13 research outputs found
Service user engagement in mental health policy : a qualitative descriptive study among adults aged 50 years and over
No full textIntroduction: Service-user engagement is an important aspect of mental health policy. Although
various mental health organizations support the engagement of adults aged 50 years and over in
policy, evidence of its implementation is rarely seen in practice. This study sought to answer the
research question: What are the experiences of mental health service-users aged 50 years and
over in policy development, implementation, and evaluation in British Columbia?
Methods: Qualitative descriptive methodology was used to gain rich descriptions through interviews. Purposive sampling with maximum variation was used to recruit participants including patients, family members, and caregivers. Thematic analysis was conducted to identify
the major themes.
Results: The results of this study showed that most participants were never asked for their input
in improving mental health services both at individual/clinical and policy levels. The importance
of service-user engagement and how service-users wanted to be engaged in mental health policy
were highlighted. Barriers and facilitators to engagement such as lack of opportunities, adequate
information and training, change in policy, bureaucracy, and tokenism were also identified. The findings are a critical step towards enhancing service-user engagement in mental health policy and improving mental health services such that they are reflective of co-creation with diverse populations.
Keywords: service user, mental health policy, engagementHealth and Social Development, Faculty of (Okanagan)Nursing, School of (Okanagan)Graduat
The Evolution of Primary Health Care Teams and Integrated Health Services Delivery in Four Canadian Provinces
No full textImproving integrated health services for patients with two or more chronic illnesses is a priority in Canada as our health systems grapple with their complex needs and the services they require (Kirst et al. 2017; Suter et al. 2014). Team-based primary health care (PHC) models have been implemented in diverse ways to improve patient experience and to bet- ter coordinate integrated care to improve population health and reduce the cost of health care (Kirst et al. 2017; Buljac-Samardzic et al. 2010). The structure and composition of interprofessional primary health care (IPHC) models vary across provinces; however, their common goal is to address the four elements of the Quadruple Aim (population health, patient experience, provider experience, and reducing costs) (Bodenheimer and Sinsky 2014). Although research exists on interprofessional teams and health service integration, understanding the effectiveness of the development and implementation of team-based models for patients with two or more chronic illnesses has been challenging. Policymakers, decision-makers, providers, and patient groups have little evidence on what policies and structures facilitate, incentivize, or prevent integrated service delivery, especially for patients with complex needs. This knowledge gap has had an impact on the reform of service integration for patients with complex needs through IPHC teams. A policy analysis was conducted in four Canadian provinces to examine the policies and structures that scaffold such reform, identifying barriers and facilitators to the implementation of PHC teams and integrated health services. This study was carried out in British Columbia (BC), Alberta (AB), Ontario (ON), and Québec (QC) to understand different models implemented in these provinces and to ensure representation of east, west, and central Canada
The Evolution of Primary Health Care Teams and Integrated Health Services Delivery in Four Canadian Provinces
No full textImproving integrated health services for patients with two or more chronic illnesses is a priority in Canada as our health systems grapple with their complex needs and the services they require (Kirst et al. 2017; Suter et al. 2014). Team-based primary health care (PHC) models have been implemented in diverse ways to improve patient experience and to bet- ter coordinate integrated care to improve population health and reduce the cost of health care (Kirst et al. 2017; Buljac-Samardzic et al. 2010). The structure and composition of interprofessional primary health care (IPHC) models vary across provinces; however, their common goal is to address the four elements of the Quadruple Aim (population health, patient experience, provider experience, and reducing costs) (Bodenheimer and Sinsky 2014). Although research exists on interprofessional teams and health service integration, understanding the effectiveness of the development and implementation of team-based models for patients with two or more chronic illnesses has been challenging. Policymakers, decision-makers, providers, and patient groups have little evidence on what policies and structures facilitate, incentivize, or prevent integrated service delivery, especially for patients with complex needs. This knowledge gap has had an impact on the reform of service integration for patients with complex needs through IPHC teams. A policy analysis was conducted in four Canadian provinces to examine the policies and structures that scaffold such reform, identifying barriers and facilitators to the implementation of PHC teams and integrated health services. This study was carried out in British Columbia (BC), Alberta (AB), Ontario (ON), and Québec (QC) to understand different models implemented in these provinces and to ensure representation of east, west, and central Canada
General characteristics of the studies included in the review sorted by author name alphabetically.
No full textGeneral characteristics of the studies included in the review sorted by author name alphabetically.</p
Intervention characteristics of studies included in the review sorted alphabetically by author.
No full textIntervention characteristics of studies included in the review sorted alphabetically by author.</p
Analysis of Primary Health Care Teams and Integration Policy in Ontario
No full textImproving the integration of health services for patients with complex needs is a priority across Canada. To improve patient experience and reduce costs, provinces and territories have implemented diverse team-based primary health care (PHC) models. In Ontario, a boom in both organizational and funding reforms in the early 2000s resulted in the addition of diverse primary care models. The goals of these reforms were to improve the quality of care, care coordination and the comprehensiveness of services. The reforms were reflected at both the provincial and regional (Local Health Integration Networks) levels through strategic guidance documents and through the establishment of primary care evaluation frameworks by key provincial leaders. This study seeks to examine policies and structures that facilitated the development, implementation, and sustainability of team-based PHC models. Analysis of Ontario provincial and regional-level policies released between 2009-2019 reveals that in the last decade, focus has shifted away from highlighting PHC teams as a strategy for integration, instead focusing on broader systems-level integration. Further, primary care evaluation frameworks were not implemented at the local level. More recently, Ontario Health Teams show great promise to reduce silos and improve integration, but the role of primary care and PHC teams in this reform remains unclear.
Partout au Canada, l'amélioration de l'intégration des services de santé pour les patients ayant des besoins complexes est une priorité. Pour améliorer l'expérience des patients et réduire les coûts, les provinces et les territoires ont mis en place divers modèles de soins de santé primaires (SSP) basés sur le travail d’équipe. En Ontario, au début des années 2000, un florilège de réformes organisationnelles et financières ont fait éclore divers modèles de soins de première ligne. Les objectifs de ces réformes étaient d'améliorer la qualité et la coordination des soins, ainsi que d’offrir une gamme complète de services. Ces réformes ont été traduites aux niveaux provinciaux et régionaux (Réseaux Locaux d’Intégration des Services de Santé) dans des documents d’orientation stratégique et des cadres d’évaluation des services de première ligne. Cette étude vise à examiner les politiques et les structures qui ont facilité le développement, la mise en œuvre, et la durabilité des modèles de SSP en équipe. Toutefois, l'analyse des politiques provinciales et régionales de l'Ontario publiées entre 2009 et 2019 révèle qu'au cours de la dernière décennie, l'accent n'a plus été mis sur les équipes de SSP en tant que stratégie d'intégration, mais plutôt sur une intégration plus large au niveau du système de santé. En outre, les cadres d'évaluation des SSP n'ont pas été mis en œuvre au niveau local. Les équipes interdisciplinaires de première ligne de l'Ontario créées plus récemment sont très prometteuses pour réduire les cloisonnements et améliorer l'intégration, mais le rôle des soins primaires et des équipes de SSP dans cette réforme n’a pas été clarifié
Experimental Investigation of Adobe Structures with Digital Image Correlation
No full textAdobe brick (or Mudbrick) is commonly used as a construction material for residential structures in the Southwest portion of the United States. Adobe bricks are formed from mud that is composed of sand, silt, clay and water that is further mixed with straw then allowed to dry in the open environment. The straw aids in providing reinforcement for the brick and helping the brick dry more evenly which in turn reduces the amount of shrinkage cracks. The final product is a strong, durable, heavy brick used in the construction of homes. While this practice of adobe brick construction has been around for centuries there is still a lot of unknowns regarding the mechanical properties of the bricks particularly at different material compositions, reinforcement levels and moisture contents. This research investigates the material properties of adobe through traditional material and structural testing and through the use of digital image correlation to measure surface strains of the test specimens. Three types of testing were completed: material tests measuring the compressive strength of brick prisms, material tests measuring the bending strength of small modulus of rupture specimens, and structural tests measuring the in-plane lateral load capacity of one quarter scale walls. In 3-D DIC, the measured object is photographed with a pair of digital cameras before, during and after a load event, and a stochastic pattern marked on the object is tracked from one set of images to the next such that a full field of displacements is derived. Major findings were: DIC was a valuable tool for measuring displacements and strains in adobe materials and structures. DIC was able to allow visualization of adobe material failure modes and failure progression. Fibers within adobe bricks allowed the material to reach large deformations prior to complete collapse. This was the first study to use DIC on multiple faces of compression specimens to measure deformations in order to determine Modulus of Elasticity (E). The value for Modulus of Elasticity for the adobe used in this project was between 39,000 and 51,000 psi, depending on the method of calculation.
This material is based upon work supported in part by the National Science Foundation (NSF) under NSF Cooperative Agreement Number EEC-1449501. Any opinions, findings and conclusions, or recommendations expressed in this material are those of the author(s), and do not necessarily reflect those of the NSF
Design, simulation and control of a tendon-driven robot arm
No full textThis thesis presents a design for cable-driven serial manipulators with two degrees of freedom which is lightweight and safe to use in a non-industrial setting. Conventional industrial robot arms have several applications such as welding, palletization and on the assembly line, but are heavy to use, have large sizes and are not always safe for human operators in proximity. This thesis aims to explore the idea of a cable-driven serial manipulator, where a simple system of cables and pulleys transmits motion between the actuators and links. The model proposed here is a cable-driven robot arm which attempts to overcome the issues of conventional robots by placing all the actuators in a motor bank at the base of the robot body as opposed to positioning them at every joint along the arm, and by reducing the total number of actuators in the model. An experimental model constructed using 3D printed parts forms the basis of digital models built using the Simscape Multibody toolbox. The design explored here is based on a microgravity environment. Initially, physical models of the DC motors are used in the Simscape models, which are later represented using transfer functions. PID controllers control these motors, and the required parameters are obtained using the root locus method through calculations and MATLAB codes. The next step involves testing the Simscape model by recording its response to a step input. This is first done on two different single degree-of-freedom arms, followed by a 2 degree-of-freedom model. In order to limit fluctuations in voltage of the motors, a low-pass filter has been used in these models. Comparison with output plots from MATLAB calculations validate these results.M.S.Includes bibliographical reference
Analysis of Primary Health Care Teams and Integration Policy in Ontario
No full textImproving the integration of health services for patients with complex needs is a priority across Canada. To improve patient experience and reduce costs, provinces and territories have implemented diverse team-based primary health care (PHC) models. In Ontario, a boom in both organizational and funding reforms in the early 2000s resulted in the addition of diverse primary care models. The goals of these reforms were to improve the quality of care, care coordination and the comprehensiveness of services. The reforms were reflected at both the provincial and regional (Local Health Integration Networks) levels through strategic guidance documents and through the establishment of primary care evaluation frameworks by key provincial leaders. This study seeks to examine policies and structures that facilitated the development, implementation, and sustainability of team-based PHC models. Analysis of Ontario provincial and regional-level policies released between 2009-2019 reveals that in the last decade, focus has shifted away from highlighting PHC teams as a strategy for integration, instead focusing on broader systems-level integration. Further, primary care evaluation frameworks were not implemented at the local level. More recently, Ontario Health Teams show great promise to reduce silos and improve integration, but the role of primary care and PHC teams in this reform remains unclear.
Partout au Canada, l'amélioration de l'intégration des services de santé pour les patients ayant des besoins complexes est une priorité. Pour améliorer l'expérience des patients et réduire les coûts, les provinces et les territoires ont mis en place divers modèles de soins de santé primaires (SSP) basés sur le travail d’équipe. En Ontario, au début des années 2000, un florilège de réformes organisationnelles et financières ont fait éclore divers modèles de soins de première ligne. Les objectifs de ces réformes étaient d'améliorer la qualité et la coordination des soins, ainsi que d’offrir une gamme complète de services. Ces réformes ont été traduites aux niveaux provinciaux et régionaux (Réseaux Locaux d’Intégration des Services de Santé) dans des documents d’orientation stratégique et des cadres d’évaluation des services de première ligne. Cette étude vise à examiner les politiques et les structures qui ont facilité le développement, la mise en œuvre, et la durabilité des modèles de SSP en équipe. Toutefois, l'analyse des politiques provinciales et régionales de l'Ontario publiées entre 2009 et 2019 révèle qu'au cours de la dernière décennie, l'accent n'a plus été mis sur les équipes de SSP en tant que stratégie d'intégration, mais plutôt sur une intégration plus large au niveau du système de santé. En outre, les cadres d'évaluation des SSP n'ont pas été mis en œuvre au niveau local. Les équipes interdisciplinaires de première ligne de l'Ontario créées plus récemment sont très prometteuses pour réduire les cloisonnements et améliorer l'intégration, mais le rôle des soins primaires et des équipes de SSP dans cette réforme n’a pas été clarifié
Effect Of Sunlight Exposure And Composting On The Properties Of The Plastic Films Used For Packaging
No full textThis Dissertation / Report is the outcome of investigation carried out by the creator(s) / author(s) at the department/division of Central Food Technological Research Institute (CFTRI), Mysore mentioned below in this page
