CAHSPR HHR Theme Group Awards 2015

cahspr 2015 award winners

 Congratulations to the Winners of the 2015 CAHSPR HHR Theme Group ''Best HHR Presentation/Poster Award''

We are very pleased to congratulate the following winners of the CAHSPR HHR Theme Group "Best HHR Presentation/Poster Award". Potential candidates considered for entry were selected from the 2015 CAHSPR Conference Program and evaluated by judges/ experts in the field of HHR namely: Dr. Morris Barer, Dr. Ivy Lynn Bourgeault, Dr. Maria Mathews, Dr. Brenda Gamble.

The award ceremony took place at the annual CAHSPR conference on Thursday May 28th 2015 and were presented by Dr. Ivy Lynn Bourgeault, past lead of the CAHSPR HHR Theme Group. Winners were received an invitation to showcase their HHR research on the CHHRN website and upcoming newsletter in addition to a webinar presentation to be hosted in the fall 2015. 

 Best Non-Student HHR Presentation Award Winners!

Improving Care and Support for Unpaid Caregivers in Ontario: Findings from a Citizen Panel

Presenter: Dr. Michael Wilson, Assistant Director, McMaster Health Forum

Co-Authors: François-Pierre Gauvin, McMaster Health Forum / John Lavis, McMaster Health Forum / Jenny Pleog, School of Nursing, McMaster University

Summary of the Presentation: 

In November 2014 the McMaster Health Forum convened a panel of 10 citizens to share their ideas and experiences related to improving care and support for unpaid caregivers. Panel participants were provided with a citizen brief that summarized in lay language what is known about the underlying problem, three options to address the problem and implementation considerations, and the panel consisted of facilitated deliberations about each of these areas. During the deliberations, four challenges were consistently raised: 1) caregivers’ heavy burden can cause anxiety about its impact on their own and other’s health; 2) financial and employment impacts of caregiving are substantial; 3) many caregivers don’t know about available services or how to access them; and 4) caregivers’ roles are not fully recognized or supported. Two values-related themes emerged with some consistency related to options for addressing the challenges: 1) competence (e.g., educating and training unpaid caregivers to provide optimal care) and 2) empowerment (e.g., supporting unpaid caregivers to become strong advocates for their loved ones and for themselves).

Download the power point presentation

Presenter Biography:

IMG 3372 option1 colour-for-mikeMike Wilson is the assistant director of the McMaster Health Forum, as well as an assistant professor in the Department of Clinical Epidemiology and Biostatistics, and a member of the Centre for Health Economics and Policy Analysis at McMaster University. His research is focused on supporting the use of research evidence by health system decision-makers, including policymakers and stakeholders such as community-based organizations. Some of Mike’s recent work has focused on conducting syntheses to inform stakeholder dialogues and citizen panels to address a range of pressing policy issues, including improving care and support for unpaid caregivers and integrating care for people with multiple chronic health conditions. 


Best Non-Student HHR Poster Award Winner!

Comprehensive Primary Care Physicians: Who are They and Whom do They Serve?

Presenter: Dr. Rick Glazier, Senior Epidemiologist, and Ms. Susan Schultz, Epidemiologist, Institute for Clinical Evaluative Sciences (ICES)

Glazier  Schultz 2015

Summary of the Presentation: 

The objectives of this research project were to distinguish between physicians in comprehensive, focused and other types of primary care practice and to determine the number physicians in each group and how this has changed over time.  Using the Ontario Health Insurance Plan (OHIP) database of physician billings and information about physician affiliation with primary care models, a hierarchical, seven-step algorithm was developed that defines: the primary care 'pool' of physicians; core primary care services; focused practice; primary care activity areas; comprehensive practice.  The number of comprehensive primary care physicians rose by 19% between 1992/93 and 2010/11 and increased from 65% of the primary care pool to 72%. During the same period those in focused practice increased from 9% to 11% of the primary care pool. This is one of the first attempts to measure the comprehensiveness of primary care office practice. It demonstrates that comprehensiveness is increasing in Ontario.

Presenter Biographies:

S SchultzSue Schultz is a senior epidemiologist at ICES and has been working on physician HHR-related projects since 2001.  At ICES, her HHR-related projects have included development of the ADIN model for predicting physician supply in Ontario (with Ben Chan); the development and maintenance of the ICES Physician Database (with Ben Chan and others); the acquisition and analysis of non-fee-for-service physician payment information and the Physician Compensation Review project.  Outside of ICES, Sue is the ICES representative on the Ontario Physician Workforce Database Working Group.  She has also participated in a) CIHI's review of the National Physician Database methodology; b) the Conference Board of Canada Expert Panel on Physician Forecasting and Modeling c) Pan-Canadian Health Human Resource (HHR) Planning Subcommittee, as part of their HHR Data and Modelling Workshop.  Most recently she has been collaborating with Rick Glazier in the development of an administrative data-based definition of comprehensive primary care practice.

GLAZIER jpegRick Glazier is a family physician and senior scientist and program lead of Primary Care and Population Health at the Institute for Clinical Evaluative Sciences (ICES). He is a staff physician at St. Michael's Hospital and a scientist in its Centre for Research on Inner City Health. At the University of Toronto, Dr. Glazier is a professor in the Department of Family and Community Medicine, and cross-appointed at the Institute of Health Policy, Management and Evaluation and at the Dalla Lana School of Public Health.  His research interests include evaluating health system transformation, primary care health services delivery models, health of disadvantaged populations, management of chronic conditions, and population-based and geographic methods for improving equity in health.  His interest in health human resources focuses on the distribution and role of primary care providers and teams in relations to models of care and population health needs. 


Best Student Presentation Award Winner!

Part-time Nurse Faculty Intent to Remain Employed in Academia

Presenter: Ms. Era Mae Ferron, Project Coordinator, Public Services & Safety Association

Co-Authors: Ann Tourangeau, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto / Greta Cummings, Faculty of Nursing, University of Alberta / Whitney Berta, Institute of Health Policy, Management and Evaluation, University of Toronto

Summary of the Presentation: 

Retaining qualified part-time nurse faculty in academia is a key component to manage the overall shortage of nurses. The objective of this study was to test and refine a model of part-time nurse faculty intent to remain (ITR) employed in the academic organization. This study used a cross-sectional survey design. A total of 282 part-time nurse faculty employed within Ontario, Canada colleges or universities were invited to participate. Survey instruments and items measured demographic, workplace, nurse responses to the workplace, and external variables. The survey was tested for feasibility prior to administration. Survey administration followed the Tailored Design Method (Dillman et al., 2009). Eligible participants were contacted up to 5 times over a 10-week period. Correlation and multiple regression analyses were conducted using data from 119 respondents (47.6% true response rate). Seven variables were found to influence ITR. The resulting model indicated that the older the part-time nurse faculty member, the lower the level of ITR and the more years worked in the organization, the higher the level of ITR. The more opportunities perceived to exist outside of the employing organization, the higher the level of ITR. In the workplace, the more support from the leader, the more formal or informal recognition received, and the more fair work procedures were perceived to be, the higher levels of part-time nurse faculty ITR. Additionally, the more satisfied part-time nurse faculty were with their job overall, the higher their level of ITR. Job satisfaction also functioned as a mediating variable. To encourage part-time nurse faculty to remain employed in academia, leaders should focus on enhancing overall job satisfaction. Effective strategies may include formal or informal acknowledgement of good performance, consistent verbal and behavioural support, and procedural decisions (such as performance evaluations and pay raises) made in a fair manner. 


Trends Among Specialist Physician Unemployment in Canada: Gaining Understanding of This New Phenomenon

Presenter: Mr. Arun Shrichand, Manager Health Systems and Policy, Royal College of  Physicians and Surgeons of Canada 

Co-Authors: Danielle Fréchette, Royal College of Physicians and Surgeons of Canada / Arun Shrichand, Royal College of Physicians and Surgeons of Canada / Steve Slade, Royal College of Physicians and Surgeons of Canada

Summary of the Presentation: 

The Royal College of Physicians and Surgeons of Canada mounted a longitudinal study in 2011 examining the issue of unemployment and underemployment among some newly certified medical specialists in Canada. Quantitative data has been collected since 2011 through an online survey administered to every new Royal College specialty and subspecialty certificant. The survey instrument has been designed to identify medical specialties and subspecialties for which employment problems among new certificants problems exist and the reasons why job seekers report they can’t find work.  Additionally, the Royal College has undertaken a follow-up survey with participants from the 2013 cohort of the annual study who reported they were unable to find employment. 

This presentation provides a snapshot of recent findings from the annual survey and additional insights gleaned from the 2013 cohort survey.

Download the power point presentation

Presenter Biography:

Arun Shrichand 2015

Mr. Arun Shrichand is a Senior Policy Analyst for the Office of Health Systems Innovation and External Relations at the Royal College of Physicians and Surgeons of Canada.  For the last five years, he has been involved in the Royal College’s various ventures in human resources for health-related research, including the National Physician Survey and the Royal College’s Employment Study. 

Mr. Shrichand obtained a Bachelor’s degree in Political Science from Carleton University in 2007 and is currently completing a Master’s Degree in Public Administration at Dalhousie University. 


Best Student Poster Award Winners!

Gender Differences in Primary Care Clinical Activity and Update of Incentive Programs in British Columbia: A Preliminary Analysis

Presenter: Ms. Lindsay Hedden, PhD Candidate, School of Population and Public Health, UBC

Lindsay 2015 poster

Summary of the Presentation: 

The objective of this study is to examine the extent to which observed differences in physician income and activity between male and female primary care physicians are driven by differential uptake of a) non-clinical payments, including bonuses, incentives, on-call payments and others; and b) alternative-payment programs (APP). We used population-based administrative data from PopDataBC to model percent of compensation for non-clinical activities, and percent of compensation from APP and FFS sources using generalized linear models for 2005-2012. Average physician compensation remained constant during the study period. Payments for non-clinical activity increased significantly (from $19,935 to $35,980) while payments for clinical care declined (from $200,723 to $184,374). The proportion of physicians' income derived from non-clinical and APP sources increased significantly over the study period. Male physicians had significantly higher income for all study years. From 2007/8 forward, significantly more of male physicians’ income came from non-clinical activities compared with females. Non-clinical activities accounted for 11% of the income gap between male and female physicians in 2005/6; this increased to 22% in 2011/12. Female physicians, received a significantly larger proportion of their income from APP sources for the duration of the study period, offsetting the observed gender gap in FFS billings. Differential uptake of non-clinical payments and APP remuneration schemes appear to be significant drivers of the income/activity difference between male and female physicians. The increasing proportion of physician payments for non-clinical activities and the reduction in clinical care billings raises concerns about maintaining adequate primary care service supply in future.

Presenter Biography:

Lindsay Hedden 2015Ms. Hedden is a PhD candidate in the School of Population and Public Health at the University of British Columbia (UBC), supervised by Dr. Morris Barer. Her thesis work relies on BC’s powerful population-based administrative data resources to comprehensively assess the impact of the increasing proportion of the primary care workforce who are women. It focuses specifically on gender-driven differences in career trajectories, activity, patient and service mix and scopes of practice. She is currently work as a Policy Analyst for the Centre for Health Services and Policy Research where she is currently working on projects related to physician retirement patterns and the use of non-fee-for-service remuneration. She was previously employed by the Canadian Centre for Applied Research in Cancer Control as a health economist.  She has a master’s degree in Epidemiology from UBC, and an Honours Bachelor of Science in Health Studies from Waterloo.  Her areas of interest focus broadly on heath service delivery and workforce issues, in both primary care, and cancer control. 


Primary care Provider Perception of the Challenges of Managing Patients with Mental-Physical Mutlimorbidity: A Qualitative Study

Presenter: Mr. Matthew Menear, Post-Doctoral Laval University

Co-Author(s): Pasquale Roberge, Université de Sherbrooke / Anne-Marie Cloutier, CRCHUM / Louise Fournier, Université de Montréal

M.Menear Poster

Summary of the Presentation: 

In primary care, patients presenting with multiple chronic conditions (i.e. multimorbidity) is common.  Primary care providers often find it challenging to manage patients with multimorbidity, but less is known about the specific challenges of managing patients with both chronic physical conditions and mental disorders (i.e. mental-physical multimorbidity).  We thus aimed to explore primary care providers’ perceptions and experiences related to the everyday challenges of caring for these complex patients.  Our study was part of a larger qualitative multiple case study conducted in Montreal, Quebec.  We conducted semi-structured interviews with 16 professionals (e.g. family physicians, nurses, psychologists, social workers, etc.) from five primary care clinics and analyzed our data using a thematic approach.  Beyond factors related to the patients themselves, providers reported that challenges included a lack of interprofessional communication and practices, misaligned organizational roles and procedures, and issues with professional training and scope of practice.  These findings can support quality improvement efforts for patients with mental-physical multimorbidity in primary care.

Presenter Biography:

M.MenearMr. Matthew Menear is a postdoctoral fellow and KT Canada STIHR fellow in the Department of Family Medicine and Emergency Medicine at Laval University.  He completed a PhD in public health with a specialization in the organization of health services from the University of Montreal.  During his doctorate he received strategic training in mental health services research and in interdisciplinary primary health care research.  He is currently training under the guidance of Dr. France Légaré, holder of the Canada Research Chair in Implementation of Shared Decision Making in Primary Care.  His research aims to understand how to better engage patients and their families in primary mental health care and how this may foster more collaborative and integrated practices and services.  Mr. Menear's interest in health human resources stems from his interest in implementing new models of care that are highly person- and family-oriented.

Join the webinars for these award winning presentations this Fall 2015!!

See the CAHSPR HHR Theme Group Award Winners for 2014

Health Canadacihr logo1This initiative has been generously funded by grants from Health Canada and the Canadian Institutes of Health Research. The views expressed here do not necessarily reflect those of the funders.