Health System Impact Fellowship

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

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 gaps in knowledge regarding the health of people with a multiple complex needs designation and effective service delivery mechanisms at points of intersection with the healthcare system. This research project will advance CLBC's research efforts through two key objectives.

Primary Investigator: 
Year: 
2019

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

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 women. In recent decades, advancements in breast cancer screening and treatments have resulted in approximately 87% of Canadian women diagnosed with breast cancer surviving 5 years after diagnosis.

Primary Investigator: 
Year: 
2019

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

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 societal costs not included in these estimates relate to inequities, marginalization and hindered social development.  This project aims to develop a model to evaluate the economic and social impact of legal substance use harm prevention in British Columbia.

Primary Investigator: 
Year: 
2019

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

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 members about the potential health risks associated with declining air quality due to increased industrial emissions.

Primary Investigator: 
Year: 
2019

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

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 increasing contamination of the illicit drug supply with powerful synthetic opioids (e.g., fentanyl). Despite efforts to expand harm reduction services and treatments for opioid use disorder, these have had limited success in curbing the current crisis.

Primary Investigator: 
Year: 
2019

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

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 indicated they would like to die at home, 45% of Vancouver Island residents die of in acute care. Clearly there exists a service gap and it appears possible that such a gap may be larger in the LGBTQI2S community.

Primary Investigator: 
Year: 
2019

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

In partnership with the BC Academic Health Science Network and the UBC Centre for Health Services and Policy Research (CHSPR) Singal will support the strategic and operational development of the BC AHSN.

Priority 1 is to develop and execute a regional level initiative that contributes to the provincial priority of enhancing primary health care delivery in BC and contributing to the development of a robust data platform. 

Primary Investigator: 
Year: 
2018

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

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 its initial cohort of care homes participating in a 'Call for Less Antipsychotics in Residential Care' (CLeAR) quality improvement (QI) initiative in response to rising concerns over inappropriate antipsychotic use in residential care. 

Primary Investigator: 
Year: 
2018

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

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 more potent opioids in the illegal drug supply market. 

Primary Investigator: 
Year: 
2018

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

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 challenges, the Ministry of Health needs a clear understanding of how many active family doctors are working within provincial borders, how many are providing comprehensive and patient-centered care, how they structure their practices, and how patients access (or do not access) the services they provide. 

Primary Investigator: 
Year: 
2018

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

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 initiative provides leadership, strategy, policy, collaboration, and funding to bring patient voice, choice, and representation to the forefront of the health sector. 

Primary Investigator: 
Year: 
2018

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

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 differences in cascades of care (diagnosis, initiation of treatment, cure and retention in care). 

Primary Investigator: 
Year: 
2018
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