Elizabeth Wilcox

• Master of Arts
• University of British Columbia

Background Health workers, in short supply in many low-and-middle-income countries, are at increased risk of SARS-CoV-2 infection. This study aimed to assess how South Africa, prepared to protect its health workers from SARS-CoV-2 infection. Methods This was a cross-sectional study design applying participatory action research in four provinces of...

Background Since Canadian drug regulatory approval of mifepristone for medical abortion in 2015 and its market availability in January 2017, the role of pharmacists in abortion provision has changed rapidly. We sought to identify the factors that influenced the initiation and provision of medical abortion from the perspectives of Canadian pharmacis...

Background: Health workers, in short supply in many low-and-middle-income countries (LMICs), are at increased risk of SARS-CoV-2 infection during their employment. This study aimed to assess how South Africa, an LMIC, prepared to protect its health workers from SARS-CoV-2. Methods: This was a participatory mixed method study conducted in four provi...

Background: Patients with a history of cesarean may benefit from shared decision-making (SDM) interventions, such as patient decision aids, that provide individualized clinical information and help to clarify personal preferences. We sought to understand the factors that influence how care practitioners support choices for mode of birth and what i...

Purpose: Access to family planning health services in Canada has been historically inadequate and inequitable. A potential solution appeared when Health Canada approved mifepristone, the gold standard for medical abortion, in July 2015. We sought to investigate the factors that influence successful initiation and ongoing provision of medical abort...

Ways to address the increasing global health workforce shortage include improving the occupational health and safety of health workers, particularly those in high-risk, low-resource settings. The World Health Organization and International Labour Organization designed HealthWISE, a quality improvement tool to help health workers identify workplace...

Objectives We sought to investigate the factors that influence successful initiation and ongoing provision of medical abortion services among Canadian health professionals, and how these factors relate to abortion policies, systems, and service access throughout Canada. Methods We conducted one-on-one semi-structured interviews at baseline (2017)...

Objectives Mifepristone for first-trimester medical abortion (MA) became available in Quebec in 2018, one year after the rest of Canada. Using the transtheoretical model of change (TTM), we investigated factors influencing the implementation of mifepristone MA by physicians in Quebec. Methods Semi-structured interviews were conducted with 37 Quebe...

Objectives: Mifepristone for first-trimester medical termination of pregnancy (MTOP) became available in Quebec in 2018, one year after the rest of Canada. Using the theory of the Diffusion of Innovation (DOI) and the transtheoretical model of change (TTM), we investigated factors influencing the implementation of mifepristone MTOP in Quebec. Mater...

Objective: Mifepristone became available in Canada in January 2017, but provincial medical policy delayed its use for medical abortion (MA) in Québec for 1 year. The objective of this study was to identify barriers and facilitators experienced by physicians who could potentially provide this newer abortion practice in Québec. Methods: This study...

Healthcare workers (HCW) face the risk of occupational exposure to infectious diseases, especially in countries with high burdens of tuberculosis (TB) and human immunodeficiency virus (HIV). Disclosure of TB and/or HIV status is needed to ensure prompt action and treatment, and, in the case of TB, prevent transmission to co-workers and patients. Tr...

Despite the suggested benefits of shared decision-making (SDM), its implementation in policy and practice has been slow and inconsistent. Use of complex adaptive systems (CAS) theory may provide understanding of how healthcare system factors influence implementation of SDM. Using the example of choice of mode of birth after a previous caesarean sec...

Objective Medication non-adherence is a substantial problem among patients with inflammatory arthritis (IA). Our aim was to explore IA patients’ perspectives on strategies to support medication adherence. Methods We collaborated with a leading arthritis patient group and conducted a qualitative study on individuals with IA who were taking at least...

Objective: The aim of the study was to explore the factors that contributed to the adoption of opportunistic salpingectomies (removal of fallopian at the time of hysterectomy or in lieu of tubal ligation) by gynecologic surgeons in British Columbia (where a knowledge translation initiative took place) and in Ontario (a comparator where no knowledg...

Introduction HealthWISE is a participatory, quality improvement tool, jointly developed by the International Labour Organisation and the World Health Organisation, to improve the occupational health and safety (OHS) of health workers. Its implementation in practice has been inadequately studied. We therefore conducted a three-country comparative ca...

United States-based biorepositories are on the cusp of substantial change in regulatory oversight at the same time that they are increasingly including samples and data from large populations, e.g. all patients in healthcare system. It is appropriate to engage stakeholders from these populations in new governance arrangements. We sought to describe...

Agenda for Los Angeles Deliberative Community Event. (PDF)

Deliberant-Generated Recommendations & Vote Counts. (PDF)

Briefing Book. (PDF)

Agenda for San Francisco Deliberative Community Event. (PDF)

We evaluated a patient education pamphlet on vaginal birth after cesarean (VBAC). Focus groups with 17 women in 4 communities involved a 5-item knowledge pretest and question on intention to plan VBAC, reading the pamphlet, a knowledge posttest, and a moderated discussion. Forming a preference for birth after cesarean was characterized by (a) conso...

Background: Repeat cesarean delivery is the single largest contributor to the escalating cesarean rate worldwide. Approximately 80 percent of women with a past cesarean are candidates for vaginal birth after a cesarean (VBAC), but in Canada less than one-third plan VBAC. Emerging evidence suggests that these trends may be due in part to nonclinica...

Problem: Clinical practice guidelines indicate that over 80% of women with a previous caesarean should be offered a planned vaginal birth after caesarean (VBAC), however only one third of eligible women choose to plan a VBAC. To support informed choices for birth after caesarean, it is necessary to understand the factors that influence women's dec...

Rapid advances in human microbiome research point to an increasing range of health outcomes related to the composition of an individual's microbiome. To date, much research has focused on individual health, with a paucity of attention to public health implications. This is a critical oversight owing to the potentially shared nature of the human mic...

Purpose: Vaginal birth after cesarean (VBAC) is considered a safe and cost-effective option for the majority of women with a previous cesarean, yet only 20% of eligible women actually choose a VBAC. The objective of this study was to test the usability of a patient information brochure on VBAC. Method: Brochure development was guided by a multidi...

This article presents a discussion of students' perspectives on encountering new, complex, and contrasting perspectives in health services research (HSR). Training in HSR traditionally requires students to attain a deep understanding of the philosophical, clinical, cultural, historical, and organizational discourses that contribute to understanding...