Paul Stolee
Biographic Data
| ID | 259799 |
|---|---|
| NAME | Paul Stolee |
| GIVEN NAMES | Paul |
| FAMILY NAME | Stolee |
| SIGNATURE | STOLEE P |
| AFFILIATIONS | University of Waterloo |
| ORCID | 0000-0002-5685-0843 |
| VERIFIED | Yes |
| TOTAL WORKS | 37 |
| TOTAL CITATIONS | 32 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1999 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
A Characterization of Older Adults in Primary Care in Three Canadian Provinces
Background Understanding the characteristics of older patients in primary care is important to develop appropriate and targeted programs. Objective We describe the characteristics of older adults (aged 70+) accessing primary care in three Canadian provinces. Methods Participants (n = 594) completed a survey package comprising demographics, health system usage, presence of chronic conditions, and a quality-of-life measure, the EQ-5D-5L. Frailty wa…
Implementation and Evaluation of an Integrated Care Team for Refugee Health: A Case Study in Ontario, Canada
Background: Refugees face significant barriers in accessing primary care, often resulting in poorer health outcomes. This case study evaluates the implementation of a multidisciplinary Integrated Care Team (ICT) for refugees, in Ontario, Canada. The aim of the ICT was to transition refugees into primary care practices. Methods: A mixed-methods process evaluation was conducted to assess the implementation and outcomes of the ICT program. Data sour…
Responding to Covid-19 with integrative health and sheltering models for persons experiencing homelessness in Canada: A case study exploring implementation
Introduction: Throughout the COVID-19 pandemic, persons experiencing homelessness in Canada were disproportionately put at high risk for infection and adverse health outcomes, which prompted many regions to respond by adopting integrative health and sheltering programs to address the unique health inequities faced by this population. Objectives: We aimed to deepen our understanding of the experiences and processes related to the adoption of such …
Engaging Persons With Young Onset Dementia and Their Families in the Evaluation of Social Programs: Processes and Lessons Learned
There are few support services specifically for individuals living with young onset dementia (YOD) (age <65 years at diagnosis). To gain a better understanding of what individuals living with YOD desire in a day program, this project aimed to guide a collaborative re-development and evaluation of two new day programs in Southern Ontario. Using action research techniques and consultative processes, we worked with key stakeholder groups, alongside …
“When in Rome…”: Structural determinants impacting healthcare access, health outcomes, and well-being of South Asian older adults in Ontario using a multilingual qualitative approach
With the increase in international migration, the need for an equitable healthcare system in Canada is increasing. The current biomedical model of healthcare is constructed largely in the Eurocentric tradition of medicine, which often disregards the diverse health perspectives of Canada’s racialized immigrant older adults. As a result, current healthcare approaches (adopted in the US and Canada) fall short in addressing the health needs of a cons…
Moving Knowledge into Action Through Communities of Practice: Multiple Case Studies of Successful System Change to Improve the Health of Older Adults
This monograph reports the results of a three-year multiple case study of nine knowledge-to-action (KTA) initiatives mobilized in communities of practice (C0Ps) operating in Ontario's seniors' health system. A multiple case study design was used to conduct nine case studies through a combination of case study and ethnographic methods. Deductive analytical methods were used to answer two broad research questions about the KTA processes mobilized t…
How Canadian caregivers of persons living with dementia are managing in a fragmented system
People living with dementia (PLWD) often need many different health and social services throughout their journey, and navigating and accessing these services can be challenging due to a lack of integration in dementia care. PLWD often rely on caregivers, usually family members, to help them navigate the system and access the care and services they need. The importance of better co-ordination and integration of health, community, and residential d…
ICT-Refugee: The development, implementation, and evaluation of an integrated care team to support refugee patients as they transition from temporary to permanent primary care
Upon arrival to Canada, government assisted refugees typically can access settlement services and universally funded health care; health care may be delivered through refugee health clinics, which are meant offer temporary care until patients are stable and able to transition to a permanent primary care practice (PCP). In Southern Ontario, Canada, we evaluated the development and implementation of an integrated care team (ICT-Refugee) that suppor…
The co-design and co-creation of an integrated geriatric care system: A case study from Ontario, Canada, in partnership with older adult patients and providers
Background: Integrated care has been heavily researched, but additional efforts are required to move knowledge of integrated care into action, ideally at a larger scale and in a more sustainable fashion. We need a stronger grasp of how integrated care models are implemented, and how they might be tailored to unique contexts. Within the context of complex health care interventions, it is relatively rare that researchers engage in evaluations of th…
Implementation of an integrated care pathway in primary care clinics to improve the health of older adults: A realist evaluation
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
Developing a Regional Strategy for Older Adults Living With Frailty: Recommendations From Patients, Family Caregivers and Health Care Providers
The creation of a frailty strategy is imperative in recognizing and responding to the needs of older adults with complex conditions. Our approach may be relevant to other organizations and health systems interested in developing their own regional frailty strategies
Transitional Care Experiences of Patients with Hip Fracture Across Different Health Care Settings
In transitions to formal care settings, similarities were related to feeling confused, while in transitions to home, similarities existed in regards to feeling unprepared. These findings support the view that models of integrated care should consider the context to which they are applied
Person‐ and family‐centred goal‐setting for older adults in Canadian home care: A solution‐focused approach
Goal-setting with older adults in home care is often inhibited by a lack of structure to support person- and family-centred care planning, paternalistic decision-making and task-oriented delivery models. The objective of this research study was to determine how goal-setting practices for older adults could be re-oriented around individuals' self-perceived goals, needs and preferences. Solution-focused semi-structured key informant interviews were…
Enhancing nursing home care for seniors: Impact of a living classroom on nursing assistant’s education
Nursing Assistants (NAs) are the largest workforce in nursing homes, but often lack adequate preparation for their role. The Living Classroom (LC) is an integrated learning approach, whereby a NA program is delivered in a nursing home (NH) in collaboration with a community college. This paper describes the implementation and evaluation of the LC. Mixed methods were used to gather data from 48 NA students, 5 faculty, and 42 NH staff over 30 weeks.…
Implementing a new model in primary care for older canadians living with frailty
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)
Co-designing a framework for integrated home care planning with older adults, family caregivers and health care providers
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)
Improving Patient-Provider Partnerships across the Healthcare System
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)
Implementing and Evaluating a Model of Care Coordination in Primary Care for Older Adults using a Co-Design Approach
Background: Older Canadians with chronic diseases are the biggest users of the health care system. Primary health care (PHC) could play a central, coordinating role in assessing and managing older adults, but at present lacks specific strategies to fulfil this role. Priorities for enhanced care coordination in PHC include: 1) consistent processes to identify and assess older persons and create individual care plans aligned with risk levels; 2) im…
Joint replacement recipients' views about health information privacy
BACKGROUND: Researchers are concerned about the possibility of restricted access to data as a result of specific consent requirements in privacy legislation, potentially resulting in smaller samples and a lack of representativeness which could bias results. In addition, there is uncertainty about what influences individuals to give consent for the use of their personal health information. OBJECTIVE: To measure joint replacement recipients' health…
Transitional care for persons with dementia and their caregivers
Introduction: Persons with dementia (PWD) experience many points of contact with health and community services, and must navigate through a health care system that has been criticized for poor integration. Although transitional care (the coordination of care as patients transfer between levels or locations of health care [1]) and health system navigation for PWD have been identified as policy and research priorities, there is a lack of research s…
Developing a System Navigator Role in Primary Care Using a Co-Design Approach
Background: Older Canadians with chronic diseases are the biggest users of the health care system. Primary health care services are seen as having a role in coordinating health system access and care for older adults with chronic illness, but at present lacks specific strategies to fulfil this role. The Chronic Care Model (CCM) developed by Wagner and colleagues (1996) provides a framework for developing an effective health care system for chroni…
Predictors of Long-Term Care Facility Residents’ Self-Reported Quality of Life With Individual and Facility Characteristics in Canada
QoL is significantly associated with select resident and LTC facility characteristics with implications for improving residents' QoL and LTC facility programming, and guiding future research and social policy development
Engaging older adults in health care research and policy: Guidelines from the CHOICE project
Introduction: Engaging the community in health care research and planning has been recognized as an important component of system improvement (1). The input and involvement of older persons is particularly critical, given that older adults are high users of the health care system, but are often excluded from health research studies. Unfortunately, guidelines for how to engage older adults in these initiatives are not readily available in the lite…
Engaging older adults in health care decision-making: Key findings and recommendations from the CHOICE knowledge synthesis project
Introduction: Engagement in shared health care decision-making has been recognized as an important, and often lacking, aspect of person-centred care. We aimed to draw on available theory, evidence and experience to develop guidelines for engaging older adults and their families in decisions around their own health care
Transitions and Translations: Health System Integration for Older Adults
She was a little bit unrealistic”: Choice in healthcare decision making for older people
Integrated transitional care: Patient, informal caregiver and health care provider perspectives on care transitions for older persons with hip fracture
Our research supports a broader notion of collaborative practice that extends beyond specific care settings and includes an appropriate, informed role for patients and informal caregivers. This research can help guide system-level and setting-specific interventions designed to promote high-quality, patient-centred care during care transitions
Predictors of Long-Term Care Facility Residents’ Self-Reported Quality of Life With Individual and Facility Characteristics in Canada
QoL is significantly associated with select resident and LTC facility characteristics with implications for improving residents' QoL and LTC facility programming, and guiding future research and social policy development
Information sharing with rural family caregivers during care transitions of hip fracture patients
As with knowledge translation, effective strategies to improve information sharing and care continuity for older patients with chronic illness may be those that involve active facilitation of an on-going partnership that respects the knowledge of all those involved
Care transitions for older patients with musculoskeletal disorders: Continuity from the providers’ perspective
Medical complexity enlarges the circle of care which challenges care continuity. There may be fundamental elements which, regardless of care setting, strengthen transitional care quality. Standardized transitional care processes might help to offset informational discontinuity across care settings as a result of this population's larger circles of care
Person‐ and family‐centred goal‐setting for older adults in Canadian home care: A solution‐focused approach
Goal-setting with older adults in home care is often inhibited by a lack of structure to support person- and family-centred care planning, paternalistic decision-making and task-oriented delivery models. The objective of this research study was to determine how goal-setting practices for older adults could be re-oriented around individuals' self-perceived goals, needs and preferences. Solution-focused semi-structured key informant interviews were…
Communicating during care transitions for older hip fracture patients: Family caregiver and health care provider's perspectives
Specific barriers that lead to poor information sharing between family caregivers and health care providers have been identified in this study. Possible interventions to improve information sharing include encouraging communication with family caregivers as standard care practice, educational strategies and more effective use of health information systems and technologies
Just another fish in the pond”: The transitional care experience of a hip fracture patient
Study findings point to the need for the health care system to engage patients and family caregivers more fully and consistently in the process of care transitions as well as the importance of understanding these processes from multiple perspectives. Recommendations for system integration are proposed with a focus on transitional care
Clinical Experience with Goal Attainment Scaling in Geriatric Care
GAS has affected both care practices and patient outcomes. This study illustrates the clinical impacts an outcome measure can have, as well as the use of qualitative methods for this type of research
The process of decision-making in home-care case management: Implications for the introduction of universal assessment and information technology
Increasingly, jurisdictions are adopting universal assessment procedures and information technology to aid in healthcare data collection and care planning. Before their potential can be realised, a better understanding is needed of how these systems can best be used to support clinical practice. We investigated the decision-making process and information needs of home-care case managers in Ontario, Canada, prior to the widespread use of universal…
Care transitions for older patients with musculoskeletal disorders: Continuity from the providers’ perspective
Medical complexity enlarges the circle of care which challenges care continuity. There may be fundamental elements which, regardless of care setting, strengthen transitional care quality. Standardized transitional care processes might help to offset informational discontinuity across care settings as a result of this population's larger circles of care
She was a little bit unrealistic”: Choice in healthcare decision making for older people
Transitional care programs: Who is left behind? A systematic review
Navigation roles support chronically ill older adults through healthcare transitions: A systematic review of the literature
Integrated transitional care: Patient, informal caregiver and health care provider perspectives on care transitions for older persons with hip fracture
Our research supports a broader notion of collaborative practice that extends beyond specific care settings and includes an appropriate, informed role for patients and informal caregivers. This research can help guide system-level and setting-specific interventions designed to promote high-quality, patient-centred care during care transitions
Just another fish in the pond”: The transitional care experience of a hip fracture patient
Study findings point to the need for the health care system to engage patients and family caregivers more fully and consistently in the process of care transitions as well as the importance of understanding these processes from multiple perspectives. Recommendations for system integration are proposed with a focus on transitional care
Communicating during care transitions for older hip fracture patients: Family caregiver and health care provider's perspectives
Specific barriers that lead to poor information sharing between family caregivers and health care providers have been identified in this study. Possible interventions to improve information sharing include encouraging communication with family caregivers as standard care practice, educational strategies and more effective use of health information systems and technologies
Engaging older adults in health care research and policy: Guidelines from the CHOICE project
Introduction: Engaging the community in health care research and planning has been recognized as an important component of system improvement (1). The input and involvement of older persons is particularly critical, given that older adults are high users of the health care system, but are often excluded from health research studies. Unfortunately, guidelines for how to engage older adults in these initiatives are not readily available in the lite…
Engaging older adults in health care decision-making: Key findings and recommendations from the CHOICE knowledge synthesis project
Introduction: Engagement in shared health care decision-making has been recognized as an important, and often lacking, aspect of person-centred care. We aimed to draw on available theory, evidence and experience to develop guidelines for engaging older adults and their families in decisions around their own health care
Transitions and Translations: Health System Integration for Older Adults
Integration through engagement: A movement towards older adults’ involvement in health care research, planning and decision making
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
Information sharing with rural family caregivers during care transitions of hip fracture patients
As with knowledge translation, effective strategies to improve information sharing and care continuity for older patients with chronic illness may be those that involve active facilitation of an on-going partnership that respects the knowledge of all those involved
Client safety in assisted living: Perspectives from clients, personal support workers and administrative staff in Toronto, Canada
As the population ages, the demand for long-term care settings is expected to increase. Assisted living is a suitable and favourable residence for older individuals to receive care services specific to their needs while maintaining their independence and privacy. With the growing transition of older individuals into assisted living, facilities need to ensure that safe care is continually maintained. The purpose of this study was to determine the …
Joint replacement recipients' views about health information privacy
BACKGROUND: Researchers are concerned about the possibility of restricted access to data as a result of specific consent requirements in privacy legislation, potentially resulting in smaller samples and a lack of representativeness which could bias results. In addition, there is uncertainty about what influences individuals to give consent for the use of their personal health information. OBJECTIVE: To measure joint replacement recipients' health…
Transitional care for persons with dementia and their caregivers
Introduction: Persons with dementia (PWD) experience many points of contact with health and community services, and must navigate through a health care system that has been criticized for poor integration. Although transitional care (the coordination of care as patients transfer between levels or locations of health care [1]) and health system navigation for PWD have been identified as policy and research priorities, there is a lack of research s…
Developing a System Navigator Role in Primary Care Using a Co-Design Approach
Background: Older Canadians with chronic diseases are the biggest users of the health care system. Primary health care services are seen as having a role in coordinating health system access and care for older adults with chronic illness, but at present lacks specific strategies to fulfil this role. The Chronic Care Model (CCM) developed by Wagner and colleagues (1996) provides a framework for developing an effective health care system for chroni…
Predictors of Long-Term Care Facility Residents’ Self-Reported Quality of Life With Individual and Facility Characteristics in Canada
QoL is significantly associated with select resident and LTC facility characteristics with implications for improving residents' QoL and LTC facility programming, and guiding future research and social policy development
Implementing and Evaluating a Model of Care Coordination in Primary Care for Older Adults using a Co-Design Approach
Background: Older Canadians with chronic diseases are the biggest users of the health care system. Primary health care (PHC) could play a central, coordinating role in assessing and managing older adults, but at present lacks specific strategies to fulfil this role. Priorities for enhanced care coordination in PHC include: 1) consistent processes to identify and assess older persons and create individual care plans aligned with risk levels; 2) im…
Co-designing a framework for integrated home care planning with older adults, family caregivers and health care providers
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)
Improving Patient-Provider Partnerships across the Healthcare System
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)
Implementing a new model in primary care for older canadians living with frailty
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)
Enhancing nursing home care for seniors: Impact of a living classroom on nursing assistant’s education
Nursing Assistants (NAs) are the largest workforce in nursing homes, but often lack adequate preparation for their role. The Living Classroom (LC) is an integrated learning approach, whereby a NA program is delivered in a nursing home (NH) in collaboration with a community college. This paper describes the implementation and evaluation of the LC. Mixed methods were used to gather data from 48 NA students, 5 faculty, and 42 NH staff over 30 weeks.…
Transitional Care Experiences of Patients with Hip Fracture Across Different Health Care Settings
In transitions to formal care settings, similarities were related to feeling confused, while in transitions to home, similarities existed in regards to feeling unprepared. These findings support the view that models of integrated care should consider the context to which they are applied
Medicine (30 works) · Health care (25 works) · Nursing (22 works) · Psychology (17 works) · Political science (16 works) · Gerontology (14 works) · Geriatric Care and Nursing Homes (13 works) · Sociology (11 works) · Focus group (10 works) · Integrated care (9 works)