Reham Abdelhalim

IHPME · HSR

Background Canada, like many other jurisdictions worldwide, is facing a nursing shortage. At the same time, high-income countries are facing a rapidly ageing and more complex older adult population. Demands for more responsive health care services are driving systems of care to meet the evolving needs of the ageing population. Internationally-educa...

In response to the global rise in chronic diseases among aging populations, healthcare systems are transitioning from acute care models to community-based interventions tailored to the diverse needs of older adults. This study aimed to explore the role of champions in implementing community-based interventions for older adults with chronic conditio...

Objective: To explore perceptions of early-career family physicians on the personal, educational, organizational, community, and system factors that had influenced their scope-of-practice decisions and to compare the similarities and differences among these factors across all 13 Canadian jurisdictions. Design: Qualitative descriptive study. Set...

Background: Integrated care models that bring together health and social care services in the communities where people live are necessary to meet people’s needs in an effective, person-centred, and sustainable manner. However, designing, implementing, and evaluating these models remain challenging particularly given the complexity of need, services...

Introduction: With the increase in life expectancy and the development of medical knowledge, the expectation that individuals will live a quality life till the very last days is becoming the norm. Palliative care is an approach that improves the quality of life of patients and their families facing the issues associated with life-threatening illnes...

Introduction: The complexity of navigating health and social care services is a common challenge to both providers and patients and their families. In the nineties, navigation programs arouse to assist cancer patients accessing services. Since then, those programs expanded to additional patient populations. Navigation programs can take various form...

Introduction A growing body of evidence suggests that older adults are particularly vulnerable to poor care as they transition across care environments. Thus, they require transitional care services as they transition across healthcare settings. To help make intervention research meaningful to the older adults the intervention aims to serve, many r...

The aging cohort of persons living with human immunodeficiency virus (HIV) in Canada has reached a critical point, with nearly half now 50 years age or older. Older persons living with HIV have specific needs which can be effectively addressed by geriatric specialists. However, the recognition of HIV care as a domain of geriatrics is recent, result...

Policy Points Considerable investments have been made to build high‐performing primary care systems in Canada. However, little is known about the extent to which change has occurred over the last decade with implementing programs and policies across all 13 provincial and territorial jurisdictions. There is significant variation in the degree of imp...

Background and objectives: Competency based medical education (CBME) aims to produce graduates prepared for independent practice. Many equate the outcome of "preparedness for practice" with acquisition of competence. As educators evaluate the outcomes of CBME, being clear on the concept of preparedness for practice will clarify the results that ar...

Introduction: Accountable Care Organizations (ACOs), implemented in the United States (US), aim to reduce costs and integrate care by aligning incentives among providers and payers. Canadian governments are interested adopting such models to integrate care, though comparative studies assessing the applicability and transferability of ACOs in Canada...

How does leadership emerge and function when multiple health care organizations come together to form a network? In this qualitative comparative case study, we draw on distributed leadership theory to examine the leadership practices that manifested during the implementation of three coordinated care networks. Thirty leaders and care providers part...

Patient-centred care is a key priority for governments, providers and stakeholders, yet little is known about the care preferences of patient groups. We completed a scoping review that yielded 193 articles for analysis. Five health states were used to account for the diversity of possible preferences based on health needs. Five broad themes were id...

Patient-centred care is currently a priority area of inquiry among researchers, decision-makers, and health system planners. The COVID-19 pandemic has reinforced the importance of ensuring health and social care services are delivered to users in a meaningful and effective manner that meets their needs and preferences. In order for patient-centred...

Virtual care is increasingly recognized as a vital component of high-quality healthcare and may hold promise in strengthening access to primary care in northern, rural, and remote areas of Canada. In Canada, as seen around the world, the adoption of virtual care has accelerated as part of health system responses to COVID-19. Though the northern, ru...

Delayed discharge, also known as alternate level of care (ALC), is a longstanding challenge facing health systems globally. In Canada, ALC is a designation used to identify “patients that are receiving care in a setting where the intensity and type of care offered is no longer appropriate for their current needs.” According to the Canadian Institut...

Introduction: Person-centered integrated care (PC-IC) is a concept combining person-centeredness and integrated care to better improve care for people with complex health and social needs. The World Health Organization describes PC-IC as “health services that are managed and delivered in a way so that patients receive both preventive and curative s...

Introduction: Recently, there has been a paradigm shift in healthcare that calls for positioning patients as active partners in healthcare rather than passive recipients. This active partnership is even more evident with patients who live with multiple chronic diseases because with time, these patients become experts in their own bodies, symptoms a...

Providing care for increasingly medically and socially complex populations is a well-recognized challenge that necessitates coordinating services across multiple sectors and organizations. There is a need to re-organize how care is delivered to align with coordination efforts, in the form of inter-organizational networks. However, substantial gaps...