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  1. Article: Impact of the COVID-19 Pandemic on Health System Use in Canada.

    Dudevich, Alexey / Frood, Jennifer

    Healthcare quarterly (Toronto, Ont.)

    2021  Volume 24, Issue 2, Page(s) 12–14

    Abstract: The Canadian Institute for Health Information has compiled health system data to investigate the impact of the COVID-19 pandemic on Canada's healthcare system. Information was aggregated from four distinct sectors of care: emergency department visits, in- ...

    Abstract The Canadian Institute for Health Information has compiled health system data to investigate the impact of the COVID-19 pandemic on Canada's healthcare system. Information was aggregated from four distinct sectors of care: emergency department visits, in-patient hospital stays, physician care and home care. Across the sectors, there were two compelling themes: rapid transformation and change in human behaviour.
    MeSH term(s) COVID-19/epidemiology ; Canada/epidemiology ; Emergency Service, Hospital/statistics & numerical data ; Home Care Services/statistics & numerical data ; Hospitalization/statistics & numerical data ; Humans ; Office Visits/statistics & numerical data ; Patient Acceptance of Health Care/statistics & numerical data ; Telemedicine/statistics & numerical data
    Language English
    Publishing date 2021-07-23
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2021.26552
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Overuse of Tests and Treatments: Has Canada Made Progress?

    Costante, Alicia / Chen, Xi-Kuan / Dudevich, Alexey / Dennis Christy, Antony / Francis, Lyricy / Chui, Cheryl

    Healthcare quarterly (Toronto, Ont.)

    2023  Volume 25, Issue 4, Page(s) 10–12

    Abstract: Overuse of healthcare services is a complex issue. Also known as low-value care, these are tests, treatments and procedures that are commonly ordered despite clear evidence that they do not help with patient care and may even cause harm. National ... ...

    Abstract Overuse of healthcare services is a complex issue. Also known as low-value care, these are tests, treatments and procedures that are commonly ordered despite clear evidence that they do not help with patient care and may even cause harm. National clinician societies have developed over 450 Choosing Wisely Canada (CWC) recommendations to spur conversation about what is appropriate and necessary treatment. The latest report from the Canadian Institute for Health Information and CWC measured the trends and variation in the use over time of tests and treatments related to 12 CWC recommendations (CIHI 2022). Reductions in overuse were observed in eight of the 12 tests and treatments examined; findings for two of these measures - chronic benzodiazepine use and red blood cell transfusions - are highlighted. Despite some progress on reducing overuse, there remains considerable room for improvement in the appropriate and judicious use of tests and treatments in Canada.
    MeSH term(s) Humans ; Canada ; Medical Overuse/prevention & control
    Language English
    Publishing date 2023-02-18
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2023.27024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Hospital Stays for Harm Caused by Substance Use among Youth in Canada.

    Pichora, Erin / Dudevich, Alexey / Hynes, Geoffrey / Catley, Christina

    Healthcare quarterly (Toronto, Ont.)

    2020  Volume 23, Issue 3, Page(s) 12–14

    Abstract: The rise in harms associated with misuse of substances such as cannabis, alcohol and opioids is a public health issue gaining increasing importance in Canada. Taking a closer look at who is being hospitalized, and for which substances, helps inform ... ...

    Abstract The rise in harms associated with misuse of substances such as cannabis, alcohol and opioids is a public health issue gaining increasing importance in Canada. Taking a closer look at who is being hospitalized, and for which substances, helps inform efforts to improve access to services for youth. Between 2017 and 2018, hospitalizations for harm caused by substance use accounted for about one in 20 of all hospital stays among youths aged 10-24 years in Canada. Cannabis use was documented in nearly 40% of these hospitalizations, while alcohol was associated with 26%. Approximately one in every six youths (17%), who were hospitalized for harm caused by substance use, was hospitalized more than once for substance use within the same year.
    MeSH term(s) Adolescent ; Alcohol Drinking ; Canada/epidemiology ; Cannabis ; Child ; Female ; Hospitalization/statistics & numerical data ; Humans ; Male ; Mental Disorders/epidemiology ; Substance-Related Disorders/epidemiology ; Young Adult
    Language English
    Publishing date 2020-11-26
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2020.26339
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Order via subito

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  4. Article: Safety and Quality of Care for Seniors Living with Dementia.

    Dudevich, Alexey / Husak, Liudmila / Johnson, Tracy / Chen, Allie

    Healthcare quarterly (Toronto, Ont.)

    2019  Volume 21, Issue 3, Page(s) 12–15

    Abstract: The number of Canadian seniors living with dementia is increasing because of the aging population and population growth. This article highlights various aspects of safety and quality of care for seniors with dementia as described in the Dementia in ... ...

    Abstract The number of Canadian seniors living with dementia is increasing because of the aging population and population growth. This article highlights various aspects of safety and quality of care for seniors with dementia as described in the Dementia in Canada digital report.
    MeSH term(s) Accidental Falls/statistics & numerical data ; Aged ; Canada ; Dementia/therapy ; Hospitalization/statistics & numerical data ; Humans ; Inappropriate Prescribing/statistics & numerical data ; Length of Stay ; Long-Term Care/statistics & numerical data ; Patient Safety/statistics & numerical data ; Quality of Health Care/statistics & numerical data ; Restraint, Physical/statistics & numerical data
    Language English
    Publishing date 2019-02-09
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2018.25708
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Order via subito

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  5. Article: How Children and Youth with Medical Complexity Use Hospital and Emergency Department Care across Canada.

    McKenzie, Katherine / Dudevich, Alexey / Costante, Alicia / Chen, Xi-Kuan / Foebel, Andrea D

    Healthcare quarterly (Toronto, Ont.)

    2021  Volume 24, Issue 1, Page(s) 10–13

    Abstract: Children and youth with medical complexity are a diverse group with uncommon diagnoses, a spectrum of needs and varying access to supports. Although this population represents a small proportion of all children, their unique needs lead to substantial use ...

    Abstract Children and youth with medical complexity are a diverse group with uncommon diagnoses, a spectrum of needs and varying access to supports. Although this population represents a small proportion of all children, their unique needs lead to substantial use of healthcare services. With its first pan-Canadian report on children and youth with medical complexity, the Canadian Institute for Health Information examined how this population uses healthcare services. Key findings include the wide variation in the rate of medical complexity among children and youth across Canada. Children and youth with medical complexity were found to require a high proportion of hospital and emergency department care; however, their readmission rates were found to be lower than that of the general pediatric population.
    MeSH term(s) Adolescent ; Canada ; Child ; Child, Preschool ; Chronic Disease ; Emergency Service, Hospital/statistics & numerical data ; Health Services Needs and Demand/statistics & numerical data ; Hospitalization/statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Palliative Care/statistics & numerical data ; Patient Readmission/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2021-04-16
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2021.26471
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Order via subito

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    Inter-library loan at ZB MED

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  6. Article: Measuring Access to Home and Community Care and to Mental Health and Addictions Services in Canada.

    Paltser, Geoff / Lawand, Christina / Dudevich, Alexey / Christy, Dennis / Chen, Xi-Kuan / Couris, Chantal / Gorzkiewicz, Vanita

    Healthcare quarterly (Toronto, Ont.)

    2020  Volume 22, Issue 4, Page(s) 10–12

    Abstract: Federal, provincial and territorial governments endorsed agreements in August of 2017 to focus on the shared health priorities of home, community, mental health and addictions care (Government of Canada 2017). The related $11 billion federal investment ... ...

    Abstract Federal, provincial and territorial governments endorsed agreements in August of 2017 to focus on the shared health priorities of home, community, mental health and addictions care (Government of Canada 2017). The related $11 billion federal investment over a 10-year period aims to improve access for Canadians to effective and appropriate services in these areas (Government of Canada 2019).
    MeSH term(s) Adolescent ; Adult ; Aged ; Canada ; Child ; Community Health Services/statistics & numerical data ; Emergency Service, Hospital/statistics & numerical data ; Female ; Health Services Accessibility/statistics & numerical data ; Home Care Services/statistics & numerical data ; Hospitalization/statistics & numerical data ; Humans ; Length of Stay/statistics & numerical data ; Male ; Mental Disorders ; Middle Aged ; Substance-Related Disorders/mortality
    Language English
    Publishing date 2020-02-18
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2020.26090
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Order via subito

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  7. Article: End-of-life hospital care for cancer patients: an update.

    Dudevich, Alexey / Chen, Allie / Gula, Cheryl / Fagbemi, Josh

    Healthcare quarterly (Toronto, Ont.)

    2014  Volume 17, Issue 3, Page(s) 8–10

    Abstract: Cancer is the leading cause of death in Canada, and the number of new cases is expected to increase as the population ages and grows. This study examined the use of hospital services in the last month of life by adult cancer patients who died in Canadian ...

    Abstract Cancer is the leading cause of death in Canada, and the number of new cases is expected to increase as the population ages and grows. This study examined the use of hospital services in the last month of life by adult cancer patients who died in Canadian acute care hospitals in fiscal year 2012-2013. Almost 25,000 Canadian cancer patients - excluding those in Quebec - died in acute care hospitals, representing approximately 45% of the estimated cancer deaths in 2012-2013. The proportion of in-hospital deaths varied across jurisdictions. Twenty-three percent of these patients were admitted to acute care multiple times in their last 28 days of life, with a higher percentage for rural (29%) compared to urban (21%) patients. Relatively few patients used intensive care units or received inpatient chemotherapy in their last 14 days of life.
    MeSH term(s) Adult ; Aged ; Canada ; Female ; Hospitalization/statistics & numerical data ; Hospitals/statistics & numerical data ; Humans ; Male ; Middle Aged ; Neoplasms/therapy ; Terminal Care/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2014-07-01
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2014.24025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: The State of Bariatric Surgery in Canada.

    Paltser, Geoff / Dudevich, Alexey / Chen, Allie / Gula, Cheryl / Fagbemi, Josh

    Healthcare quarterly (Toronto, Ont.)

    2015  Volume 18, Issue 2, Page(s) 10–11

    MeSH term(s) Bariatric Surgery ; Canada/epidemiology ; Female ; Health Services Accessibility ; Humans ; Insurance Coverage ; Male ; Middle Aged ; Obesity/complications ; Obesity/epidemiology ; Obesity/surgery ; Quality of Life
    Language English
    Publishing date 2015-09-02
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2015.24306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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