Shannon M Ruzycki, Saud Sunba, Maede Ejaredar, Natalie Yanchar, Oluwatomilayo Daodu
{"title":"Éliminer les causes profondes de l’écart salarial entre les sexes en médecine au Canada.","authors":"Shannon M Ruzycki, Saud Sunba, Maede Ejaredar, Natalie Yanchar, Oluwatomilayo Daodu","doi":"10.1503/cmaj.231518-f","DOIUrl":"10.1503/cmaj.231518-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":14.6,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11142026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrea D Chittle, Paul Sandstrom, Joseph Cox, Raymond S W Tsang
{"title":"Treponemal point-of-care tests for syphilis.","authors":"Andrea D Chittle, Paul Sandstrom, Joseph Cox, Raymond S W Tsang","doi":"10.1503/cmaj.231548","DOIUrl":"10.1503/cmaj.231548","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":14.6,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11142022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Myocardial injury after noncardiac surgery.","authors":"Anjali Kulkarni, Maura Marcucci, Julie M V Nguyen","doi":"10.1503/cmaj.231355","DOIUrl":"10.1503/cmaj.231355","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":14.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tara Kiran, Maryam Daneshvarfard, Ri Wang, Alexander Beyer, Jasmin Kay, Mylaine Breton, Danielle Brown-Shreves, Amanda Condon, Michael E Green, Lindsay Hedden, Alan Katz, Maggie Keresteci, Neb Kovacina, M Ruth Lavergne, Aisha Lofters, Danielle Martin, Goldis Mitra, Sarah Newbery, Katherine Stringer, Peter MacLeod, Clifton van der Linden
Background: Through medicare, residents in Canada are entitled to medically necessary physician services without paying out of pocket, but still many people struggle to access primary care. We conducted a survey to explore people's experience with and priorities for primary care.
Methods: We conducted an online, bilingual survey of adults in Canada in fall 2022. We distributed an anonymous link through diverse channels and a closed link to 122 053 people via a national public opinion firm. We weighted completed responses to mirror Canada's population and adjusted for sociodemographic characteristics using regression models.
Results: We analyzed 9279 completed surveys (5.9% response rate via closed link). More than one-fifth of respondents (21.8%) reported having no primary care clinician, and among those who did, 34.5% reported getting a same or next-day appointment for urgent issues. Of respondents, 89.4% expressed comfort seeing another team member if their doctor recommended it, but only 35.9%, 9.5%, and 12.4% reported that their practice had a nurse, social worker, or pharmacist, respectively. The primary care attribute that mattered most was having a clinician who "knows me as a person and considers all the factors that affect my health." After we adjusted for respondent characteristics, people in Quebec, the Atlantic region, and British Columbia had lower odds of reporting a primary care clinician than people in Ontario (adjusted odds ratio 0.30, 0.33, and 0.39, respectively; p < 0.001). We also observed large provincial variations in timely access, interprofessional care, and walk-in clinic use.
Interpretation: More than 1 in 5 respondents did not have access to primary care, with large variation by province. Reforms should strive to expand access to relationship-based, longitudinal care in a team setting.
{"title":"Public experiences and perspectives of primary care in Canada: results from a cross-sectional survey.","authors":"Tara Kiran, Maryam Daneshvarfard, Ri Wang, Alexander Beyer, Jasmin Kay, Mylaine Breton, Danielle Brown-Shreves, Amanda Condon, Michael E Green, Lindsay Hedden, Alan Katz, Maggie Keresteci, Neb Kovacina, M Ruth Lavergne, Aisha Lofters, Danielle Martin, Goldis Mitra, Sarah Newbery, Katherine Stringer, Peter MacLeod, Clifton van der Linden","doi":"10.1503/cmaj.231372","DOIUrl":"10.1503/cmaj.231372","url":null,"abstract":"<p><strong>Background: </strong>Through medicare, residents in Canada are entitled to medically necessary physician services without paying out of pocket, but still many people struggle to access primary care. We conducted a survey to explore people's experience with and priorities for primary care.</p><p><strong>Methods: </strong>We conducted an online, bilingual survey of adults in Canada in fall 2022. We distributed an anonymous link through diverse channels and a closed link to 122 053 people via a national public opinion firm. We weighted completed responses to mirror Canada's population and adjusted for sociodemographic characteristics using regression models.</p><p><strong>Results: </strong>We analyzed 9279 completed surveys (5.9% response rate via closed link). More than one-fifth of respondents (21.8%) reported having no primary care clinician, and among those who did, 34.5% reported getting a same or next-day appointment for urgent issues. Of respondents, 89.4% expressed comfort seeing another team member if their doctor recommended it, but only 35.9%, 9.5%, and 12.4% reported that their practice had a nurse, social worker, or pharmacist, respectively. The primary care attribute that mattered most was having a clinician who \"knows me as a person and considers all the factors that affect my health.\" After we adjusted for respondent characteristics, people in Quebec, the Atlantic region, and British Columbia had lower odds of reporting a primary care clinician than people in Ontario (adjusted odds ratio 0.30, 0.33, and 0.39, respectively; <i>p</i> < 0.001). We also observed large provincial variations in timely access, interprofessional care, and walk-in clinic use.</p><p><strong>Interpretation: </strong>More than 1 in 5 respondents did not have access to primary care, with large variation by province. Reforms should strive to expand access to relationship-based, longitudinal care in a team setting.</p>","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":14.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Redéfinir l’excellence des soins de santé en intégrant la compassion inclusive et l’humanité partagée dans un schéma de compétences médicales transformateur.","authors":"Kannin Osei-Tutu","doi":"10.1503/cmaj.231273-f","DOIUrl":"10.1503/cmaj.231273-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":14.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anees Bahji, Marlon Danilewitz, Matthew Sloan, Victor Tang, David Crockford
{"title":"Préoccupations en ce qui concerne la recommandation contre la prescription d’inhibiteurs sélectifs de la recapture de la sérotonine dans la <i>Ligne directrice canadienne pour la prise en charge clinique de la consommation d’alcool à risque élevé et du trouble d’utilisation de l’alcool</i>.","authors":"Anees Bahji, Marlon Danilewitz, Matthew Sloan, Victor Tang, David Crockford","doi":"10.1503/cmaj.149917-l-f","DOIUrl":"10.1503/cmaj.149917-l-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":14.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jillian Alston, Stefan Baral, Aaron Orkin, Sharon Straus
{"title":"Tackling late-life homelessness in Canada.","authors":"Jillian Alston, Stefan Baral, Aaron Orkin, Sharon Straus","doi":"10.1503/cmaj.231493","DOIUrl":"10.1503/cmaj.231493","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":9.4,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Toux postinfectieuse chez les adultes.","authors":"Kevin Liang, Philip Hui, Samantha Green","doi":"10.1503/cmaj.231523-f","DOIUrl":"10.1503/cmaj.231523-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":9.4,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to \"Ensuring incoming cohorts of medical students better represent the diversity of Indigenous communities in Canada\".","authors":"","doi":"10.1503/cmaj.240641","DOIUrl":"10.1503/cmaj.240641","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":14.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Une transplantation qui pose des choix difficiles.","authors":"Shilpa Raju, Malika Sharma","doi":"10.1503/cmaj.230298-f","DOIUrl":"10.1503/cmaj.230298-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":null,"pages":null},"PeriodicalIF":14.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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