Implementation contexts and the impact of policing on access to supervised consumption services in Toronto, Canada: a qualitative comparative analysis

#Abstract

#Background

Supervised consumption services (SCS) are being implemented across Canada in response to a variety of drug-related harms. We explored the implementation context of newly established SCS in Toronto and the role of policing in shaping program access by people who inject drugs (PWID).

“That's a double-edged sword”: Exploring the integration of supervised consumption services within community health centres in Toronto, Canada

#Highlights

  • Integrating SCS within health centres provided clients access other health services.
  • Hours of operation were seen as a barrier to SCS service uptake.
  • The building layouts created privacy and anonymity concerns for clients.

#Abstract

Case Study: West End Quality Improvement Collaboration

The West End Quality Improvement Collaboration is a partnership of six community health centres in Toronto that was established with the goal of increasing the efficiency and effectiveness of service delivery by working alongside one another on quality indicators. Community health centres are funded to serve the most marginalized populations, which include people living in poverty, homeless people, street-involved people, newcomers and lesbian, gay, bisexual, transgender, queer (or questioning) people.

Community orientation in primary care practices: Results from the Comparison of Models of Primary Health Care in Ontario Study

#Abstract

Objective: To determine which of 4 organizational models of primary care in Ontario were more community oriented.

Design: Cross-sectional investigation using practice and provider surveys derived from the Primary Care Assessment Tool, with nested qualitative case studies (2 practices per model).

Nutrition and obesity care in multidisciplinary primary care settings in Ontario, Canada: Short duration of visits and complex health problems perceived as barriers

#Highlights

  • Nutrition was perceived to be an important topic when discussing weight.
  • Primary care providers perceived their knowledge in nutrition to be suboptimal.
  • Access to allied health professionals facilitated referrals.
  • Electronic Medical Records facilitated obesity management and communication.
  • Lack of time and increase in multimorbidities hindered preventive care.

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