Health System-Level Factors Influence the Implementation of Complex...
Background: The movement of new knowledge and tools into healthcare settings continues to be a slow, complex and poorly understood process. In this paper, we present the system-level factors important...
View ArticleUsing Performance Status to Guide Initiation of Palliative Care Support among...
Using Performance Status to Guide Initiation of Palliative Care Support among Patients with Cancer
View ArticleThe Opportunity and Strategy for Quality and Health-System Improvement Now...
[This article was originally published in <a href="http://www.longwoods.com/content/24011">Healthcare Quarterly, 17 (Special Issue)]</a> Since 2004, Cancer Care Ontario...
View ArticleImproving Health Equity for First Nations, Inuit and Métis People: Ontarios...
[This article was originally published in <a href="http://www.longwoods.com/content/24007">Healthcare Quarterly, 17 (Special Issue)]</a> Cancer incidence is increasing...
View ArticleFrankly, My Dear, I Dont Give a Damn
Four years ago, Michelle Holmes, Wendy Chen and collegues reported a significant negative correlation between aspirin use and breast cancer (Holmes et al. 2010). This summer, they noted that no...
View ArticleEnd-of-Life Hospital Care for Cancer Patients: An Update
This study examined the use of hospital services in the last month of life by adult cancer patients who died in Canadian acute care hospitals in fiscal year 2012–2013. Almost 25,000 Canadian...
View ArticleThe Opportunity and Strategy for Quality and Health-System Improvement Now...
Since 2004, Cancer Care Ontario (CCO) has played a leadership role in linking funding to quality of care, and in using evidence and administrative and clinical data to drive performance and quality...
View ArticleThe Challenge of Quality Improvement at the System Level. Whither CCO?
Cancer Care Ontario has made significant strides in the improvement of access to high-quality cancer care by putting in place the basic elements of transformation: a clear plan, reporting against this...
View ArticleImplementation of an Agency to Improve Chronic Kidney Disease Care in...
In 2009, Ontario's Ministry of Health and Long-Term Care initiated the transfer of oversight and coordination of chronic kidney disease (CKD) care to the Ontario Renal Network (ORN) under the auspices...
View ArticlePersonalized Medicine: CCOs Vision, Accomplishments and Future Plans
Personalized medicine is a rapidly expanding field, with the potential to improve patient care. Its benefits include increasing efficiency in cancer screening, diagnosis and treatment through early...
View ArticleImproving Health Equity for First Nations, Inuit and Métis People: Ontarios...
Cancer incidence is increasing more rapidly and cancer survival is worse among Ontario's First Nations, Inuit and Métis (FNIM) populations than among other Ontarians. Cancer Care Ontario's...
View ArticleIntegrating Cancer Care Beyond the Hospital and Across the Cancer Pathway: A...
Cancer patients constitute one of the most complex, diverse and growing patient populations in Canada. Like other high-needs patient groups, cancer patients desire a more integrated approach to care...
View ArticleStrategic Analytics: Towards Fully Embedding Evidence in Healthcare...
Cancer Care Ontario (CCO) has implemented multiple information technology solutions and collected health-system data to support its programs. There is now an opportunity to leverage these data and...
View ArticleSuccesses and Challenges in Population-Based Cancer Screening
Cancer Care Ontario's (CCO's) organized breast, colorectal and cervical cancer screening programs are in different stages of development and maturity. Headed by clinical and scientific leads, the...
View ArticlePrimary Prevention - Recent Developments in Policy and Support
The focus of Cancer Care Ontario (CCO)'s renewed prevention strategy is to provide evidence-based support and policy advice for risk factor reduction and cancer prevention. As cancer shares several key...
View ArticleImproving Quality and Performance in Ontarios Cancer Services: Lessons for...
Cancer Care Ontario as a provincial agency has undergone a significant transformation in the last 10 years. This paper documents a predictable crisis of radiotherapy capacity at the turn of the...
View ArticleVol 17 Special Issue | Stronger Together
CCO's focus on Quality, Performance and Partnership puts patients and the public at the centre.
View ArticleAccountability in the Ontario Cancer Services System: A Qualitative Study of...
Cancer Care Ontario (CCO), the provincial cancer agency, operates under a model of accountable governance that has been hailed as exemplary. We explored cancer system leaders' views on the balance and...
View ArticleOntario Cancer Data Linkage Project: cd-link
In the past, analysis of administrative data relevant to cancer in Ontario had to be conducted within a handful of secure physical locations, such as the Institute for Clinical Evaluative Sciences...
View ArticleSustainability of Cancer Registration in the Kilimanjaro Region of Tanzania -...
[This article was originally published in <a href="http://www.longwoods.com/content/23731" target="_blank">Healthcare Policy 9(3)]</a> The projected cancer burden in Africa demands...
View ArticleSustainability of Cancer Registration in the Kilimanjaro Region of Tanzania -...
The projected cancer burden in Africa demands a comprehensive surveillance strategy. Kilimanjaro Christian Medical Centre (KCMC) is developing a population-based cancer registry, and understanding...
View ArticleThe Value of Collecting Population-Based Cancer Stage Data to Support...
The stage of a patient's cancer at diagnosis is essential to predict the prognosis and plan the treatment. Since 2008, stage data have been collected on all Ontario patients with breast, colorectal,...
View ArticleAre the Creation and Maintenance of Databases in Healthcare Worthwhile? An...
A population-based prospective database targeting 15 key radiation therapy (RT) features was initiated in British Columbia in 1984. This 25-year outcome report assessed the utility of the database and...
View ArticleAll-Cause Readmission to Acute Care for Cancer Patients
A recent Canadian Institute for Health Information report on all-cause readmission identified that cancer patients had higher-than-average readmission rates. This study provides further insight on the...
View ArticleThe Use of Registered Nurses to Perform Flexible Sigmoidoscopy Procedures in...
Rationale: Rates of colorectal cancer (CRC) are on the rise in Canada. Flexible sigmoidoscopy (FS) is an initial screening test for CRC primarily used in adults aged 50 years and older at average risk...
View ArticleAccess to Cancer Drugs in Canada: Looking Beyond Coverage Decisions
[This article was originally published in <a target="_blank" href="../../../content/22177">Healthcare Policy 6(3)</a>] Objective: To examine variation in patients' access to a set of cancer...
View ArticleAccess to Cancer Drugs in Canada: Looking Beyond Coverage Decisions
Objective: To examine variation in patients' access to a set of cancer drugs through publicly funded provincial drug programs. Data Sources/Study Design: We surveyed provincial drug program managers...
View ArticleFactors Associated with End-of-Life Health Service Use in Patients Dying of...
This study describes acute care hospital death, physician house calls and home care near the end of life among patients who died of cancer and the factors that are associated with these events and...
View ArticlePatient Satisfaction with Wait-Times for Breast Cancer Surgery in...
Do shorter waits for breast cancer surgery lead to greater wait-related patient satisfaction? Using survey and cancer clinic chart data of 99 patients with breast cancer from Newfoundland and Labrador,...
View ArticleSome Numbers behind Canadas Decision to Adopt an Orphan Drug Policy: US...
We examined whether access to US-approved orphan drugs in Canada has changed between 1997 (when Canada chose not to adopt an orphan drug policy) and 2012 (when Canada reversed its policy decision)....
View ArticleFinancial Incentives and Cervical Cancer Screening Participation in Ontarios...
Objectives: The primary objective of this paper is to compare cervical cancer screening rates of family physicians in Ontario's two dominant reformed practice models, Family Health Group (FHG) and...
View ArticleLets unwind the red tape around Canadian cancer data
This letter is part of series of Open Letters from Canadian leaders in Healthcare. To see the complete series please <a href="http://www.longwoods.com/pages/openletters">click...
View ArticleCanadian Cancer Programs Are Struggling to Invest in Development of Future...
Cancer agencies within Canada operate with a variety of leadership models, assuming that future leaders are identified, developed and supported by institutions other than their own. A literature...
View ArticleTowards Integrating Primary Care with Cancer Care: A Regional Study of...
Background and Objectives: Better integration between cancer care systems and primary care physicians (PCPs) is a goal of most healthcare systems, but little direction exists on how this can be...
View ArticleEstimating the Cost of Cancer Care in British Columbia and Ontario: A...
Background: Costing studies are useful to measure the economic burden of cancer. Comparing costs between healthcare systems can inform evaluation, development or modification of cancer care policies....
View ArticleLets unwind the red tape around Canadian cancer data
This letter was originally published as part of a series of Open Letters from Canadian leaders in Healthcare. To see the complete series please <a...
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