David Snadden
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View article: Effects of Virtual Care on Patient and Provider Experience of the Clinical Encounter: Qualitative Hermeneutic Study
Effects of Virtual Care on Patient and Provider Experience of the Clinical Encounter: Qualitative Hermeneutic Study Open
Background Virtual health care has transformed health care delivery, with its use dramatically increasing since the COVID-19 pandemic. While it has been quickly adopted for its convenience and efficiency, there has been a relative lack of …
View article: The relationship between relational continuity and family physician follow-up after an antidepressant prescription in older adults: a retrospective cohort study
The relationship between relational continuity and family physician follow-up after an antidepressant prescription in older adults: a retrospective cohort study Open
Background Side effects can occur within hours to days of starting antidepressant medications, whereas full therapeutic benefit for mood typically takes up to four weeks. This mismatch between time to harm and lag to benefit often leads to…
View article: Effects of Virtual Care on Patient and Provider Experience of the Clinical Encounter: Qualitative Hermeneutic Study (Preprint)
Effects of Virtual Care on Patient and Provider Experience of the Clinical Encounter: Qualitative Hermeneutic Study (Preprint) Open
BACKGROUND Virtual health care has transformed health care delivery, with its use dramatically increasing since the COVID-19 pandemic. While it has been quickly adopted for its convenience and efficiency, there has been a relative lack of…
View article: Factors influencing practice choices of early-career family physicians in Canada: A qualitative interview study
Factors influencing practice choices of early-career family physicians in Canada: A qualitative interview study Open
Purpose Comprehensiveness of primary care has been declining, and much of the blame has been placed on early-career family physicians and their practice choices. To better understand early-career family physicians’ practice choices in Cana…
View article: Exploring the intersection of hermeneutics and implementation: a scoping review
Exploring the intersection of hermeneutics and implementation: a scoping review Open
Background An enduring challenge remains about how to effectively implement programs, services, or practices. Too often, implementation does not achieve its intended effectiveness, fidelity, and sustainability, even when frameworks or theo…
View article: Physical activity promotion in rural health care settings: A rapid realist review
Physical activity promotion in rural health care settings: A rapid realist review Open
Physical activity promotion in health care settings is poorly understood and has limited uptake among health care providers. The environmental and health care context of rural communities is unique from urban areas and may interact to infl…
View article: Factors influencing family medicine resident and early-career family physician intentions for focused practice
Factors influencing family medicine resident and early-career family physician intentions for focused practice Open
CONTEXT: In recent years, there has been a global decline in the provision of comprehensive care by family physicians, and a shift towards focused practice, defined as part- or full-time work in a specific clinical area such as hospitalist…
View article: But is It Hermeneutic <i>Enough</i>?: Reading for Methodological Salience in a Scoping Review of Hermeneutics and Implementation Science
But is It Hermeneutic <i>Enough</i>?: Reading for Methodological Salience in a Scoping Review of Hermeneutics and Implementation Science Open
Hermeneutic methods have been widely used in health research. Through conducting a scoping review of hermeneutic studies related to implementation in healthcare, we identified various approaches and common strengths across studies. The rev…
View article: Addressing rural and Indigenous health inequities in Canada through socially accountable health partnerships
Addressing rural and Indigenous health inequities in Canada through socially accountable health partnerships Open
Background There are few examples of the practical application of the concepts of social accountability, as defined by the World Bank and WHO, to health system change. This paper describes a robust approach led by First Nations Health Auth…
View article: How can rural community-engaged health services planning achieve sustainable healthcare system changes?
How can rural community-engaged health services planning achieve sustainable healthcare system changes? Open
Objectives The objectives of the Rural Site Visit Project (SV Project) were to develop a successful model for engaging all 201 communities in rural British Columbia, Canada, build relationships and gather data about community healthcare is…
View article: Factors influencing focused practice: A qualitative study of resident and early-career family physician practice choices
Factors influencing focused practice: A qualitative study of resident and early-career family physician practice choices Open
Background Although focused practice within family medicine may be increasing globally, there is limited research on the factors contributing to decisions to focus practice. We aimed to examine the factors influencing resident and early-ca…
View article: How can rural community-engaged health services planning affect sustainable health care system changes? - A process description and qualitative analysis of data from the Rural Coordination Centre of British Columbia’s Rural Site Visits Project
How can rural community-engaged health services planning affect sustainable health care system changes? - A process description and qualitative analysis of data from the Rural Coordination Centre of British Columbia’s Rural Site Visits Project Open
Objectives The objectives of the Rural Site Visit Project (SV Project) were to develop a successful model for engaging all 201 communities in rural British Columbia, Canada, build relationships and gather data about community health care i…
View article: Partnering for change
Partnering for change Open
Purpose Despite many calls to strengthen connections between health systems and communities as a way to improve primary healthcare, little is known about how new collaborations can effectively alter service provision. The purpose of this p…
View article: Remodelling general practice training: Tension and innovation
Remodelling general practice training: Tension and innovation Open
Drawing from the findings, this article provides recommendations for remodelling general practice training in Australia.
View article: The Healthcare Travelling Roadshow: a qualitative study of a rural community engagement initiative in Canada
The Healthcare Travelling Roadshow: a qualitative study of a rural community engagement initiative in Canada Open
The HCTRS is an interdisciplinary experience that successfully engages rural youth, healthcare students, and community stakeholders. Participants consistently indicated that it encouraged rural youth towards healthcare careers and healthca…
View article: Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study
Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study Open
Introduction Canadians report persistent problems accessing primary care despite an increasing per-capita supply of primary care physicians (PCPs). There is speculation that PCPs, especially those early in their careers, may now be working…
View article: Engaging primary care physicians in system change – an interpretive qualitative study in a remote and rural health region in Northern British Columbia, Canada
Engaging primary care physicians in system change – an interpretive qualitative study in a remote and rural health region in Northern British Columbia, Canada Open
Objectives To describe how physicians were engaged in primary healthcare system change in a remote and rural Canadian health authority. Design A qualitative interpretive study based on a hermeneutic approach. Methods 34 transcribed in-dept…
View article: The regional medical campus model and rural family medicine practice in British Columbia: a retrospective longitudinal cohort study
The regional medical campus model and rural family medicine practice in British Columbia: a retrospective longitudinal cohort study Open
Choosing to practise family medicine in a rural location was associated with having a rural background and having trained at a regional medical campus. These early results suggest that a combined regional campus model in medical education …
View article: Regional differences in where and how family medicine residents intend to practise: a cross-sectional survey analysis
Regional differences in where and how family medicine residents intend to practise: a cross-sectional survey analysis Open
Intentions for comprehensive and focused practice varied, but over 80% of family medicine residents indicated they intended to practise in a team-based model in all regions. Policy-makers and workforce planners should consider the impact o…
View article: Engaging Primary Care Physicians in System Change – An Interpretive Qualitative Study in a Remote and Rural Health Region in Northern British Columbia, Canada
Engaging Primary Care Physicians in System Change – An Interpretive Qualitative Study in a Remote and Rural Health Region in Northern British Columbia, Canada Open
Objectives: To describe how physicians were engaged in primary healthcare system change in a remote and rural Canadian health authority.
Design: A qualitative interpretive study based on a hermeneutic approach.
Methods: 34 transcribe…
View article: Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale?
Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale? Open
This article critically exams efforts to achieve primary health care reform using a consultative and relationship-building approach. The study is set in a predominantly rural region of British Columbia, Canada, and concerns the efforts of …
View article: Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale?
Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale? Open
This article critically exams efforts to achieve primary health care reform using a consultative and relationship-building approach. The study is set in a predominantly rural region of British Columbia, Canada, and concerns the efforts of …
View article: Working hard but working differently: a qualitative study of the impact of generational change on rural health care
Working hard but working differently: a qualitative study of the impact of generational change on rural health care Open
Some rural practices are beginning to adapt in ways that reflect changing generational aspirations. Specifically, they provide environments that support and nurture young physicians, encourage collaborative working and include flexible wor…
View article: Are Patients Satisfied with their Total Joint Replacement Surgery? A Prospective Cross Sectional Survey
Are Patients Satisfied with their Total Joint Replacement Surgery? A Prospective Cross Sectional Survey Open
Objective: The number of patients requiring arthroplasty increases annually.Joint replacement surgery can improve a patient's (QOL) quality of life.The effectiveness of this care from a patient's own perspective assessed by patient reporte…