Canadian family physician Médecin de famille canadien
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To determine if providing the Nipissing District Developmental Screen (NDDS) free of charge is associated with increased use of this measure and to investigate regional variations in the use of the NDDS in Ontario. ⋯ Despite measures to increase usage, only a small number of FPs access the NDDS in Ontario. However, free access to the NDDS does seem to contribute to removing barriers to screening, as indicated by a 3-fold increase in the number of FPs accessing the NDDS. Further research is required to investigate the reasons for these trends so that effective methods to increase the use of developmental screening measures in clinical practice can be implemented.
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Randomized Controlled Trial
Methods for a study of Anticipatory and Preventive multidisciplinary Team Care in a family practice.
BACKGROUND T o examine the methodology used to evaluate whether focusing the work of nurse practitioners and a pharmacist on frail and at-risk patients would improve the quality of care for such patients. ⋯ Three factors limit our ability to fully demonstrate the potential effects of this team structure. For reasons outside our control, the intervention duration was shorter than intended; the practice's physical layout did not facilitate interactions between the care providers; and contamination of the intervention effect into the control arm cannot be excluded. The study used a randomized design, relied on a multifaceted approach to evaluating its effects, and used several sources of data. TRIAL REGISTRATION NUMBER NCT00238836 (CONSORT).