Peter Gozdyra
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View article: Distance to primary care and its association with health care use and quality of care in Ontario: a cross-sectional study
Distance to primary care and its association with health care use and quality of care in Ontario: a cross-sectional study Open
Among Ontario patients living in urban or suburban areas and rostered to a family physician within a patient enrolment model, more than 10% of patients resided farther than 30 km from their family physician. Proximity to primary care was a…
View article: Changes in driving distance to specialist physicians in the era of virtual care: a population-based cohort study in Ontario, Canada
Changes in driving distance to specialist physicians in the era of virtual care: a population-based cohort study in Ontario, Canada Open
After expansion of virtual care, the distance between specialists and patients did not meaningfully change. To make virtual care more accessible, especially for those living in rural areas, attention should be paid to other factors such as…
View article: Changes in local access to mifepristone dispensed by community pharmacies for medication abortion in Ontario: a population-based repeated cross-sectional study
Changes in local access to mifepristone dispensed by community pharmacies for medication abortion in Ontario: a population-based repeated cross-sectional study Open
Access to medication abortion across Ontario increased substantially within 5 years of mifepristone's availability as a normally prescribed and dispensed medication. This regulatory approach appears successful for achieving widespread acce…
View article: Access to Endovascular Thrombectomy: Does Driving Time to Comprehensive Stroke Center Matter More Than Rurality?
Access to Endovascular Thrombectomy: Does Driving Time to Comprehensive Stroke Center Matter More Than Rurality? Open
Background: Acute stroke treatments are highly time-sensitive, with geographical disparities affecting access to care. This study examined the impact of driving distance to the nearest comprehensive stroke center (CSC) and rurality on the …
View article: Mapping Patient Access to Care and Quality of Care based on Distance from Family Physician
Mapping Patient Access to Care and Quality of Care based on Distance from Family Physician Open
CONTEXT: In Ontario, patients who move increasingly keep their family physician (FP) because no one in their new community is accepting new patients, creating long distances to seek primary care. OBJECTIVE: To understand if increasing dist…
View article: Centre-Specific Variation in Atrial Fibrillation Ablation-Treatment Rates in a Universal Single-Payer Healthcare System
Centre-Specific Variation in Atrial Fibrillation Ablation-Treatment Rates in a Universal Single-Payer Healthcare System Open
Living near specific EP centres may significantly affect a patient's likelihood of receiving ablation treatment, regardless of factors such as age, gender, socioeconomic status, prior medical history, and distance to EP centres.
View article: Brief Report: A population-based study of the impact of the COVID-19 pandemic on benzodiazepine use among children and young adults
Brief Report: A population-based study of the impact of the COVID-19 pandemic on benzodiazepine use among children and young adults Open
The COVID-19 pandemic was associated with increases in the prevalence of depression and anxiety among children and young adults. We studied whether the pandemic was associated with changes in prescription benzodiazepine use. We conducted a…
View article: Impact of COVID-19 pandemic on prescription stimulant use among children and youth: a population-based study
Impact of COVID-19 pandemic on prescription stimulant use among children and youth: a population-based study Open
COVID-19 associated public health measures and school closures exacerbated symptoms in some children and youth with attention-deficit hyperactivity disorder (ADHD). Less well understood is how the pandemic influenced patterns of prescripti…
View article: Impact of the COVID-19 pandemic on antidepressant and antipsychotic use among children and adolescents: a population-based study
Impact of the COVID-19 pandemic on antidepressant and antipsychotic use among children and adolescents: a population-based study Open
Background The COVID-19 pandemic was associated with increases in the prevalence of depression, anxiety and behavioural problems among children and youth. Less well understood is the influence of the pandemic on antidepressant and antipsyc…
View article: Linking cancer screening interventions with the data: Intervention recommendations
Linking cancer screening interventions with the data: Intervention recommendations Open
CONTEXT: There are known inequities in breast, cervical and colorectal cancer screening which may have been exacerbated over the COVID-19 pandemic. OBJECTIVE: Using cancer screening data from 2012 to 2021, identify if and how screening ine…
View article: Primary care access in Ontario, Canada: Geographical patterns of primary care attachment
Primary care access in Ontario, Canada: Geographical patterns of primary care attachment Open
CONTEXT: The Ontario government recently implemented Ontario Health Teams (OHTs), which are nongeographic patient-provider networks. Each Ontario resident is attributed by the government to an OHT based on care-seeking patterns. Our resear…
View article: Primary Care Data Reports in Ontario, Canada: Comparing primary care attachment rates from 2020 to 2022
Primary Care Data Reports in Ontario, Canada: Comparing primary care attachment rates from 2020 to 2022 Open
CONTEXT: Ontario Health Teams are made up of providers and organizations responsible for delivering health care to a defined population. Primary Care Data Reports provide key information about the population of patients attributed to each …
View article: Eviction filings during bans on enforcement throughout the COVID-19 pandemic: an interrupted time series analysis
Eviction filings during bans on enforcement throughout the COVID-19 pandemic: an interrupted time series analysis Open
View article: The role of geography and distance on physician follow-up after a first hospitalization with a diagnosis of a schizophrenia spectrum disorder: A retrospective population-based cohort study in Ontario, Canada
The role of geography and distance on physician follow-up after a first hospitalization with a diagnosis of a schizophrenia spectrum disorder: A retrospective population-based cohort study in Ontario, Canada Open
Background Timely follow-up after hospitalization for a schizophrenia spectrum disorder (SSD) is an important quality indicator. We examined the proportion of individuals who received physician follow-up within 7 and 30 days post-discharge…
View article: The relationship between rurality, travel time to care and death by suicide
The relationship between rurality, travel time to care and death by suicide Open
View article: Higher neighbourhood drivability is associated with a higher diabetes risk in younger adults: a population-based cohort study in Toronto, Canada
Higher neighbourhood drivability is associated with a higher diabetes risk in younger adults: a population-based cohort study in Toronto, Canada Open
Objective: Car dependency contributes to physical inactivity and consequently may increase the likelihood of diabetes. We investigated whether neighbourhoods that are highly conducive to driving confer a greater risk of …
View article: Higher neighbourhood drivability is associated with a higher diabetes risk in younger adults: a population-based cohort study in Toronto, Canada
Higher neighbourhood drivability is associated with a higher diabetes risk in younger adults: a population-based cohort study in Toronto, Canada Open
Objective: Car dependency contributes to physical inactivity and consequently may increase the likelihood of diabetes. We investigated whether neighbourhoods that are highly conducive to driving confer a greater risk of …
View article: Mapping of Primary Care and Health Care Utilization in Naturally Occurring Retirement Communities: Ontario, Canada
Mapping of Primary Care and Health Care Utilization in Naturally Occurring Retirement Communities: Ontario, Canada Open
CONTEXT: Naturally occurring retirement communities (NORCs) are unplanned communities with a high proportion of older residents. Mapping NORCs and understanding their unique sociodemographic characteristics and health utilization patterns …
View article: Issue Information
Issue Information Open
View article: Patient clustering in primary care settings
Patient clustering in primary care settings Open
The better cardiovascular outcomes observed in close-proximity panels may be related to a previously unrecognized mechanism of social connectedness that extends the effectiveness of primary care practitioners.
View article: Mapping where patients access primary care providers.
Mapping where patients access primary care providers. Open
ObjectivesTo gain an understanding of the attribution of patients to newly introduced Ontario Health Teams (OHT). OHTs are responsible for organizing and delivering health local care based on established connections between patients, their…
View article: Using Primary care data metrics to inform policy and practice: Human Health Resource implications.
Using Primary care data metrics to inform policy and practice: Human Health Resource implications. Open
ObjectivesTo produce open access Primary Care Data Reports using standard health administrative measures in primary care in conjunction with measures for attachment to a primary care provider. Illustrate the importance of incorporating pat…
View article: Development of a neighborhood drivability index and its association with transportation behavior in Toronto
Development of a neighborhood drivability index and its association with transportation behavior in Toronto Open
This novel neighbourhood drivability index predicted whether local residents drive or use active modes of transportation and can be used to investigate the association between drivability, physical activity, and chronic disease risk.
View article: A cross‐sectional study of community‐level physician retention and hospitalization in rural Ontario, Canada
A cross‐sectional study of community‐level physician retention and hospitalization in rural Ontario, Canada Open
Purpose Many rural communities experience poor family physician retention. We examined the association between community‐level physician retention and hospitalization for all causes and ambulatory care‐sensitive conditions (ACSCs) in 2017 …
View article: Rurality as a Risk Factor for Attempted Suicide and Death by Suicide in Ontario, Canada
Rurality as a Risk Factor for Attempted Suicide and Death by Suicide in Ontario, Canada Open
Objective This study aims to examine rural and urban differences in attempted suicide and death by suicide in Ontario, Canada. Method This is a population-based nested case-control study. Data were obtained from administrative databases he…
View article: Neighborhood drivability and diabetes incidence in Toronto, Canada
Neighborhood drivability and diabetes incidence in Toronto, Canada Open
BACKGROUND AND AIM: Reliance on cars contributes to physical inactivity, and therefore may be a risk factor for type 2 diabetes. We investigated whether living in neighborhoods that are highly conducive to driving is associated with an inc…
View article: Postpartum mental illness during the COVID-19 pandemic: a population-based, repeated cross-sectional study
Postpartum mental illness during the COVID-19 pandemic: a population-based, repeated cross-sectional study Open
Increased visits for mental health conditions among postpartum people during the first 9 months of the COVID-19 pandemic suggest an increased need for effective and accessible mental health care for this population as the pandemic progress…
View article: Evaluation of Rheumatology Workforce Supply Changes in Ontario, Canada, from 2000 to 2030
Evaluation of Rheumatology Workforce Supply Changes in Ontario, Canada, from 2000 to 2030 Open
Rheumatology workforces are increasingly challenged by too few physicians in face of the growing burden of rheumatic and musculoskeletal diseases (RMDs). Rheumatology is one of the most frequent non-surgical specialty referrals and has the…
View article: Development of a neighborhood drivability index and its association with transportation behavior
Development of a neighborhood drivability index and its association with transportation behavior Open
Background To develop and validate a drivability index for the City of Toronto and examine its association with transportation mode choice. Methods We used exploratory factor analysis to derive distinct factors (clusters of one or more env…
View article: CJN volume 47 issue 3 Cover and Front matter
CJN volume 47 issue 3 Cover and Front matter Open
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