health services delivery

Out-of-hospital-cardiac arrest: Care gaps and opportunities to improve long-term survival

Out-of-hospital-cardiac arrest (OHCA) affects 40,000 Canadians per year. Cardiac arrest is the sudden loss of heart beating, and can occur in people with or without known heart disease. In British Columbia (BC), only 15% of these patients live (50% die before hospital, 35% die in hospital), less than 50% receive bystander cardiopulmonary resuscitation, and only 3% receive bystander automatic external defibrillation. Due to a lack of connected data, little is known about the effect of treatments on long term survival, brain function and quality of life after leaving hospital.

Primary Investigator: 
Year: 
2019

Improving the methods of economic evaluation to support decision-making: CAR-T, uncertainty, and real-world evidence

The emergence of novel technologies in health care is associated with promising opportunities to improve patient health outcomes. Advances in health technologies also come at a substantial cost. New gene therapies have been estimated to cost between $300,000-$4,000,000 per patient. These new therapies offer promise, but do not offer certainty; decision-makers have to choose whether to reimburse the therapy with little evidence for how it might work in the real-world.

Primary Investigator: 
Award Type: 
Year: 
2019

Precision medicine to drive prevention and management strategies for women with endometrial cancer

Endometrial cancer (EC), or cancer of the uterus, is the most common gynecological cancer in Canada, with new cases and deaths increasing annually, due to an increase in the rate of common risk factors, like obesity. In British Columbia, the number of new EC cases is projected to increase by 50% and mortality to double by 2031. We must investigate economically feasible prevention strategies to control the rate of this cancer.

Primary Investigator: 
Award Type: 
Year: 
2019

Adapting BC’s healthcare system for equitable and tailored service provision to sexual and gender minorities

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people face judgment and discrimination on the basis of their sexualities and genders. This leads many LGBTQ people to avoid seeking treatment from the healthcare system, to hide aspects of their sexuality/gender when seeking care, or to selectively visit LGBTQ-affirming providers.

The goal of this research program is to develop a comprehensive understanding of healthcare access patterns among LGBTQ people in BC.

Objectives:

Primary Investigator: 
Award Type: 
Year: 
2019

Implementation and evaluation of an enhanced PharmaNet-based adverse drug event reporting platform to improve patient safety and meet adverse drug reaction reporting requirements

MSFHR is contributing match-funding towards Dr. Ellen Balka’s research (co-led with Dr. Corinne Hohl, recent awardee of Clinician Scientist Award), one of 22 projects as part of the Canadian Institutes for Health Research (CIHR) eHealth Innovation Partnership Program (eHIPP). eHIPP was designed to address gaps in health care — including supporting seniors with complex care needs in their home — by stimulating collaborations between health researchers and Canadian innovative technology companies.

Primary Investigator: 
Award Type: 
Year: 
2015

The DCD Advocacy Toolkit: Supporting diagnosis and intervention for children with developmental coordination disorder in British Columbia

Co-leads:

  • Jill Zwicker
    University of British Columbia
  • Ivonne Montgomery
    Sunny Hill Health Centre for Children
  • Giovana Boniface Canadian Association of Occupational Therapists - BC

Trainee:

Primary Investigator: 
Award Type: 
Year: 
2017

Knowledge mobilization for reducing stigma and creating culturally safe primary care

Co-leads:

  • Bernadette Pauly
    University of Victoria
  • Bill Bullock
    Victoria Division of Family Practice
  • Karen Urbanoski
    CISUR / UVic

Trainee:

Primary Investigator: 
Award Type: 
Year: 
2018

Game on: Disseminating research for improving hospital dementia care

Co-leads:

  • Habib Chaudhury
    Simon Fraser University
  • Jan Robson
    Alzheimer Society of BC

Trainee:

Primary Investigator: 
Award Type: 
Year: 
2018

Mifepristone outcomes study: Examining abortion access, outcomes, and costs following the introduction of mifepristone

Abortion is a common reproductive health procedure, with nearly one-third of women in Canada having had at least one abortion. However, abortion access is not equitable. Most abortions are surgical, and are provided in a small number of facilities located in BC’s largest cities. Some women, particularly those in rural or remote regions, experience significant wait times and must travel long distances to reach abortion services.

Primary Investigator: 
Award Type: 
Year: 
2018

Optimizing care for opioid use disorder in British Columbia

British Columbia is facing an unprecedented and escalating opioid crisis, underscoring the urgent need for innovative science-driven solutions. There is critical implementation gap of evidence-based care for opioid use disorder (OUD), this research will seek to narrow this gap.

First, Dr. Socias will seek to advance the implementation of evidence-base treatments for OUD, by leading a series of ongoing and planned clinical trials evaluating innovative and promising models of care (e.g., take-home strategies) and alternate treatment options (e.g., slow-release oral morphine).

Primary Investigator: 
Award Type: 
Year: 
2018
Partners: 

Innovative uses of technology to prevent secondary events after stroke

Stroke is a leading cause of death and disability in Canada, costing our economy $3.6 billion per year. More than 405,000 people are currently living with the effects of stroke. This number is expected to rise to 720,000 by 2038.

Primary Investigator: 
Award Type: 
Year: 
2018

Improving youth mental health and substance use outcomes through primary-care based health services

Mental health and substance use (MHSU) disorders affect 1 in 4 Canadian youth. Of all age groups, young Canadians (ages 15 to 24) have the poorest access to health services. In response, British Columbia (BC) established a primary health initiative called 'Foundry' to promote and support early treatment for young people with MHSU disorders. Foundry is comprised of seven centres that provide integrated, coordinated health services for young people.

Primary Investigator: 
Award Type: 
Year: 
2018

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