Naheed Dosani
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View article: Integrating Psychiatry into a Community Based Palliative Care Team for People Experiencing Homelessness: A Descriptive Retrospective Cohort Study of the PEACH Psychiatry Program Model
Integrating Psychiatry into a Community Based Palliative Care Team for People Experiencing Homelessness: A Descriptive Retrospective Cohort Study of the PEACH Psychiatry Program Model Open
BackgroundPeople experiencing homelessness have higher morbidity rates and lower life expectancy than the general population. Additionally, there is a high prevalence of mental illness and substance use disorders within this group, which c…
View article: Grief and grief support needs in Canada: A mixed methods protocol
Grief and grief support needs in Canada: A mixed methods protocol Open
Background: In their lifetime, every person will experience the loss of someone they care about. In Canada, the COVID-19 pandemic, the ongoing opioid crisis, and the discovery of unmarked graves at residential schools have brought this int…
View article: From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care
From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care Open
The purpose of palliative care is to ease the suffering of individuals with a serious and often life-limiting illness throughout the course of their disease by providing holistic care that considers the physical, spiritual, and psychosocia…
View article: “You can’t die here”: An exploration of the barriers to dying-in-place for structurally vulnerable populations
“You can’t die here”: An exploration of the barriers to dying-in-place for structurally vulnerable populations Open
Background: One measure of quality in palliative care involves ensuring people approaching the end of life are able to receive care, and ultimately die, in the places they choose. Canadian palliative care policy directives stem from this t…
View article: Exploring the Barriers and Facilitators Experienced by Palliative Health Care Providers Working with Patients Experiencing Homelessness during the COVID-19 Pandemic
Exploring the Barriers and Facilitators Experienced by Palliative Health Care Providers Working with Patients Experiencing Homelessness during the COVID-19 Pandemic Open
Background: Patients experiencing homelessness not only have higher rates of medical complexity, comorbidity, and mortality, but also face barriers to accessing palliative care services. In structurally vulnerable populations with palliati…
View article: Assessing the impact of a health navigator on improving access to care and addressing the social needs of palliative care patients experiencing homelessness: A service evaluation
Assessing the impact of a health navigator on improving access to care and addressing the social needs of palliative care patients experiencing homelessness: A service evaluation Open
Background: Health navigators are healthcare professionals who specialize in care coordination, case management, navigating transitions, and reducing barriers to care. There is limited literature on the impact of health navigators on commu…
View article: Palliative care for people who use drugs during communicable disease epidemics and pandemics: A scoping review on access, policies, and programs and guidelines
Palliative care for people who use drugs during communicable disease epidemics and pandemics: A scoping review on access, policies, and programs and guidelines Open
Background: People who use drugs with life-limiting illnesses experience substantial barriers to accessing palliative care. Demand for palliative care is expected to increase during communicable disease epidemics and pandemics. Understandi…
View article: COVID-19 vaccine coverage and factors associated with vaccine uptake among individuals with a recent experience of homelessness: a population-based analysis from Ontario, Canada.
COVID-19 vaccine coverage and factors associated with vaccine uptake among individuals with a recent experience of homelessness: a population-based analysis from Ontario, Canada. Open
ObjectivesTo describe COVID-19 vaccine coverage (i.e., the estimated percentage of people who have received a vaccine) and determinants of vaccine receipt among individuals with a recent experience of homelessness in Ontario, Canada. Appro…
View article: Utilization of Point-of-Care Ultrasound in a Specialist Palliative Care Team Across Multiple Care Settings: A Retrospective Chart Review
Utilization of Point-of-Care Ultrasound in a Specialist Palliative Care Team Across Multiple Care Settings: A Retrospective Chart Review Open
Background: Technological advancements have rapidly increased the use of point-of-care ultrasound (POCUS) across various medical disciplines, leading to real-time information for clinicians at the bed side. However, literature reveals scan…
View article: Drug Overdoses During the COVID‐19 Pandemic Among Recently Homeless Individuals
Drug Overdoses During the COVID‐19 Pandemic Among Recently Homeless Individuals Open
Aims To examine how weekly rates of emergency department (ED) visits for drug overdoses changed among individuals with a recent history of homelessness (IRHH) and their housed counterparts during the pre‐pandemic, peak, and re‐opening peri…
View article: Palliative care for people who use substances during communicable disease epidemics and pandemics: a scoping review protocol
Palliative care for people who use substances during communicable disease epidemics and pandemics: a scoping review protocol Open
Introduction Communicable disease epidemics and pandemics magnify the health inequities experienced by marginalised populations. People who use substances suffer from high rates of morbidity and mortality and should be a priority to receiv…
View article: The effect of a Housing First intervention on primary care retention among homeless individuals with mental illness
The effect of a Housing First intervention on primary care retention among homeless individuals with mental illness Open
Background Primary care retention, defined as ongoing periodic contact with a consistent primary care provider, is beneficial for people with serious chronic illnesses. This study examined the effect of a Housing First intervention on prim…
View article: Utilization of POCUS in a Specialist Palliative Care Setting: A Retrospective Chart Review.
Utilization of POCUS in a Specialist Palliative Care Setting: A Retrospective Chart Review. Open
Background: The use of Point-Of-Care Ultrasound (POCUS) has increased rapidly across various medical disciplines due to technological advancements providing high quality POCUS units. POCUS can help clinicians at the bed side with informati…
View article: The Good Wishes Project: An End-of-Life Intervention for Individuals Experiencing Homelessness
The Good Wishes Project: An End-of-Life Intervention for Individuals Experiencing Homelessness Open
Background: Individuals experiencing homelessness face marginalization, dehumanization, and barriers to accessing quality palliative care. Inspired by the 3 Wishes Project, the Good Wishes Project (GWP) facilitates granting wishes to indiv…
View article: COVID-19 and people experiencing homelessness: challenges and mitigation strategies
COVID-19 and people experiencing homelessness: challenges and mitigation strategies Open
KEY POINTS Infectious disease epidemics and pandemics have a disproportionate impact on people experiencing poverty, marginalization, stigmatization and discrimination.[1][1]–[3][2] Amid the current coronavirus disease 2019 (COVID-19) pand…
View article: Caregiving at the margins: An ethnographic exploration of family caregivers experiences providing care for structurally vulnerable populations at the end-of-life
Caregiving at the margins: An ethnographic exploration of family caregivers experiences providing care for structurally vulnerable populations at the end-of-life Open
Background: People experiencing structural vulnerability (e.g. homelessness, poverty, racism, criminalization of illicit drug use and mental health stigma) face significant barriers to accessing care at the end-of-life. ‘Family’ caregivers…
View article: Palliative care for homeless patients: A practical approach for medical students
Palliative care for homeless patients: A practical approach for medical students Open
In this article, Dr. Naheed Dosani, the founder of the Palliative Education and Care for the Homeless (PEACH) program, shares his insight on topics ranging from integrating structural vulnerability into clinical practice to engendering cha…
View article: Palliative Care as a Public Health Issue: Understanding Disparities in Access to Palliative Care for the Homeless Population Living in Toronto, Based on a Policy Analysis
Palliative Care as a Public Health Issue: Understanding Disparities in Access to Palliative Care for the Homeless Population Living in Toronto, Based on a Policy Analysis Open
Even in a developed country such as Canada, there are disparities in just access to adequate health care—and, more specifically, palliative care. That inequality is most notable in an underserved group such as the homeless population. Even…