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Changes in patterns and referrals of Nova Scotians seeking mental health care through 2-1-1 Referral Service [Health care services, delivery, and financing]

Annals of Family Medicine

Context 2-1-1 is a designated phone help line in Canada and the US that provides referrals for individuals to local government and community-based services for a wide variety of needs, including social, health care, and mental health services. 2-1-1 Nova Scotia has operated since 2013 as a nonprofit that offers 24/7 assistance.

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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

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Patient experience with Social Prescribing Program in Ontario, Canada [Social determinants and vulnerable populations]

Annals of Family Medicine

Study design, setting, population Qualitative study using semi-structured interviews with 32/326 Ontarians participating in the ARC-211 randomized control trial (2019-2020).

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Using EMR data to describe administrative workload of primary care providers in Nova Scotia, Canada [Secondary data analysis]

Annals of Family Medicine

Context: Primary care providers in Canada face significant workload challenges, including managing prescriptions, referrals, and laboratory tests alongside patient visits. Outcome measures: Average number of prescriptions, referrals, and laboratory tests per encounters among primary care providers in Nova Scotia from 2007 to 2022.

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Impact of the COVID-19 Era on Preventative Primary Care for Children 0-5 years old: A Scoping Review [Child and adolescent health]

Annals of Family Medicine

Restrictions and subsequent adaptions to routine care may have affected a variety of outcomes for young children including growth and development, referral rates and wait times, and the identification and management of developmental delays. Intervention: The COVID era was defined as March 11, 2020-May 11, 2023.

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Electronic consultation questions asked to addiction medicine specialists by primary care providers: Retrospective content analysis

Canadian Family Physician

Design A descriptive, retrospective study of the eConsult cases submitted to addiction medicine specialists between January 1, 2020, and December 31, 2021. Providers reported finding the eConsult responses helpful, with nearly one-third of PCPs reporting a potential referral was avoided following an eConsult from specialists.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

They quantified time, paperwork, communication, technology (number of mouse clicks to order a CRC screening test), other administrative tasks, and low-value CRC screenings. Even in a population where everyone has the same health insurance, having more social needs is associated with lower CRC screening rates.