Michael Smith Foundation for Health Research

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Projets de recherche récents

A mixed methods evaluation of risk mitigation measures to address the dual public health crises of COVID-19 and overdose

2020/21 • $777,439
The COVID-19 pandemic is occurring alongside the overdose public health emergency in British Columbia (BC) with one escalating the harms of the other. The dual public health emergencies has necessitated the development and implementation of innovative response efforts to promote physical...

Implementing Mental Health Recovery Guidelines Into Services: A Pan Canadian Study

2017/18-2020/21 • $413,906
Implementing Mental Health Recovery Guidelines Into Services: A Pan-Canadian Study (Piat, Briand, Mantler Albert, Doiron, Maillet, et al)Issue to be addressed: The aim of this project is to facilitate system transformation to a mental health recovery perspective by implementing and evaluating...

Evaluation of innovative risk mitigation services in the context of dual crises of COVID-19 and overdose among people who use opioids in Vancouver, BC

2020/21 • $149,520
The province of British Columbia (BC) has been praised for having successfully flattened the curve of novel coronavirus infections early. However, this is in stark contrast with the status of its opioid overdose crisis, another health emergency plaguing BC since 2016. In May 2020, BC recorded...

Tracking the Prevalence and Incidence of Modifiable Suicide Risk Factors During the COVID-19 Pandemic to Inform Targeted Suicide Prevention in British Columbia

2020/21 • $139,894
Half of Canadians report worsened mental health since the COVID-19 pandemic began disrupting our lives this Spring. These impacts, combined with rising prevalence of known suicide risk factors such as unemployment and financial hardship, social isolation, alcohol and substance use, relationship...

Supporting integration through primary health care teams: A comparative policy analysis across four Canadian provinces

2018/19-2020/21 • $131,518
Primary health care (PHC) models in Canada continue to change. There are still many gaps in understanding what works and what does not work as well for PHC teams to promote integration and continuity of care, especially for those complex patients with more than one chronic condition. This...

An Inter-provincial comparison of innovative programs that help individuals and families affected by life-limiting chronic illnesses navigate end-of-life

2018/19-2020/21 • $131,033
As our population gets older and the number of people living with chronic diseases rises, it will become more difficult to provide good quality care for people who live with advanced chronic disease and are approaching the end of life (EOL). Much research across Canada has shown that our...

General and Inexpensive Saliva-based Viral RNA Testing by Direct Imaging

2020/21 • $82,026
Existing nucleic-acid-based COVID-19 tests use enzymes to amplify low-copy number RNA to detectable levels. This adds cost, complexity and time to viral detection. In this proposal we will image fluorescently labeled probes hybridized to individual SARS-CoV-2 genomic RNA strands to enable a...

Supporting a Learning Health System in British Columbia Through Developing the BC Academic Health Sciences Network (AHSN)

2018/19-2020/21 • $79,083
This proposed fellowship is a two-year partnership between the BC AHSN (70%) and the UBC Centre for Health Services and Policy Research (CHSPR) (30%). The fellow will work directly with Dr. Tom Noseworthy, CEO, and have protected time for integrated and complementary academic work, supervised by...

Utilizing a syndemic approach for population level prevention, care and treatment cascades of hepatitis C virus and related epidemics

2018/19-2020/21 • $79,083
Different distributions of social conditions, vulnerabilities, (e.g. drug use, mental illness) or other infections (HIV, HBV, TB), contribute to differences among populations affected by hepatitis C virus (HCV) infection. The different distribution of these comorbidities drives heterogeneity in...

Economic evaluation and cost valuation of a province-wide quality improvement initiative: a case study of 'Call for Less Antipsychotics in Residential Care' (CLeAR) in British Columbia

2018/19-2020/21 • $63,500
British Columbia has 62,000 people living with dementia and this number is expected to rise to 87,000 by 2024. A common challenge for many seniors is the behavioural and psychological symptoms of dementia. In October 2013, the British Columbia Patient Safety & Quality Council (BCPSQC) launched...

Measuring the impact of current and future harm reduction strategies in the ongoing opioid overdose epidemic in British Columbia

2018/19-2020/21 • $63,500
North America is currently experiencing an opioid overdose crisis and this has been particularly pronounced in British Columbia (BC). In this jurisdiction there has been a rapid increase in overdose deaths since 2012, which has largely been driven by an increasing concentration of synthetic and...

Patient/Public Engagement Measurement and Evaluation Project (PEMEP) within the British Columbia Ministry of Health's Patients as Partners Initiative

2018/19-2020/21 • $63,500
In 2010, the Patients as Partners Initiative of the British Columbia (BC) Ministry of Health began work to improve the BC healthcare system by partnering with patients to empower patients and to develop and support the implementation of sustainable healthcare policies. This quality improvement...

Interpreting and addressing barriers impeding effective care transitions for women diagnosed with breast cancer in British Columbia

2019/20-2020/21 • $59,480
The number of Canadians diagnosed with cancer is rising with a growing and aging population and we need to ensure our healthcare system is equipped to meet this growing demand. As the most common female cancer worldwide, breast cancer is the second leading cause of cancer deaths in Canadian...

Building Capacity for Surveillance and Policy Development: Health Impact Assessments of Air Quality in Northern British Columbia

2019/20-2020/21 • $48,833
In Northern British Columbia, a region rich in natural resources, there has been a rapid expansion of resource extraction projects across the region in recent years. While generating economic growth for local communities, this has also led to concerns among health practitioners and community...

Better Serving People with Multiple, Complex Needs in BC through Health System Impact.

2019/20-2020/21 • $33,498
The aim of this research project is to better understand and address the health needs and service requirements of people with multiple, complex needs under the purview of Community Living British Columbia (CLBC). The proposed research project will build on existing research and fill important...

Investing wisely: using economic modelling to optimize public health strategies to reduce harm from alcohol, tobacco and cannabis and optimize benefits in British Columbia

2019/20-2020/21 • $26,687
Substance use costs British Columbia $4.9 billion in 2014, of which 70% was due to alcohol and tobacco. These estimates include costs related to the use of health care resources, productivity losses, criminal justice, and other direct costs such as accidents, research and prevention. Broader...

Evaluating and optimizing rural and urban lesbian, gay, bisexual, transgender, queer, intersex, and Two-Spirit (LGBTQI2S) engagement with hospice and palliative care in the Island Health Region

2019/20-2020/21 • $15,000
Existing research focused on the experiences of gay and lesbian older adults with the health care system report that there is a general distrust and reluctance to access healthcare based upon the cumulative effect of discrimination over the life course. At present, while 75% of Canadians have...

Improving Systems of Service to People with Complex and Concurrent Mental Disorders and Substance Use Disorders

2016/17-2019/20 • $400,000
The overarching objective of the project is to create new knowledge that will inform practical improvements to the delivery of healthcare services to people with complex concurrent disorders (CCD) who have serious combined mental disorder and substance use disorder. The population of people with...

Managed Alcohol Programs: Evaluating Effectiveness and Policy Implications

2016/17-2019/20 • $400,000
While there is robust evidence for strategies to reduce harms of illicit drug use, much less research attention has been paid to alcohol harm reduction. This proposal addresses the needs of people with severe alcohol use disorders (AUDs) and unstable housing, many of whom identify as indigenous....

Cultural agility in Northern BC's healthcare system: increasing Indigenous employment participation and responsiveness to Indigenous well-being

2018/19-2019/20 • $221,605
Building on a 2016 SSHRC Partnership Development Grant (FILE #890-2016-3038) in primary partnership w/ Northern Health (NH) and the First Nations Health Authority (FNHA), the broadest goal of this 2018-2023 Partnership Grant is: to improve health sector employment environments, and the delivery...

Co-Developing and Co-Implementing the First Integrated Knowledge Translation Guiding Principles for the Spinal Cord Injury Research System

2018/19-2019/20 • $140,630
Findings from research that could enhance the lives of Canadians are often not used in practice. When research is applied, the process is often slow and haphazard. The ineffective and inefficient translation of research into practice is of particular concern for people with spinal cord injury...

Moving beyond headcounts: improved physician workforce planning for primary care in BC

2018/19-2019/20 • $49,667
Consistent access to high-quality family medicine improves the health of the population and lowers the costs of health care. Reports of family medicine shortages and of difficulties in accessing family physicians are ubiquitous in British Colombia (BC). To address shortages and access...

Evaluating the response to British Columbia's overdose crisis within Vancouver Coastal Health: Moving research into practice

2019/20 • $7,500
The opioid crisis has been hardest felt in British Columbia (BC), which declared a public health emergency in 2016. Last year, there were 1510 drug overdose deaths recorded in BC, which represented 4.5 times the deaths from motor vehicle accidents. The overdose crisis has been largely driven by...

Canadian Consortium on Neurodegeneration in Aging - Full Proposal

2014/15-2018/19 • $24,450,000
The neurodegenerative brain diseases - Alzheimer's Disease, Vascular dementia, Frontotemporal dementia, and Dementia with Lewy Bodies - will be the "diseases of the 21st century" due to aging of our population. The decision by CIHR to establish a Canadian Consortium on Neurodegeneration in Aging...

Getting to the Source of Inter-Regional Variation in Patient Flow Performance: A Complex Systems Perspective

2015/16-2018/19 • $400,000
Patient flow – ensuring that patients receive the care they need, when and where they need it – is one of the greatest challenges facing healthcare today. While emergency department (ED) overcrowding is its most recognizable symptom, stagnant flow is widely recognized to be a system problem. Yet...

Mifepristone implementation in Canada (The CART-Mife Study)

2016/17-2018/19 • $400,000
Mifepristone Implementation Research in Canada(The CART-Mife Study)Introduction: Although the gold standard for medical abortion care worldwide has been use of mifepristone since the late 1990’s, this medication was only recently approved in Canada (July 2015) with availability for use...

A Scoping Review of Literature on Different Models of Allocating Funds to Facilitate Integrated Care

2018/19 • $25,000
Integrated care is viewed widely as a potential solution to overcome some of the major challenges faced by health and social care systems, such as those posed by service duplication, fragmentation, and poor care coordination, and associated impacts on the quality and cost of services. Fragmented...

Surgery Quality Outcome Reports (SQORs): low-cost evaluation and spread of a surgery outcomes improvement program

2014/15-2017/18 • $474,500
Health Authorities in British Columbia are spending about $5 million per year for 24 BC hospitals to participate in the US National Surgical Quality Improvement Program (NSQIP), a surgery outcome measurement and reporting program. NSQIP has been shown in US hospitals to reduce very costly...

Advice Seeking Networks in Residential Long Term Care

2014/15-2017/18 • $450,000
Using the latest innovations and research evidence to care for seniors living in residential long term care (nursing homes) is an important goal that is best achieved when successful innovations and practices can spread throughout the nursing home sector efficiently. However, we know little...

Transforming CBPHC Delivery through Comprehensive Performance Measurement and Reporting

2013/14-2016/17 • $1,986,401
A strong community-based PHC (CBPHC) system will give Canadians more equitable care with better population outcomes at reduced cost. Canada has invested over $1billion in renewing CBPHC over the last decade. Despite some efforts no one data source can capture or represent innovations in CBPHC...

Adverse Drug Event Reporting in PharmaNet to Improve Patient Safety and Inform Policy

2013/14-2016/17 • $700,000
Medications are widely used to treat and prevent debilitating and fatal diseases. Over 73% of Canadians over the age of 65 use at least one prescription medication daily. As a result, adverse drug events (ADEs)-the harmful and unintended consequences of medications-are common, and cause 1.7...

Managed Alcohol Programs: Implementation and Effectiveness

2013/14-2016/17 • $699,952
Canadians with unstable housing may also experience problems with substance use, which can create barriers to accessing temporary or stable accommodation. Problems may be compounded by use of hazardous non-beverage alcohol such as rubbing alcohol, methanol, mouth wash and hand sanitizers. In...

Informing Future Orphan Drug Coverage Using Scenario Studies (iFOCUSS)

2014/15-2016/17 • $235,801
It has been estimated that approximately 1 in 12 Canadians suffer from 1 of over 7,000 different rare diseases. Orphan drugs used in the treatment of rare diseases routinely cost more than $500,000 per year. In Canada, many patients' medicines are covered by a private health insurance payer, or...

Contraception Access Research Team - Contraception Cost-effectiveness Modeling (CART-CCM)

2013/14-2015/16 • $667,864
Family planning is acknowledged to be one of the top ten public health advances of the millennium. Health policy supporting accessible family planning has proven value leading to population-level gains in terms of health equity in developed countries around the world. Canadian health care...

A mixed method evaluation of the impact of the Dr. Peter Centre on health care access and outcomes for persons living with HIV/AIDS who use illicit drugs

2012/13-2014/15 • $443,910
Persons living with HIV/AIDS (PHA) who use illicit drugs often experience poorer health outcomes than those who do not. The Dr. Peter Centre (DPC) is a community-based HIV/AIDS health care centre located in Vancouver, British Columbia (BC) that is run by the Dr. Peter AIDS Foundation. As a...

Strategies and Actions for Independent Living (SAIL) Evaluation Study

2012/13-2014/15 • $360,955
Home care clients are at particularly high risk for falls and related injuries by virtue of their degree of frailty, lack of independent mobility and presence of multiple chronic conditions. The objective of this study is to determine the impact, cost effectiveness and sustainability of the...

Transitions and Trajectories in Late Life Care: Patterns and Predictors

2012/13-2014/15 • $333,226
The proposed study examines the main transitions that older adults experience as clients of home care, assisted living and long-term residential care. In collaboration with health care decision-makers from the Fraser Health Authority and the province of British Columbia, two research questions...

Exit Strategies: The Timing and Impacts of Physician Retirements

2010/11-2013/14 • $449,884
Exit Strategies - The Timing and Impacts of Physician Retirements Much has been made over the past fifteen years about the actual or impending shortage of physicians in Canada. The aging of the patient population increases the need, while the aging of the physician population reduces the supply....

Why are so many patients dissatisfied with knee replacement surgery? Exploring variations of the patient experience.

2011/12-2013/14 • $439,600
Knee replacement surgery is the most requested joint replacement surgery in Canada. Knee replacements in Canada among those aged 55 to 64 tripled for men, and more than tripled for women, between 1995 and 2005, and will continue to increase in response to the needs of an aging population. As...

Advance Care Planning Evaluation in Hospitalized Elderly Patients: A multicenter, prospective study. The ACCEPT Study

2011/12-2013/14 • $433,418
Our health care system is under siege- an aging population, patients living longer with chronic illness, and an increasing demand for services at end of life contribute to escalating costs. In a recent national survey, more than 80% of Canadians were concerned the quality of health care in...

Evidence, values and priority setting methods in cancer control

2011/12-2013/14 • $365,630
The overarching aim of this study is to examine how we can combine evidence and public values to set priorities for cancer control programs (including prevention, screening, treatment and palliative/supportive care). Its objectives are to: (a) develop better methods for identifying, interpreting...

Developing the BC SPOR Network: A Consultative Process

2013/14 • $75,000
Through a confluence of factors, BC is ready to begin a new phase in transforming its health care system. The goal with the BC SPOR Network is to enable innovation and support government, health authorities, and health professions in introducing innovation to improve the delivery of BC's health...

An integrated strategy for policy-relevant process-outcome evaluation in a regional trauma system

2010/11-2012/13 • $450,000
We propose to devise a comprehensive strategy for continuous improvement of trauma care system that addresses substantial gaps in the availability of information regarding processes and outcomes of trauma care in British Columbia. Specifically, we will determine the informational needs of...

Leadership and Health System Redesign

2010/11-2012/13 • $450,000
The purpose of this initiative is to develop leadership capacity in the Canadian health care system. This will be done by identifying and addressing gaps in applied research and practical knowledge within and between the researcher and decision-maker communities. These individuals will be...

Utilization of an interactive Internet-based platform for managing chronic diseases at a distance

2010/11-2012/13 • $449,967
Chronic diseases represent an increasing burden for both the patient and healthcare system. Many people also now have more than one chronic disease. For those people with chronic diseases living in rural areas, the risk for hospitalization is more than 60% greater. These patients and their...

Older Persons' Transitions in Care

2010/11-2012/13 • $386,208
Our study will examine the experience of elderly nursing home residents who need care outside of the nursing home and require transfer to a hospital emergency department for assessment and/or treatment and transfer back to the nursing home. While much of the literature focuses on the experience...

Reducing the Acute Care Burden of Childhood Asthma on Health Services in British Columbia

2010/11-2012/13 • $363,582
In Canada, asthma affects more than 12% of children. Many experience 'attacks' which are acute periods of worsening asthma symptoms linked to a variety of triggers. Over 80% of asthma attacks are triggered by upper respiratory tract virus infections or 'colds'. Currently, asthma attacks due to...

The Impact of a Resident Work Schedule Change on Patient Safety

2010/11-2011/12 • $340,417
After graduation from medical school, physician education continues in a residency program in the individual's chosen area of specialty (e.g., Surgery, Internal Medicine). Residency programs have grueling schedules with frequent on-call shifts. These shifts are at least 24 hours in length,...

Social Pediatrics: A Responsive Interdisciplinary Coordinated Health ["RICH"] Model for Timely Accessible Services for At -Risk Families

2010/11-2011/12 • $125,000
Despite technological advances and the advent of new treatments for the spectrum of diseases that affect children's health over the last few decades, children who are vulnerable because of their material and social circumstances remain the most likely to suffer the consequences of delayed...

Pharmacy-Based Immunization in Rural Communities Strategy (PhICS)

2010/11-2011/12 • $120,000
Influenza is a major cause of potentially preventable morbidity and mortality in Canada. In British Columbia, influenza vaccine is provided free of charge to those at increased risk of severe disease and/or death from influenza infection, including the elderly (>65 years), and people with...

Partnership for Ongoing Impact Assessment of Academic Detailing

2010/11-2011/12 • $93,250
'Academic detailing' programs provide independent, evidence-based information to physicians to promote best prescribing practices through one-on-one or small group visits to their offices. This strategy is being used by programs in six provinces. In brief, academic detailing programs aim to...

Timely access to end-of-life care for patients with life-threatening illness

2010/11 • $40,500
This study looks at making sure patients with cancer and other life-threatening illness can get the right kind of end-of-life care at the right place and the right time. To do so, we need to improve the ability of clinicians to estimate accurately how long these patients will live, because the...

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