Browsing Public Health Sciences (School of) by Author "Heckman, George A."
Now showing items 1-18 of 18
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Addressing Health Care Needs For Frail Seniors In Canada: The Role of InterRAI Instruments
Heckman, George A.; Gray, Leonard C.; Hirdes, John P. (Canadian Geriatrics Society, 2013-12-30)Fiscal pressure on the Canadian health care system results from rising numbers of frail seniors with multiple concurrent medical co-morbidities and geriatric syndromes. Improving outcomes in such seniors is contingent on ... -
Adverse events among Ontario home care clients associated with emergency room visit or hospitalization: a retrospective cohort study
Doran, Diane M.; Hirdes, John P.; Blais, Régis; Baker, G. Ross; Poss, Jeffrey W.; Li, Xiaoqiang; Dill, Donna; Gruneir, Andrea; Heckman, George A.; Lacroix, Hélène; Mitchell, Lori; O'Beirne, Maeve; White, Nancy; Droppo, Lisa; Foebel, Andrea Dawn; Qian, Gan; Nahm, Sang-Myong; Yim, Odilia; McIsaac, Corrine; Jantzi, Micaela (BioMed Central, 2013-06-22)Background: Home care (HC) is a critical component of the ongoing restructuring of healthcare in Canada. It impacts three dimensions of healthcare delivery: primary healthcare, chronic disease management, and aging at home ... -
Adverse Events Associated with Hospitalization or Detected through the RAI-HC Assessment among Canadian Home Care Clients
Doran, Diane M.; Hirdes, John P.; Blais, Régis; Baker, G. Ross; Poss, Jeffrey W.; Li, Xiaoqiang; Dill, Donna; Gruneir, Andrea; Heckman, George A.; Lacroix, Hélène; Mitchell, Lori; O’Beirne, Maeve; Foebel, Andrea Dawn; White, Nancy; Qian, Gan; Nahm, Sang-Myong; Yim, Odilia; Droppo, Lisa; McIsaac, Corrine (Longwoods Publishing, 2013-08-19)Background: The occurrence of adverse events (AEs) in care settings is a patient safety concern that has significant consequences across healthcare systems. Patient safety problems have been well documented in acute care ... -
Choosing Healthcare Options by Involving Canada's Elderly: a protocol for the CHOICE realist synthesis project on engaging older persons in healthcare decision-making
Elliott, Jacobi Brianne; McNeil, Heather; Boscart, Veronique M.; Heckman, George A.; Hutchinson, Rebecca; Hedley, Margaret; Glouberman, Sholom; Judd, Maria; Stolee, Paul (British Medical Association Journal, 2015-11-01)Introduction: While patient and citizen engagement has been recognised as a crucial element in healthcare reform, limited attention has been paid to how best to engage seniors-the fastest growing segment of the population ... -
Diagnostic data for neurological conditions in interRAI assessments in home care, nursing home and mental health care settings: a validity study
Foebel, Andrea Dawn; Hirdes, John P.; Heckman, George A.; Kergoat, Marie-Jeanne; Patten, Scott; Marrie, Ruth Ann (BioMed Central, 2013-11-01)Background: The interRAI suite of assessment instruments can provide valuable information to support person-specific care planning across the continuum of care. Comprehensive clinical information is collected with these ... -
Engaging older adults in healthcare research and planning: a realist synthesis
McNeil, Heather; Elliott, Jacobi Brianne; Huson, Kelsey; Ashbourne, Jessica; Heckman, George A.; Walker, Jennifer; Stolee, Paul (BioMed Central, 2016-12-01)Background The importance of engaging the community in healthcare research and planning has been widely recognized. Currently however, there is a limited focus on older adults, Canada’s fastest growing segment of the ... -
Examining the Hospital Elder Life Program in a rehabilitation setting: a pilot feasibility study
Huson, Kelsey; Pearce, Nancy Jane Mae; Bradfield, Corrie; Heckman, George A.; Stolee, Paul (BioMed Central, 2016-07-18)Background: The Hospital Elder Life Program (HELP) has been shown to effectively prevent delirium and functional decline in older patients in acute care, but has not been examined in a rehabilitation setting. This pilot ... -
Geriatric Medicine Leadership of Health Care Transformation: To Be or Not To Be?
Heckman, George A.; Molnar, Frank J.; Lee, Linda (Canadian Geriatrics Society, 2013-12-03)Geriatric Medicine is well-suited to inform and lead healthcare system redesign to address the needs of seniors with complex conditions. We posit that geriatricians must urgently consider how to “brand” Geriatric Medicine ... -
Heart Failure in Older Persons: Considerations For The Primary Care Physician
Glenny, Christine; Heckman, George A.; McKelvie, Robert S. (Canadian Geriatrics Society, 2012-04-18)Heart failure (HF) affects over 500,000 Canadians, with 50,000 new patients diagnosed each year. While mortality from cardiovascular diseases has progressively declined in Canada, the burden of HF is expected to continue ... -
Identifying Feasible Physical Activity Programs for Long-Term Care Homes in the Ontario Context
Shakeel, Saad; Newhouse, Ian; Malik, Ali; Heckman, George A. (Canadian Geriatrics Society, 2015-06-30)Background Structured exercise programs for frail institutionalized seniors have shown improvement in physical, functional, and psychological health of this population. However, the ‘feasibility’ of implementation of such ... -
Making the Most of Mealtimes (M3): protocol of a multi-centre cross-sectional study of food intake and its determinants in older adults living in long term care homes
Keller, Heather; Carrier, Natalie; Slaughter, Susan; Lengyel, Christina; Steele, Catriona M.; Duizer, Lisa; Brown, K. Stephen; Chaudhury, Habib; Yoon, Minn N.; Duncan, Alison M.; Boscart, Veronique M.; Heckman, George A.; Villalon, Lita (BioMed Central, 2017-01-13)Background: Older adults living in long term care (LTC) homes are nutritionally vulnerable, often consuming insufficient energy, macro-and micronutrients to sustain their health and function. Multiple factors are proposed ... -
Measuring the implementation of a group-based Lifestyle-integrated Functional Exercise (Mi-LiFE) intervention delivered in primary care for older adults aged 75 years or older: a pilot feasibility study protocol
Gibbs, Jenna C.; McArthur, Caitlin; Milligan, James; Clemson, Lindy; Lee, Linda; Boscart, Veronique M.; Heckman, George A.; Rojas-Fernandez, Carlos; Giangregorio, Lora M.; Stolee, Paul (BioMed Central, 2015-12-01)Background Declines in function and quality of life, and an increased risk of cardiovascular events, falls, and fractures occur with aging and may be amenable to exercise intervention. Primary care is an ideal setting for ... -
Meeting the Challenge of Managing Seniors With Multiple Complex Conditions: The Central Role of Primary Care
Lee, Linda; Heckman, George A. (Canadian Geriatrics Society, 2012-09-28)With the aging population, primary care physicians will be increasingly challenged to manage more seniors with complex chronic conditions. The North American population aged 65 years and above is projected to increase from ... -
Quality of Dementia Care in the Community: Identifying Key Quality Assurance Components
Heckman, George A.; Boscart, Veronique M.; Franco, Bryan B.; Hillier, Loretta; Crutchlow, Lauren; Lee, Linda; Molnar, Frank J.; Seitz, Dallas; Stolee, Paul (Canadian Geriatrics Society, 2016-12-01)Background: Primary care-based memory clinics (PCMCs) have been established in several jurisdictions to improve the care for persons with Alzheimer’s disease and related dementias. We sought to identify key quality indicators ... -
The Spoke-Hub-and-Node Model of Integrated Heart Failure Care
Huitema, Ashlay A.; Harkness, Karen; Heckman, George A.; McKelvie, Robert S. (Elsevier, 2018-07-01)Heart failure (HF) is a significant public health concern. Specialized HF clinics provide the optimal environment to address the complex needs of these patients and improve outcomes. The current and growing population of ... -
Understanding organizational context and heart failure management in long term care homes in Ontario, Canada
Marcella, Jill; Nadarajah, Jayanthini; Kelley, Mary Lou; Heckman, George A.; Kaasalainen, Sharon; Strachan, Patricia H.; McKelvie, Robert S.; Newhouse, Ian; McAiney, Carrie A.; Demers, Catherine; Stolee, Paul (Scientific Research Publishing, 2012-10-01)This study examined the prevalence of Control Intervention (CI) use in adult in-patient psychiatric units/hospitals in Ontario and developed a profile of those patients who had CI use during their admission between April ... -
Use of the interRAI CHESS Scale to Predict Mortality among Persons with Neurological Conditions in Three Care Settings
Hirdes, John P.; Poss, Jeffrey W.; Mitchell, Lori; Korngut, Lawrence; Heckman, George A. (Public LIbrary of Science, 2014-06-10)Background: Persons with certain neurological conditions have higher mortality rates than the population without neurological conditions, but the risk factors for increased mortality within diagnostic groups are less well ... -
The Value of Admission Clinical Data for Diagnosing Heart Failure in Long-term Care
Heckman, George A.; Foebel, Andrea Dawn; Dubin, Joel A.; Ng, Jennifer; Turpie, Irene D.; Hussack, Patricia; McKelvie, Robert S. (Canadian Geriatrics Society, 2013-12-03)Background Heart failure (HF) is common in long-term care (LTC). Diagnostic uncertainty is important barrier to optimal HF management, stemming from inadequate health information transfer upon LTC admission. We determine ...