Sara J T Guilcher
Datos Biográficos
| ID | 2918775 |
|---|---|
| NOMBRE | Sara J T Guilcher |
| NOMBRES | Sara J T |
| APELLIDO | Guilcher |
| FIRMA | GUILCHER S J T |
| AFILIACIONES | University of Toronto |
| ORCID | 0000-0002-9552-9139 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 32 |
| TOTAL DE CITAS | 26 |
| OBRAS COMO AUTOR | 32 |
| OBRAS COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2016 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Moral Stressors and Command-and-Control during Healthcare Crises
Throughout the pandemic, hospitals experienced intense capacity and resource crises, driving a shift to command-and-control governance that constrained opportunities to provide person-centred care in a collaborative working environment. Patients who had completed their acute care and were awaiting transition to their next destination – known as alternate level of care (ALC) –became the target cohort for decanting and relief efforts in preparation…
Co-designing MedManageSCI
Background: Medications are one of the most common health-related interventions, with certain populations, such as individuals with spinal cord injury/dysfunction (SCI/D), commonly prescribed multiple medications. Consequently, adults with SCI/D often interact with multiple healthcare providers and engage in activities related to medication self-management. There are limited resources for this population that comprehensively address medication se…
“Doing extra work and not getting extra help”
Background: During the pandemic, a "no visitors" policy was implemented across hospitals in Ontario, Canada. Without caregivers present in-hospital to support patient care (e.g., treatment decision-making, advocacy, treatment compliance, social support), there was a perceived decline in care quality. Despite existing research on the extra work required to navigate the loss of caregiver support in-hospital, there is a paucity of understanding abou…
A qualitative study exploring hospital-based team dynamics in discharge planning for patients experiencing delayed care transitions in Ontario, Canada
Background: An increased focus has been placed on discharge planning, in order to reduce hospital length of stay and delayed discharges, and to improve continuity of care. Several benefits to team-based approaches for discharge planning have been noted; however, professional hierarchies remain. As such, challenges related to power dynamics are commonly experienced within teams who are dealing with care transitions for patients with delayed discha…
Identifying what matters to Canadian adults with mobility limitations regarding experiences with medications
Background: Persons with mobility limitations generally take multiple medications to manage their condition and other health complications. There are limited assessment tools measuring the experiences with medications and their impacts on everyday life. Understanding what matters to persons about experiences with medications will inform person-centred clinical care, integrated care, ongoing monitoring, and overall quality of care. Objective: The …
DevelOPment of a ToolkIt to iMprove medicAtion self-management for persons with spinaL cord injury (Optimal-SCI)
Background: Adults with spinal cord injury/dysfunction (SCI/D) are commonly prescribed multiple medications to manage secondary conditions. Significant challenges with managing medications have been highlighted. Adults with SCI/D may interact with multiple healthcare providers and receive fragmented care specific to their medications. Prior research has also emphasized the need for more support with medication self-management among the SCI/D popu…
Identifying and prioritizing recommendations to optimize transitions across the care journey for hip fractures in Canada
Background: Hip fractures are one of the most common fall-related injuries and often lead to functional decline, morbidity, and rehospitalization. After experiencing a hip fracture, patients undergo several transitions in care, both between different healthcare providers and across healthcare sectors. Care transitions can result in poor health outcomes, medication errors, readmissions, and dissatisfaction from patients and families. While a focus…
Corruption risks in health procurement during the Covid-19 pandemic and anti-corruption, transparency and accountability (Acta) mechanisms to reduce these risks
Health utility in community-dwelling adults with dysvascular lower limb loss
Creating a patient reported outcome measure for medication-related quality of life
Introduction: Persons with mobility limitations generally take multiple medications to manage their conditions; however, healthcare providers across different settings do not currently have a way to measure the impact that medication taking has on patients’ quality of life (QoL). Current tools are limited, narrowly focused on few QoL domains and none focus on persons with mobility limitations. Target Audience: The target audience for our study fi…
Concept mapping brainstorming results for improving care transitions for adults with hip fracture in Ontario, Canada
Introduction: Individuals who have experienced a hip fracture often undergo numerous transitions in care between providers and sectors. These transitions are a time of vulnerability with the potential for poor health outcomes and experiences, yet there are limited recommendations on how to improve this care journey for adults with hip fracture. Target Audience: The target audience for our study include decision-makers and providers with a hip fra…
Describing the scope of practice of patient navigators for older adult patients with complex care needs
Introduction: Transitions in care (e.g., discharge to home) are stressful for patients, especially for older adults living with complex conditions. To bridge the care gap and improve the continuity of care across care transitions, a new model of care was introduced at a large metropolitan hospital in partnership with a community agency that uses patient navigators which are embedded in the hospital’s care teams, including emergency, acute, and re…
What is in a space? Exploring experiences providing or receiving patient care in unique spaces for patients waiting to transition to their next point of care in Ontario, Canada
Introduction: Delayed discharge is a key challenge for health systems globally. Pandemic-related capacity pressures on hospitals have increasingly led to patients being moved to unique spaces (overflow units, hotels) while they wait to transition to their next point of care. However, it is unclear how patient care is managed and coordinated in these spaces or how patients and caregivers experience care in these environments. Rationale/Objective: …
Expanding our understanding of factors impacting delayed hospital discharge
INTRODUCTION: The purpose of this paper was to understand the nature of delayed hospital discharge through the lens of a policy framework (ideas, institutions and interests; 3-I framework). MATERIALS AND METHODS: One-to-one in-depth interviews were conducted with 57 participants, including 18 patients, 18 caregivers, 11 providers and 10 organizational leaders across two hospital networks in urban and rural regions of Ontario, Canada. RESULTS: Del…
Breaking down silos
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Understanding medication self-management in community-dwelling adults with chronic medication experience
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Recommendations for improving care transitions for older adults with hip fracture
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Prevalence of Problem Gambling Among Women Using Shelter and Drop-in Services
People experiencing poverty/homelessness have higher rates of problematic gambling than the general population. Yet, research on gambling among this population is sparse, notably among women. This study examined prevalence of problematic gambling among women using shelter and drop-in services in Ontario, Canada. The NORC Diagnostic Screen for Disorders was administered to women during visits to 15 sites using time/location methodology. Within a s…
Exploring transitions in care from pulmonary rehabilitation to home for persons with chronic obstructive pulmonary disease
BACKGROUND: Individuals with chronic obstructive pulmonary disease (COPD) often experience high health-care utilization following pulmonary rehabilitation, suggesting suboptimal transitions to home. OBJECTIVE: To understand the experiences of persons with COPD and health-care professionals regarding transitions from pulmonary rehabilitation to home, including factors impacting these transitions. DESIGN: A descriptive qualitative study. SETTING AN…
An alternate level of care plan
Our findings outline ways to meaningfully engage patients and caregivers during a delayed hospital discharge. Combining this with a minimal basket of services can potentially facilitate a better care experience and outcomes for patients, their care providers and families
Patient and caregiver experience with delayed discharge from a hospital setting
Managing Medication Cost Burden
Despite the abundant literature on the burden of rising costs of prescription medications, there is limited research to explore how these costs affect people and the decisions they are forced to make within the context of disability. In this qualitative study we explored strategies adopted, factors influencing, and the impact of some of these strategies to manage the burden of medication cost among persons with disabilities. We interviewed 12 adu…
Should community pharmacy be 'linked'? The perceptions of including community pharmacy in an integrated care model in Ontario, Canada
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Understanding transitions of care in older adults with hip fractures
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
"She was just lying in bed for three days" The experiences of caregivers of patients who are stuck in hospital
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Enriching qualitative research by engaging peer interviewers
Engaging peer-interviewers in qualitative inquiry is becoming more popular. Yet, there are differing opinions as to whether this practice improves the research process or is prohibitively challenging. Benefits noted in the literature are improved awareness/acceptance of disenfranchised groups, improved quality of research, and increased comfort of participants in the research process. Challenges include larger investment in time and money to hire…
In this together
Gambling in the Landscape of Adversity in Youth
Most of the research on gambling behaviour among youth has been quantitative and focused on measuring prevalence. As a result, little is known about the contextual experiences of youth gambling, particularly among those most vulnerable. In this paper, we explore the previous experiences of youth gambling in a sample of adult men experiencing housing instability and problem gambling. We present findings from a qualitative study on problem gambling…
Enriching qualitative research by engaging peer interviewers
Engaging peer-interviewers in qualitative inquiry is becoming more popular. Yet, there are differing opinions as to whether this practice improves the research process or is prohibitively challenging. Benefits noted in the literature are improved awareness/acceptance of disenfranchised groups, improved quality of research, and increased comfort of participants in the research process. Challenges include larger investment in time and money to hire…
Identifying mechanisms for facilitating knowledge to action strategies targeting the built environment
Our research highlights the necessity of involving stakeholders in identifying inter-sectoral solutions to develop and translate actionable research on the built environment into effective policy and planning initiatives
An examination of perceived health care availability and unmet health care need in the City of Toronto, Ontario, Canada
In this together
Patient and caregiver experience with delayed discharge from a hospital setting
Managing Medication Cost Burden
Despite the abundant literature on the burden of rising costs of prescription medications, there is limited research to explore how these costs affect people and the decisions they are forced to make within the context of disability. In this qualitative study we explored strategies adopted, factors influencing, and the impact of some of these strategies to manage the burden of medication cost among persons with disabilities. We interviewed 12 adu…
Should community pharmacy be 'linked'? The perceptions of including community pharmacy in an integrated care model in Ontario, Canada
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Understanding transitions of care in older adults with hip fractures
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
"She was just lying in bed for three days" The experiences of caregivers of patients who are stuck in hospital
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
An Adapted Model of Cost-Related Nonadherence to Medications Among People With Disabilities
Despite emerging evidence on cost-related nonadherence (CRNA) to prescription medications, there is little conceptualization and exploration of this phenomenon with respect to disability. Specifically, there is a gap in the literature that explores factors influencing medication cost–adherence relationship among individuals living with a disability. To advance research on and policy for CRNA to medications among people with disabilities, we need …
Factors related to screening for problem gambling among healthcare and social service providers in Ontario, Canada
Problem gambling is a major public health concern, especially among persons who are precariously housed, living in poverty or have complex health and social needs. Problem gambling has been connected to negative health and social outcomes; however, current healthcare services rarely screen for problem gambling. With support from community partners, the purpose of this study was to understand factors related to screening for problem gambling. Conc…
Exploring transitions in care from pulmonary rehabilitation to home for persons with chronic obstructive pulmonary disease
BACKGROUND: Individuals with chronic obstructive pulmonary disease (COPD) often experience high health-care utilization following pulmonary rehabilitation, suggesting suboptimal transitions to home. OBJECTIVE: To understand the experiences of persons with COPD and health-care professionals regarding transitions from pulmonary rehabilitation to home, including factors impacting these transitions. DESIGN: A descriptive qualitative study. SETTING AN…
An alternate level of care plan
Our findings outline ways to meaningfully engage patients and caregivers during a delayed hospital discharge. Combining this with a minimal basket of services can potentially facilitate a better care experience and outcomes for patients, their care providers and families
Prevalence of Problem Gambling Among Women Using Shelter and Drop-in Services
People experiencing poverty/homelessness have higher rates of problematic gambling than the general population. Yet, research on gambling among this population is sparse, notably among women. This study examined prevalence of problematic gambling among women using shelter and drop-in services in Ontario, Canada. The NORC Diagnostic Screen for Disorders was administered to women during visits to 15 sites using time/location methodology. Within a s…
Expanding our understanding of factors impacting delayed hospital discharge
INTRODUCTION: The purpose of this paper was to understand the nature of delayed hospital discharge through the lens of a policy framework (ideas, institutions and interests; 3-I framework). MATERIALS AND METHODS: One-to-one in-depth interviews were conducted with 57 participants, including 18 patients, 18 caregivers, 11 providers and 10 organizational leaders across two hospital networks in urban and rural regions of Ontario, Canada. RESULTS: Del…
Breaking down silos
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Understanding medication self-management in community-dwelling adults with chronic medication experience
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Recommendations for improving care transitions for older adults with hip fracture
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Corruption risks in health procurement during the Covid-19 pandemic and anti-corruption, transparency and accountability (Acta) mechanisms to reduce these risks
Health utility in community-dwelling adults with dysvascular lower limb loss
Creating a patient reported outcome measure for medication-related quality of life
Introduction: Persons with mobility limitations generally take multiple medications to manage their conditions; however, healthcare providers across different settings do not currently have a way to measure the impact that medication taking has on patients’ quality of life (QoL). Current tools are limited, narrowly focused on few QoL domains and none focus on persons with mobility limitations. Target Audience: The target audience for our study fi…
Concept mapping brainstorming results for improving care transitions for adults with hip fracture in Ontario, Canada
Introduction: Individuals who have experienced a hip fracture often undergo numerous transitions in care between providers and sectors. These transitions are a time of vulnerability with the potential for poor health outcomes and experiences, yet there are limited recommendations on how to improve this care journey for adults with hip fracture. Target Audience: The target audience for our study include decision-makers and providers with a hip fra…
Describing the scope of practice of patient navigators for older adult patients with complex care needs
Introduction: Transitions in care (e.g., discharge to home) are stressful for patients, especially for older adults living with complex conditions. To bridge the care gap and improve the continuity of care across care transitions, a new model of care was introduced at a large metropolitan hospital in partnership with a community agency that uses patient navigators which are embedded in the hospital’s care teams, including emergency, acute, and re…
What is in a space? Exploring experiences providing or receiving patient care in unique spaces for patients waiting to transition to their next point of care in Ontario, Canada
Introduction: Delayed discharge is a key challenge for health systems globally. Pandemic-related capacity pressures on hospitals have increasingly led to patients being moved to unique spaces (overflow units, hotels) while they wait to transition to their next point of care. However, it is unclear how patient care is managed and coordinated in these spaces or how patients and caregivers experience care in these environments. Rationale/Objective: …
Medicine (25 obras) · Psychology (17 obras) · Health care (16 obras) · Nursing (14 obras) · Political science (11 obras) · Qualitative research (7 obras) · Sociology (7 obras) · Business (6 obras) · Pharmaceutical Practices and Patient Outcomes (5 obras) · Physical therapy (5 obras)