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Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study.
Rudoler, David; Lavergne, M Ruth; Marshall, Emily Gard; Zaheer, Juveria; Etches, Selene; Good, Kimberley P; Grudniewicz, Agnes; Katz, Alan; Kurdyak, Paul; Bolton, James; Kaoser, Ridhwana; Moravac, Catherine; Morrison, Jason; Mulsant, Benoit; Peterson, Sandra; Tibbo, Phil G.
Afiliación
  • Rudoler D; Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada David.Rudoler@ontariotechu.ca.
  • Lavergne MR; Ontario Shores Centre for Mental Health Sciences, Whitby, Ontario, Canada.
  • Marshall EG; Department of Family Medicine, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada.
  • Zaheer J; Department of Family Medicine, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada.
  • Etches S; Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
  • Good KP; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
  • Grudniewicz A; Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.
  • Katz A; Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.
  • Kurdyak P; Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada.
  • Bolton J; Telfer School of Management University of Ottawa, Ottawa, Ontario, Canada.
  • Kaoser R; Department of Community Health Sciences, Rady Faculty of Health Sciences University of Manitoba, Winnipeg, Manitoba, Canada.
  • Moravac C; Department of Family Medicine, Rady Faculty of Health Sciences University of Manitoba, Winnipeg, Manitoba, Canada.
  • Morrison J; Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
  • Mulsant B; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
  • Peterson S; Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Tibbo PG; Faculty of Health Sciences, Simon Fraser University at Harbour Centre, Vancouver, British Columbia, Canada.
BMJ Open ; 13(7): e073183, 2023 07 18.
Article en En | MEDLINE | ID: mdl-37463812
INTRODUCTION: The Canadian population has poor and inequitable access to psychiatric care despite a steady per-capita supply of psychiatrists in most provinces. There is some quantitative evidence that practice style and characteristics vary substantially among psychiatrists. However, how this compares across jurisdictions and implications for workforce planning require further study. A qualitative exploration of psychiatrists' preferences for practice style and the practice choices that result is also lacking. The goal of this study is to inform psychiatrist workforce planning to improve access to psychiatric care by: (1) developing and evaluating comparable indicators of supply of psychiatric care across provinces, (2) analysing variations and changes in the characteristics of the psychiatrist workforce, including demographics and practice style and (3) studying psychiatrist practice choices and intentions, and the factors that lead to these choices. METHODS AND ANALYSIS: A cross-provincial mixed-methods study will be conducted in the Canadian provinces of British Columbia, Manitoba, Ontario and Nova Scotia. We will analyse linked-health administrative data within three of the four provinces to develop comparable indicators of supply and characterise psychiatric services at the regional level within provinces. We will use latent profile analysis to estimate the probability that a psychiatrist is in a particular practice style and map the geographical distribution of psychiatrist practices overlayed with measures of need for psychiatric care. We will also conduct in-depth, semistructured qualitative interviews with psychiatrists in each province to explore their preferences and practice choices and to inform workforce planning. ETHICS AND DISSEMINATION: This study was approved by Ontario Tech University Research Ethics Board (16637 and 16795) and institutions affiliated with the study team. We built a team comprising experienced researchers, psychiatrists, medical educators and policymakers in mental health services and workforce planning to disseminate knowledge that will support effective human resource policies to improve access to psychiatric care in Canada.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psiquiatría / Servicios de Salud Mental Tipo de estudio: Qualitative_research Aspecto: Ethics Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Psiquiatría / Servicios de Salud Mental Tipo de estudio: Qualitative_research Aspecto: Ethics Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido