was conducted on a sequential sample of patients attending their initial Consultations in a tertiary diabetes and endocrinology centre. Patients’ perspectives on actual and ideal wait times, the impact of waiting for access, the effectiveness of the referral-Consultation Process and attitudes toward eConsultations as an alternative to traditional referral-Consultations were collected. The study involved 101 patients (22% for diabetes, 78% for endocrinologic conditions), whose comments were collated and categorized. Of the 101 patients who completed the survey, 61 also completed telephone interviews. The average wait time was 19 weeks; the median 10 weeks. More than 30% of patients waited longer than 6 months and 6% waited longer than 1 year. Overall, 90% of patients thought that the maximum wait time should be less than 3 months. While waiting, 58% of patients worried about a serious undiagnosed disease, 30% found their symptoms had affected their daily activities and 24% had to miss work or school due to symptoms. Of the patients, 46% considered eConsultation a viable alternative to face-to-face visits. Excessive wait times for specialist care remain barriers and have negative impacts on patients. Wait times significantly exceeded times patients considered acceptable. eConsultations provide acceptable alternatives for many patients, and they reduced the number of patients requiring traditional Consultations.
Ellen K Hamburger - One of the best experts on this subject based on the ideXlab platform.
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tools for learning about the referral and Consultation Process for pediatric residents
Academic Pediatrics, 2018Co-Authors: Sarah Muradian, Alicia Widge, Janice L Hanson, Lindsey J Lane, Claire Boogaard, Dewesh Agrawal, Mary C Ottolini, Ellen K HamburgerAbstract:What's New? Management of referral and Consultation is an entrustable professional activity for pediatric residents; however, few tools exist to teach these skills. We designed and implemented tools to prompt discussion, feedback, and reflection about the Process of referral, notably including the family's perspective.
P J Watson - One of the best experts on this subject based on the ideXlab platform.
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gps experience of managing chronic pain in a south asian community a qualitative study of the Consultation Process
Family Practice, 2008Co-Authors: Shilpa Patel, Sue Peacock, Robert K Mckinley, Clark D Carter, P J WatsonAbstract:Background. Chronic pain is one of the most common reasons for seeking primary care Consultations. GPs’ experience of managing patients with pain from a multicultural community has not previously been examined. Objectives. We explored GPs’ experiences of managing patients with chronic pain from a South Asian community in Leicester. Methods. Qualitative semi-structured interviews were conducted with GPs from practices in two primary care trusts within Leicester. Eighteen GPs (11 males and 7 females) were interviewed in this study. Results. Several emerging themes were identified from the data including consulting behaviour, presentation of pain, GPs personal challenges, psychosomatic interpretations and communication. Overall, GPs find that managing South Asian patients with chronic pain can be challenging as a consequence of the way in which patients present with pain. Difficulties for GPs were created not only by language differences but also by cultural differences, which were not seen in second or third generation South Asians. GPs felt that self-management was difficult to address, and compliance with medication difficult to determine. In such Consultations, GPs perceived that patients were more likely to present with psychosomatic symptoms. Conclusions. Cultural influences play an important role in the Consultation Process where patients’ behaviour is often bound in their cultural view of health care. Patients’ presentation of their condition makes diagnosis difficult but can also lead to miscommunication. Whether South Asian people are more likely to present mental health problems as chronic pain is not clear and warrants further investigation.
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GPs' experience of managing chronic pain in a South Asian community—a qualitative study of the Consultation Process
Family Practice, 2008Co-Authors: Shilpa Patel, Robert K Mckinley, S. M. Peacock, D Clark Carter, P J WatsonAbstract:Background. Chronic pain is one of the most common reasons for seeking primary care Consultations. GPs’ experience of managing patients with pain from a multicultural community has not previously been examined. Objectives. We explored GPs’ experiences of managing patients with chronic pain from a South Asian community in Leicester. Methods. Qualitative semi-structured interviews were conducted with GPs from practices in two primary care trusts within Leicester. Eighteen GPs (11 males and 7 females) were interviewed in this study. Results. Several emerging themes were identified from the data including consulting behaviour, presentation of pain, GPs personal challenges, psychosomatic interpretations and communication. Overall, GPs find that managing South Asian patients with chronic pain can be challenging as a consequence of the way in which patients present with pain. Difficulties for GPs were created not only by language differences but also by cultural differences, which were not seen in second or third generation South Asians. GPs felt that self-management was difficult to address, and compliance with medication difficult to determine. In such Consultations, GPs perceived that patients were more likely to present with psychosomatic symptoms. Conclusions. Cultural influences play an important role in the Consultation Process where patients’ behaviour is often bound in their cultural view of health care. Patients’ presentation of their condition makes diagnosis difficult but can also lead to miscommunication. Whether South Asian people are more likely to present mental health problems as chronic pain is not clear and warrants further investigation.
Sarah Muradian - One of the best experts on this subject based on the ideXlab platform.
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tools for learning about the referral and Consultation Process for pediatric residents
Academic Pediatrics, 2018Co-Authors: Sarah Muradian, Alicia Widge, Janice L Hanson, Lindsey J Lane, Claire Boogaard, Dewesh Agrawal, Mary C Ottolini, Ellen K HamburgerAbstract:What's New? Management of referral and Consultation is an entrustable professional activity for pediatric residents; however, few tools exist to teach these skills. We designed and implemented tools to prompt discussion, feedback, and reflection about the Process of referral, notably including the family's perspective.