See what the research team has been working on
The Maritime Family Practice Regional Network’s largest activity is as a node for CPCSSN, the Canadian Primary Care Sentinel Surveillance Network. It continues to thrive with now over 80,000 Nova Scotia primary care patients included. Each year the network grows, both in terms of the number who have ‘plugged in’ to the network and the quality of the data being collected.
In Nova Scotia, we have recruited 55 sentinel physicians and nurse practitioners from 20 sites, both urban and rural environments, and are poised to expand further over the next several months. The sites incorporate the Nightingale electronic medical record (EMR) system. In addition to general health information, data are being collected on eight chronic diseases: hypertension, diabetes, osteoarthritis, COPD, depression, epilepsy, Parkinson’s disease, and dementia. The data are robust and the algorithms used by CPCSSN to identify cases of diabetes, hypertension, etc. have a sensitivity and specificity of 90 per cent and higher, in most cases. Researchers are already beginning to use the collected data for research projects and it is expected that the data resulting from CPCSSN efforts will become a key information source for national chronic disease management.
Read more about the Canadian Primary Care SEntinel Surveillance Network.
Read more about Hypertension in patients with Type 2 Diabetes.
Collaborative Research for Primary Healthcare originates from a Strategic Research Initiative Grant from Dalhousie University. This inter-faculty research team is designed to build collaborative primary healthcare projects that cross faculties and disciplines. Working together are researchers from family medicine, nursing, pharmacy, dentistry, occupational and physical therapy, social work, psychology, sociology, epidemiology, health informatics, health policy and more. Exciting developments are in the works for the coming year! For more information, please visit us at http://dal.ca/cor-phc
Case management in primary care for frequent users of healthcare services with chronic diseases and complex care needs: implementation and realist evaluations is a multi-provincial study aiming to provide case management for those living with one or multiple chronic diseases who frequently use the health system.
Case management is led a by a family practice nurse or social worker in a primary care setting, with collaboration from other providers and community resources.
Sixty Nova Scotia practices participated in this study of the “Quality and Costs of Primary Care”. Key questions were to determine how primary care is organized in Canada and how patient experience compares province-to-province and to other countries. Results will be forthcoming in soon.
The Models of Access and Practices in Nova Scotia study aims to build a descriptive atlas of how all primary practices in Nova Scotia are organized and specifically what access is like from the patient’s perspective. Preliminary findings are already being presented and are of interest to our local decision-makers and providers.
The Transdisciplinary Understanding and Training on Research – Primary Health Care programme has been a tremendous success with well over 100 trainees having participated since its inception. The objective, to build a critical mass of skilled, independent researchers and to increase the interdisciplinary and trans-disciplinary focus in primary health care, has clearly been met. The trainees, many now independent researchers, are influencing the way in which primary care research is being conducted. The applicants for the tenth and final year of training have been selected and discussion is underway in how to sustain this program.
Care-By-Design (CBD), a new model of primary medical care in Long Term Care in the Capital District Health Authority, aims to provide comprehensive, skilled, timely resident-centered care making appropriate use of specialized health care resources in serving residents. The coordinated nature of the CBD model has created relationships, lines of communication and structures for sharing ongoing concerns and collaborations for finding solutions. Preliminary are demonstrating the effectiveness of this approach to care.
The TRANSFORMATION Study is a multi-provincial research project aiming to improve both the science of performance measurement and the ways those results are reported to practitioners, decision makers, and the public to encourage improvement within the health care system. To view information on our four linked studies, please visit www.transformationphc.ca or contact our Project Manager, Stephanie Blackman, at email@example.com and follow us on Twitter. (@transformphc).
Screening for Poverty And Related social determinants and intervening to improve Knowledge of and links to resources (SPARK) is a multi-provincial study aiming to address poverty and social needs through sociodemographic data collection and screening for benefits and community resources.
This study will take place in primary health care clinics with a designated Patient Navigator offering assistance and follow-up to patients.
BRIC NS—Building Research for Integrated Primary Healthcare in Nova Scotia—is a research network that seeks to improve primary healthcare and integrated services for people with, or at risk of developing, complex healthcare needs. BRIC NS research is patient-oriented, which means it engages patients as partners and focuses on patient-identified priorities and improves patient outcomes.
BRIC NS is:
building capacity in Nova Scotia for the conduct and application of patient-oriented research
mobilizing research efforts and encouraging investigators to apply for funding available to network members
creating partnerships within and across various sectors of the health care system—including public health and primary health care, as well as secondary, tertiary, home and long-term care
looking outside the health sector to forge new connections with such important services as education, housing and social services
developing connections with counterpart networks in other provinces
leading the way to more comprehensive approaches to improving individual and population health, health equity and health system outcomes
engaging patients as partners in our governance and research projects
BRIC NS is the Nova Scotia Primary and Integrated Health Care Innovations Network, an initiative of the Strategy for Patient-Oriented Research (SPOR). BRIC NS has $1 million in funding over 5 years from the Canadian Institutes of Health Research (CIHR) and the Nova Scotia Health Research Foundation (NSHRF). Additionally, BRIC NS has facilitated the funding of multiple primary healthcare research projects.
BRIC NS has a tri-partite leadership model to ensure that science, policy and practice are working together to identify and support priority-driven research.
Science Lead: Fred Burge, Department of Family Medicine, Dalhousie University
Clinical Lead: Rick Gibson, Primary Health Care and Department of Family Practice, Nova Scotia Health Authority
Policy Co-Lead: Lynn Edwards, Primary Health Care & Chronic Disease, Nova Scotia Health Authority
Policy Co-Lead: Charmaine McPherson, Risk Mitigation Acute and Primary Care, Nova Scotia Department of Health and Wellness
BRIC NS members include individuals from across the province who have a research interest in primary and integrated healthcare. This includes primary care practitioners, researchers, decision-makers, citizens and learners. To learn more about BRIC NS, including how to join, visit the website.