Tara Kiran Profile picture
Feb 12 7 tweets 6 min read
Today we’ll hear the draft recommendations from a group of 36 everyday Ontarians about how to make the #primarycare system better

They were randomly selected from 1250 who volunteered

They’ve spent 40+ hrs learning from experts and each other

What’s been in the curriculum?
We started virtually with talks from

@ElizabethMuggah on primary care in ON

@AndrewDPinto @snewbery1 @DrFitzsimon and F Garwe on equitable access

And myself on models of care from other countries

Talks all available here: OurCare.ca/Ontario
On Thursday eve, we gathered everyone in person here in Toronto

People came in from all corners of Ontario (and even directly from a hospital discharge!) #Commitment

After dinner, I walked folks through the result of our national survey
Data.OurCare.ca
Friday we had an amazing day, hearing from @JanetSmylie on indigenous models of care and @janephilpott on concrete ideas for better
Saturday, we had a terrific panel discussion with @drbobbell @OCFP_President @DominikNowakMD @PremjiKamila talking about trade offs and accountability
To close out the eve, panelists had an opportunity to ask all their burning questions to @docdanielle who spoke to everything from medical training to the Canada health act
Between talks, our 36 panel have been discussing core values, defining critical issues and building consensus on recommendations.

They’re getting ready to present these soon to our VIPs including CEO of @OntarioHealthOH, Matt Anderson

Stay tuned! OurCare.ca

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More from @tara_kiran

Dec 12, 2022
Primary care is the front door of the health care system

But for too many people in Canada, that front door is now closed

In my latest commentary @CMAJ, I propose some bold reforms to keep the door wide open 🧵 1/

cmaj.ca/content/194/48…
We need to begin by acknowledging that primary care is in crisis

Even prior to the pandemic, 4.6 million people in Canada did not have a regular primary care clinician

Our research has suggested that problem is only getting worse 2/
The pandemic seems to have nudged some doctors into early retirement
annfammed.org/content/20/5/4…

and many others are contemplating leaving practice 3/
Read 16 tweets
Apr 27, 2022
Vaccination continues to be your best protection against serious illness from #COVID19

How many doses do you need?
2,3,4...5?

We summarize the latest recommendations in our updated resource confusedaboutcovid.ca @OntarioCollege @UofTFamilyMed

rebrand.ly/3rd-dose 🧵
The number of doses you need depends on
-your age
-whether you have a weak immune system and
-whether you live in a setting were you have a higher risk of getting COVID

Here we've summarized recommendations for people who do NOT have a weak immune system 👇🏽
This table summarizes recommendations for those that DO have a weak immune system (because of a health condition or because of medications they take)

(And yes, some people now qualify for a 5th dose!) 👇🏽
Read 10 tweets
Apr 7, 2022
Why have so few Ontarians received Paxlovid, a drug that can reduce the risk of hospitalization for those at higher risk of #covid?

Here are some of my observations as a family doc 🧵
To start, there has been too little public communication about treatments available, who qualifies & where they can access it

We’ve tried to fill this gap with resources like this one

dfcm.utoronto.ca/sites/default/… via confusedaboutcovid.ca

But we need a big multi-channel campaign
Public education is crucial b/c the meds are only effective if given within 5 days of symptoms. And most people have received the message to not bother the healthcare system if they have symptoms and can manage at home. Now we want *some* people to call us ASAP
Read 18 tweets
Feb 8, 2022
Most people who become infected with COVID can recover at home without any treatment

But there are now medications doctors can prescribe to keep high-risk folks from getting seriously ill

Which meds? Who can get them? We break it down in our latest @ ConfusedAboutCOVID.ca
To start, all these meds are meant for people who are at high risk of getting seriously ill from COVID

That's b/c of the limited supply but also b/c the research studies were done in these groups.

Who qualifies? Call your doctor if any of the below applies 👇🏽👇🏽👇🏽
These meds need to be given within 5 to 7 days of your first symptoms of COVID (or your positive test)

So it's important to call your family doctor right away if you think you might qualify

Don't have a doctor? Visit a COVID clinical assessment centre: covid-19.ontario.ca/assessment-cen…
Read 8 tweets
Jan 26, 2022
You just found out your child has COVID. What should you do?

How can you best care for your child? When should you call the doctor or take them to the ED?

Our latest resource provides the answers 🧵

ConfusedAboutCOVID.ca

dfcm.utoronto.ca/sites/default/… Image
To start, if your child has COVID symptoms, assume COVID. Most don't need a test.

They will need to self-isolate along with everyone who lives with them

(see details here: rebrand.ly/Feeling-Unwell) Image
Officially they should try and keep apart from others in the home too but we know that's often not practical

Here are some things to consider when deciding whether and how to reduce risk of spread within the home

(Some more info from @PublicHealthON at Rebrand.ly/PHOChild-Self-…) Image
Read 7 tweets
Jan 24, 2022
*NEW* Our latest study @AnnFamMed @RickGlazier1 shows that team-based primary care, coupled with payment reform, can improve patient outcomes & reduce ED use

annfammed.org/content/20/1/24

We desperately need to expand team-based primary care in Canada

(a mega 🧵)
#Primarycare is the foundation of a high-performing health system. Yet, primary care has been in crisis for the last 2 decades—challenged by an outdated payment model, growing patient need, rapidly growing evidence, and dysfunctional electronic medical record systems
Sharing the care with an interprofessional team has been seen for some time as an antidote to this crisis

Pharmacists, social workers, nurses and others can provide additional expertise and support to patients, particularly those with chronic mental and physical health issues
Read 30 tweets

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