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  1. Article ; Online: Time to complete contemporary dental procedures - estimates from a cross-sectional survey of the dental team.

    Bannister, Christian / Cope, Anwen Louise / Karki, Anup / Harper, Paul / Peddle, Sarah / Walters, Brenda / Allen, Michael / Chestnutt, Ivor Gordon

    BMC oral health

    2023  Volume 23, Issue 1, Page(s) 926

    Abstract: Background: There are few contemporary studies on the time taken to complete dental procedures, those most heavily relied on in the United Kingdom date back to 1999.: Objectives: This work aimed to establish how long members of the dental team took ... ...

    Abstract Background: There are few contemporary studies on the time taken to complete dental procedures, those most heavily relied on in the United Kingdom date back to 1999.
    Objectives: This work aimed to establish how long members of the dental team took to complete specific dental procedures, relevant to their scope of practice.
    Methods: Data were collected via a purposive sample of 96 dentists, dental hygienists/therapists and dental nurses. Via an online survey, participants were asked to state the mean, minimum and maximum time they estimated that they took to complete individual dental procedures.
    Results: The mean time taken to complete procedures common to both dentists and dental hygienists/therapists ranged from 3.7 to 4 min respectively for clinical note reading prior to seeing patients to 30.1 and 28 min to undertake root surface debridement. There were no significant differences between the time taken by dentists and dental hygienists/therapists to treat adult patients. However, in all but one procedure, dental hygienists/therapists reported taking longer (p = 0.04) to treat child patients.
    Conclusions: The data provided here represent an up to date assessment of the time taken to complete specific tasks by different members of the dental team. These data will be of value to service planners and commissioners interested in evolving a dental care system that employs a greater degree of skill-mix and preventively oriented care.
    MeSH term(s) Adult ; Child ; Humans ; Cross-Sectional Studies ; Dental Hygienists ; Dental Care ; United Kingdom ; Surveys and Questionnaires ; Dentists
    Language English
    Publishing date 2023-11-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2091511-1
    ISSN 1472-6831 ; 1472-6831
    ISSN (online) 1472-6831
    ISSN 1472-6831
    DOI 10.1186/s12903-023-03671-y
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  2. Article ; Online: Patient perspectives on the vital primary care role of community pharmacists in Nova Scotia, Canada: qualitative findings from the PUPPY Study.

    Isenor, Jennifer E / Renaud, Lauren / Mathews, Maria / Morrison, Bobbi / Murphy, Andrea L / Bishop, Andrea / Bowles, Susan K / Kennie-Kaulbach, Natalie / Peddle, Sarah / Breton, Mylaine / Green, Michael E / Marshall, Emily G

    The International journal of pharmacy practice

    2024  Volume 32, Issue 3, Page(s) 216–222

    Abstract: Objectives: Community pharmacists play an important role in primary care access and delivery for all patients, including patients with a family physician or nurse practitioner ("attached") and patients without a family physician or nurse practitioner (" ... ...

    Abstract Objectives: Community pharmacists play an important role in primary care access and delivery for all patients, including patients with a family physician or nurse practitioner ("attached") and patients without a family physician or nurse practitioner ("unattached"). During the COVID-19 pandemic, community pharmacists were accessible care providers for unattached patients and patients who had difficulty accessing their usual primary care providers ("semi-attached"). Before and during the pandemic, pharmacist services expanded in several Canadian provinces. The aim of this qualitative study was to explore patient experiences receiving care from community pharmacists, and their perspectives on the scope of practice of community pharmacists.
    Methods: Fifteen patients in Nova Scotia, Canada, were interviewed. Participant narratives pertaining to pharmacist care were analyzed thematically.
    Key findings: Attached, "semi-attached," and unattached patients valued community pharmacists as a cornerstone of care and sought pharmacists for a variety of health services, including triaging and system navigation. Patients spoke positively about expanding the scope of practice for community pharmacists, and better optimization of pharmacists in primary care.
    Conclusions: System decision-makers should consider the positive role community pharmacists can play in achieving primary care across the Quintuple Aim (population health, patient and provider experiences, reducing costs, and supporting equity in health).
    MeSH term(s) Humans ; Nova Scotia ; Primary Health Care/organization & administration ; Professional Role ; Pharmacists/organization & administration ; Male ; Female ; Community Pharmacy Services/organization & administration ; Middle Aged ; Qualitative Research ; Aged ; Adult ; COVID-19/epidemiology ; Health Services Accessibility
    Language English
    Publishing date 2024-03-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 1087040-4
    ISSN 2042-7174 ; 0961-7671
    ISSN (online) 2042-7174
    ISSN 0961-7671
    DOI 10.1093/ijpp/riae008
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  3. Article ; Online: "What do you mean I can't have a doctor? this is Canada!" - a qualitative study of the myriad consequences for unattached patients awaiting primary care attachment.

    Marshall, Emily Gard / Wuite, Sara / Lawson, Beverley / Andrew, Melissa K / Edwards, Lynn / MacKenzie, Adrian / Woodrow, Ana Correa / Peddle, Sarah

    BMC primary care

    2022  Volume 23, Issue 1, Page(s) 60

    Abstract: Background: Patient access to primary healthcare (PHC) is the foundation of a strong healthcare system and healthy populations. Attachment to a regular PHC provider, a key to healthcare access, has seen a decline in some jurisdictions. This study ... ...

    Abstract Background: Patient access to primary healthcare (PHC) is the foundation of a strong healthcare system and healthy populations. Attachment to a regular PHC provider, a key to healthcare access, has seen a decline in some jurisdictions. This study explored the consequences of unattachment from a patient perspective, an under-studied phenomenon to date.
    Methods: A realist-informed qualitative study was conducted with unattached patients in Nova Scotia, Canada. Semi-structured interviews with nine participants were conducted and transcribed for analysis. The framework method was used to carry out analysis, which was guided by Donabedian's model of assessing healthcare access and quality.
    Results: Five key findings were noted in this study: 1) Participants experienced a range of consequences from not having a regular PHC provider. Participants used creative strategies to 2) attempt to gain attachment to a regular PHC provider, and, to 3) address their health needs in the absence of a regular PHC provider. 4) Participants experienced negative feelings about themselves and the healthcare system, and 5) stress related to the consequences and added work of being unattached and lost care.
    Conclusions: Unattached patients experienced a burden of care related to lost care and managing their own health and related information, due to the download of medical record management and system navigation to them. These findings may underestimate the consequences for further at-risk populations who would not have been included in our recruitment. This may result in poorer health outcomes, which could be mitigated by interventions at the structural level, such as enhanced centralized waitlists to promote attachment. Such waitlists may benefit from a triage approach to appropriately attach patients based on need.
    MeSH term(s) Health Services Accessibility ; Humans ; Nova Scotia ; Physicians ; Primary Health Care ; Qualitative Research
    Language English
    Publishing date 2022-03-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2731-4553
    ISSN (online) 2731-4553
    DOI 10.1186/s12875-022-01671-5
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  4. Article ; Online: The development and application of a chairside oral health risk and need stratification tool in general dental services.

    Cope, Anwen Louise / Bannister, Christian / Karki, Anup / Harper, Paul / Allen, Michael / Jones, Rhiannon / Peddle, Sarah / Walters, Brenda / Chestnutt, Ivor Gordon

    Journal of dentistry

    2022  Volume 123, Page(s) 104206

    Abstract: Objective: To describe the development and application of the Assessment of Clinical Oral Risks and Needs (ACORN) stratification tool based on a traffic light system in National Health Service (NHS) general dental services (GDS) Wales, UK.: Materials ... ...

    Abstract Objective: To describe the development and application of the Assessment of Clinical Oral Risks and Needs (ACORN) stratification tool based on a traffic light system in National Health Service (NHS) general dental services (GDS) Wales, UK.
    Materials and methods: This was a secondary analysis of routinely-collected dental care data. All courses of treatment provided in dental practices participating in NHS GDS Reform Programme between July 2018 and September 2019, in which an ACORN assessment and age were recorded were included in the analysis.
    Results: A total of 236,490 subjects contributed 339,933 courses of treatment during the study period. 'Amber' and 'red' ACORN outcomes were associated with more courses of treatment per annum than 'green' outcomes. Outcomes indicating an increased risk of decay or other dental problems were associated with a greater likelihood of several operative treatment items. Patients at greater risk of poor periodontal health were more likely to receive extractions and dentures than low-risk patients. Patients were most likely to either remain in the same ACORN outcome categories or move to a healthier state between assessments.
    Conclusion: More research is required to understand the utility of the ACORN tool in risk communication and behaviour change.
    MeSH term(s) Dental Care ; Dental Caries ; Humans ; Oral Health ; State Medicine ; Wales
    Language English
    Publishing date 2022-06-22
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 186068-9
    ISSN 1879-176X ; 0300-5712
    ISSN (online) 1879-176X
    ISSN 0300-5712
    DOI 10.1016/j.jdent.2022.104206
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 860: Show issues Location:
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  5. Article ; Online: Care by design: New model of coordinated on-site primary and acute care in long-term care facilities.

    Marshall, Emily Gard / Clarke, Barry / Peddle, Sarah / Jensen, Jan

    Canadian family physician Medecin de famille canadien

    2015  Volume 61, Issue 3, Page(s) e129–34

    Abstract: Problem addressed: A recently implemented model of care in long-term care facilities (LTCFs) called Care by Design addresses concerns about a previously uncoordinated care system, a reduction in family physician services, and high rates of ambulance ... ...

    Abstract Problem addressed: A recently implemented model of care in long-term care facilities (LTCFs) called Care by Design addresses concerns about a previously uncoordinated care system, a reduction in family physician services, and high rates of ambulance transports to emergency departments.
    Objective of program: Care by Design is designed to increase access to care and continuity and quality of care by family physicians, reduce unwanted and unnecessary transfers to the emergency department, and lessen the burden on care teams including physicians and nurses in LTCFs.
    Program description: The core of Care by Design is a dedicated family physician for each LTCF floor, with regular on-site visits; physician on-call coverage, 24 hours a day, 7 days a week; and standing orders and protocols. Care by Design also includes a comprehensive geriatric assessment tool, an interdisciplinary team approach, access to a dedicated extended care paramedic program to respond to urgent care needs, and ongoing performance measurement.
    Conclusion: Care by Design aims to improve on-site care for LTCF residents and family physicians' experiences with providing care in several ways, including increased clinical efficiency, communication, and continuity, and appropriate support within the interdisciplinary team model.
    MeSH term(s) Aged ; Aged, 80 and over ; Canada ; Continuity of Patient Care/standards ; Family Practice/organization & administration ; Geriatric Assessment ; Health Services Accessibility ; Humans ; Long-Term Care/methods ; Nursing Homes ; Patient Care Team/organization & administration ; Physicians, Family/supply & distribution ; Program Development
    Language English
    Publishing date 2015-03
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2146676-2
    ISSN 1715-5258 ; 0008-350X
    ISSN (online) 1715-5258
    ISSN 0008-350X
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  6. Article: Housing for people with serious mental illness: a comparison of values and research.

    Sylvestre, John / Nelson, Geoffrey / Sabloff, Annabelle / Peddle, Sarah

    American journal of community psychology

    2007  Volume 40, Issue 1-2, Page(s) 125–137

    Abstract: This article contrasts values associated with the delivery of housing programs for people with serious mental illness with the typical topics pertaining to housing that are studied by researchers. Six values were identified through a search and content ... ...

    Abstract This article contrasts values associated with the delivery of housing programs for people with serious mental illness with the typical topics pertaining to housing that are studied by researchers. Six values were identified through a search and content analysis of the literature on housing for people with serious mental illness. A second review of the literature was conducted to identify research on housing for this population. A comparison of findings from the two reviews suggested that whereas values concerned with the therapeutic benefits of housing had received considerable research attention, those concerned with a citizenship dimension had received relatively little. The findings are discussed in terms of their implications for the delivery of housing services and for housing research.
    MeSH term(s) Housing ; Humans ; Mental Disorders ; Ontario ; Research ; Severity of Illness Index
    Language English
    Publishing date 2007-09
    Publishing country England
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 222658-3
    ISSN 1573-2770 ; 0091-0562
    ISSN (online) 1573-2770
    ISSN 0091-0562
    DOI 10.1007/s10464-007-9129-9
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1176: Show issues Location:
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  7. Article ; Online: Cohort profile: The UK COVID-19 Public Experiences (COPE) prospective longitudinal mixed-methods study of health and well-being during the SARSCoV2 coronavirus pandemic.

    Phillips, Rhiannon / Taiyari, Khadijeh / Torrens-Burton, Anna / Cannings-John, Rebecca / Williams, Denitza / Peddle, Sarah / Campbell, Susan / Hughes, Kathryn / Gillespie, David / Sellars, Paul / Pell, Bethan / Ashfield-Watt, Pauline / Akbari, Ashley / Seage, Catherine Heidi / Perham, Nick / Joseph-Williams, Natalie / Harrop, Emily / Blaxland, James / Wood, Fiona /
    Poortinga, Wouter / Wahl-Jorgensen, Karin / James, Delyth H / Crone, Diane / Thomas-Jones, Emma / Hallingberg, Britt

    PloS one

    2021  Volume 16, Issue 10, Page(s) e0258484

    Abstract: Public perceptions of pandemic viral threats and government policies can influence adherence to containment, delay, and mitigation policies such as physical distancing, hygienic practices, use of physical barriers, uptake of testing, contact tracing, and ...

    Abstract Public perceptions of pandemic viral threats and government policies can influence adherence to containment, delay, and mitigation policies such as physical distancing, hygienic practices, use of physical barriers, uptake of testing, contact tracing, and vaccination programs. The UK COVID-19 Public Experiences (COPE) study aims to identify determinants of health behaviour using the Capability, Opportunity, Motivation (COM-B) model using a longitudinal mixed-methods approach. Here, we provide a detailed description of the demographic and self-reported health characteristics of the COPE cohort at baseline assessment, an overview of data collected, and plans for follow-up of the cohort. The COPE baseline survey was completed by 11,113 UK adult residents (18+ years of age). Baseline data collection started on the 13th of March 2020 (10-days before the introduction of the first national COVID-19 lockdown in the UK) and finished on the 13th of April 2020. Participants were recruited via the HealthWise Wales (HWW) research registry and through social media snowballing and advertising (Facebook®, Twitter®, Instagram®). Participants were predominantly female (69%), over 50 years of age (68%), identified as white (98%), and were living with their partner (68%). A large proportion (67%) had a college/university level education, and half reported a pre-existing health condition (50%). Initial follow-up plans for the cohort included in-depth surveys at 3-months and 12-months after the first UK national lockdown to assess short and medium-term effects of the pandemic on health behaviour and subjective health and well-being. Additional consent will be sought from participants at follow-up for data linkage and surveys at 18 and 24-months after the initial UK national lockdown. A large non-random sample was recruited to the COPE cohort during the early stages of the COVID-19 pandemic, which will enable longitudinal analysis of the determinants of health behaviour and changes in subjective health and well-being over the course of the pandemic.
    MeSH term(s) Adult ; Aged ; COVID-19/epidemiology ; COVID-19/virology ; Female ; Health Behavior ; Humans ; Interviews as Topic ; Longitudinal Studies ; Male ; Mental Health ; Middle Aged ; Pandemics ; Prospective Studies ; SARS-CoV-2/isolation & purification ; Surveys and Questionnaires ; United Kingdom/epidemiology
    Language English
    Publishing date 2021-10-13
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0258484
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  8. Article ; Online: A controlled before-and-after evaluation of a mobile crisis partnership between mental health and police services in Nova Scotia.

    Kisely, Stephen / Campbell, Leslie Anne / Peddle, Sarah / Hare, Susan / Pyche, Mary / Spicer, Don / Moore, Bill

    Canadian journal of psychiatry. Revue canadienne de psychiatrie

    2010  Volume 55, Issue 10, Page(s) 662–668

    Abstract: Objectives: Police are often the front-line response to people experiencing mental health crises. This study examined the impact of an integrated mobile crisis team formed in partnership between mental health services, municipal police, and emergency ... ...

    Abstract Objectives: Police are often the front-line response to people experiencing mental health crises. This study examined the impact of an integrated mobile crisis team formed in partnership between mental health services, municipal police, and emergency health services. The service offered short-term crisis management, with mobile interventions being attended by a plainclothes police officer and a mental health professional.
    Methods: We used a mixed-methods design encompassing: a controlled before-and-after quantitative comparison of the intervention area with a control area without access to such a service, for 1 year before and 2 years after program implementation; and qualitative assessments of the views of service recipients, families, police officers, and health staff at baseline and 2 years afterward.
    Results: The integrated service resulted in increased use by people in crisis, families, and service partners (for example, from 464 to 1666 service recipients per year). Despite increased service use, time spent on-scene and call-to-door time were reduced. At year 2, the time spent on-scene by police (136 minutes) was significantly lower than in the control area (165 minutes) (Student t test = 3.4, df = 1649, P < 0.001). After adjusting for confounders, people seen by the integrated team (n = 295) showed greater engagement than control subjects as measured by outpatient contacts (b = 1.3, chi square = 92.7, df = 1, P < 0.001). The service data findings were supported by the qualitative results of focus groups and interviews.
    Conclusions: Partnerships between the police department and mental health system can improve collaboration, efficiency, and the treatment of people with mental illness.
    MeSH term(s) Cooperative Behavior ; Crisis Intervention/organization & administration ; Emergency Services, Psychiatric/organization & administration ; Forensic Psychiatry/methods ; Humans ; Interviews as Topic ; Mobile Health Units/manpower ; Nova Scotia/epidemiology ; Police ; Quality Improvement/statistics & numerical data ; Social Welfare/psychology
    Language English
    Publishing date 2010-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 304227-3
    ISSN 1497-0015 ; 0008-4824 ; 0706-7437
    ISSN (online) 1497-0015
    ISSN 0008-4824 ; 0706-7437
    DOI 10.1177/070674371005501005
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