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Article
Open AccessPatient and family views of team functioning in primary healthcare teams with nurse practitioners: a survey of patient-reported experience and outcomes
Nurse practitioners (NPs) have been added to primary healthcare teams to improve access to care. Team processes, including communication and decision-making, explicate how patients and families view team funct...
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Article
Open AccessInternational changes in end-of-life practices over time: a systematic review
End-of-life policies are hotly debated in many countries, with international evidence frequently used to support or oppose legal reforms. Existing reviews are limited by their focus on specific practices or se...
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Article
Open AccessA process-based framework to guide nurse practitioners integration into primary healthcare teams: results from a logic analysis
Integrating Nurse Practitioners into primary care teams is a process that involves significant challenges. To be successful, nurse practitioner integration into primary care teams requires, among other things,...
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Article
Open AccessMap** the coverage of attributes in validated instruments that evaluate primary healthcare from the patient perspective
Primary healthcare in developed countries is undergoing important reforms, and these require evaluation strategies to assess how well the population's expectations are being met. Although numerous instruments ...
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Article
Open AccessAt the interface of community and healthcare systems: a longitudinal cohort study on evolving health and the impact of primary healthcare from the patient's perspectiv
Massive efforts in Canada have been made to renew primary healthcare. However, although early evaluations of initiatives and research on certain aspects of the reform are promising, none have examined the link...
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Article
Open AccessInvestigating the barriers to teaching family physicians' and specialists' collaboration in the training environment: a qualitative study
Collaboration between physicians in different specialties is often taken for granted. However, poor interactions between family physicians and specialists contribute significantly to the observed discontinuity...
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Article
Experiences and Decisions that Motivate Women at Increased Risk of Breast Cancer to Participate in an Experimental Screening Program
Although the discovery of mutations on BRCA1 and BRCA2 genes associated with high breast cancer risk has given rise to screening and surveillance initiatives, there is little documentation on why high-risk wom...
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Article
Open AccessThe role of economic evaluation in the decision-making process of family physicians: design and methods of a qualitative embedded multiple-case study
A considerable amount of resource allocation decisions take place daily at the point of the clinical encounter; especially in primary care, where 80 percent of health problems are managed. Ignoring economic ev...
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Screening for Endometrial Cancer: Why It Is Premature to Recommend It
Cancer of the endometrium is the most frequent invasive cancer of the female genital tract.1,2 However, it is not one of the leading causes of death among women in Canada.3,4 From 1960 to 1973, the death rate dro...