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Clinical outcomes and health care costs among people entering a safer opioid supply program in Ontario

Background: London InterCommunity Health Centre (LIHC) launched a safer opioid supply (SOS) program in 2016, where clients are prescribed pharmaceutical opioids and provided with comprehensive health and social supports. We sought to evaluate the impact of this program on health services utilization and health care costs.

Methods: We conducted an interrupted time series analysis of London, Ontario, residents who received a diagnosis of opioid use disorder (OUD) and who entered the SOS program between January 2016 and March 2019, and a comparison group of individuals matched on demographic and clinical characteristics who were not exposed to the program. Primary outcomes were emergency department (ED) visits, hospital admissions, admissions for infections and health care costs. We used autoregressive integrated moving average (ARIMA) models to evaluate the impact of SOS initiation and compared outcome rates in the year before and after cohort entry.

Results: In the time se ....

United Kingdom , City Of , North Carolina , United States , United Kingdom General , Tonya Campbell , Tara Gomes , Gillian Kolla , Andrea Sereda , Tony Antoniou , Daniel Mccormack , Ontario Ministries Of Health Or Long , Ontario Mental Health Reporting System , Unity Health Toronto Research Ethics Board , National Ambulatory Care Reporting System , Solutions Canada Inc , Canada Post Corporation , Ontario Ministry Of Health , Ontario Personal Health Information Protection , Canadian Network On Hepatitis , Addictions Program , Ontario Drug Policy Research Network , Canadian Institute Of Health Information , Health Outreach , London Public Health Unit , Ontario Health Insurance Plan ,

Diversity among health care leaders in Canada: a cross-sectional study of perceived gender and race

Background: Diverse health care leadership teams may improve health care experiences and outcomes for patients. We sought to explore the race and gender of hospital and health ministry executives in Canada and compare their diversity with that of the populations they serve.

Methods: This cross-sectional study included leaders of Canada’s largest hospitals and all provincial and territorial health ministries. We included individuals listed on institutional websites as part of the leadership team if a name and photo were available. Six reviewers coded and analyzed the perceived race and gender of leaders, in duplicate. We compared the proportion of racialized health care leaders with the race demographics of the general population from the 2016 Canadian Census.

Results: We included 3056 leaders from 135 institutions, with reviewer concordance on gender for 3022 leaders and on race for 2946 leaders. Reviewers perceived 37 (47.4%) of 78 health ministry leaders as women, and ....

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