Merrick Zwarenstein
Dados Biográficos
| ID | 323950 |
|---|---|
| NOME | Merrick Zwarenstein |
| PRENOMES | Merrick |
| SOBRENOME | Zwarenstein |
| ASSINATURA | ZWARENSTEIN M |
| AFILIAÇÕES | Western University |
| ORCID | 0000-0003-0162-7027 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAÇÕES | 18 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2005 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 2 |
Exploration of pharmacist integration into a community-based approach for complex vulnerable patients
Exploration of pharmacist integration into a community-based approach for complex vulnerable patients with the Windsor-Essex Compassion Care Community (WECCC)Authors:Doris Nessim, Kathy Pfaff, Michelle Howard, Deborah Sattler, Merrick Zwarenstein, Lisa Dolovich (presenter) BACKGROUND: Globally, health systems are challenged with managing the increasing lifespans and vulnerabilities associated with aging and accompanying chronic diseases, which ar…
Key features of programs that integrate informal care
Background: Formal health care systems alone are insufficient to address patients needs for overall health and wellness over the life course. Over 90% of the care people receive is informal. Gaps of most concern include practical support, self-care, social relationships, and activities. Therefore, to scale solutions at a population level, there is a need to understand key features that support integrating informal and formal care across social, m…
Achieving holistic, quality-of-life focused care
The compassionate community movement as both a public health approach and a social model of care for various life stages is gaining traction in Canada and elsewhere. One example is the Windsor-Essex Compassion Care Community (WECCC), an evidence-based model and set of tools to improve the quality of life, health and wellness of vulnerable and aging populations by identifying and addressing upstream and downstream social and other risks to physica…
WOmen's Action for Mums and Bubs (Womb) Trial Protocol
Introduction: In Australia, there have been improvements in Aboriginal and Torres Strait Islander maternal health, however inequities remain. There is increasing international evidence illustrating the effectiveness of Participatory Women’s Groups (PWGs) in improving Maternal and Child Health (MCH) outcomes. Using a non-randomised, cluster stepped-wedge implementation of a complex intervention with mixed methods evaluation, this study aims to tes…
Beyond the grey tsunami
A realist evaluation of value-based care delivery in home care
Lay health workers perceptions of an anemia control intervention in Karnataka, India
This trial was registered with ISRCTN.com (identifier: ISRCTN68413407 ) on 23 September 2013
North–south collaboration and capacity development in global health research in low- and middle-income countries – the Arcade projects
BACKGROUND: Research capacity enhancement is needed in low- and middle-income countries (LMICs) for improved health, wellbeing, and health systems' development. In this article, we discuss two capacity-building projects, the African/Asian Regional Capacity Development (ARCADE) in Health Systems and Services Research (HSSR) and Research on Social Determinants of Health (RSDH), implemented from 2011 to 2015. The two projects focussed on providing c…
Student experiences of participating in five collaborative blended learning courses in Africa and Asia
BACKGROUND: As blended learning (BL; a combination of face-to-face and e-learning methods) becomes more commonplace, it is important to assess whether students find it useful for their studies. ARCADE HSSR and ARCADE RSDH (African Regional Capacity Development for Health Systems and Services Research; Asian Regional Capacity Development for Research on Social Determinants of Health) were unique capacity-building projects, focusing on developing B…
Successes and challenges of north–south partnerships – key lessons from the African/Asian Regional Capacity Development projects
INTRODUCTION: Increasing efforts are being made globally on capacity building. North-south research partnerships have contributed significantly to enhancing the research capacity in low- and middle-income countries (LMICs) over the past few decades; however, a lack of skilled researchers to inform health policy development persists, particularly in LMICs. The EU FP7 funded African/Asian Regional Capacity Development (ARCADE) projects were multi-p…
‘Research clinics’
BACKGROUND: Capacity development in health research is high on the agenda of many low- and middle-income countries. OBJECTIVE: The ARCADE projects, funded by the EU, have been working in Africa and Asia since 2011 in order to build postgraduate students' health research capacity. In this short communication, we describe one initiative in these projects, that of research clinics - online journal clubs connecting southern and northern students and …
A partial economic evaluation of blended learning in teaching health research methods
BACKGROUND: Novel research training approaches are needed in global health, particularly in sub-Saharan African universities, to support strengthening of health systems and services. Blended learning (BL), combining face-to-face teaching with computer-based technologies, is also an accessible and flexible education method for teaching global health and related topics. When organised as inter-institutional collaboration, BL also has potential for …
Hockey Fans in Training (Hockey FIT) pilot study protocol
NCT02396524 (Clinicaltrials.gov). Date of registration: Feb 26, 2015
The PRECIS-2 tool
PRECIS is a tool to help trialists make design decisions consistent with the intended purpose of their trial. This paper gives guidance on how to use an improved, validated version, PRECIS-2, which has been developed with the help of over 80 international trialists, clinicians, and policymakers. Keeping the original simple wheel format, PRECIS-2 has nine domains—eligibility criteria, recruitment, setting, organisation, flexibility (delivery), fle…
Implementation of national guidelines, incorporated within structured diabetes and hypertension records at primary level care in Cape Town, South Africa
BACKGROUND AND OBJECTIVES: Many clinical management guidelines for chronic diseases have been published, but they have not been put into practice by busy clinicians at primary care levels. This study evaluates the implementation of national guidelines incorporated within a structured diabetes and hypertension clinical record (SR) in Cape Town in a randomised controlled trial (RCT). METHODS: Eighteen public sector community health centres (CHC) we…
Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi
BACKGROUND: Nearly 3 million people in resource-poor countries receive antiretrovirals for the treatment of HIV/AIDS, yet millions more require treatment. Key barriers to treatment scale up are shortages of trained health care workers, and challenges integrating HIV/AIDS care with primary care. THE RESEARCH: PALM PLUS (Practical Approach to Lung Health and HIV/AIDS in Malawi) is an intervention designed to simplify and integrate existing Malawian…
Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases
BACKGROUND: Lay health workers (LHWs) are widely used to provide care for a broad range of health issues. Little is known, however, about the effectiveness of LHW interventions. OBJECTIVES: To assess the effects of LHW interventions in primary and community health care on maternal and child health and the management of infectious diseases. SEARCH STRATEGY: For the current version of this review we searched The Cochrane Central Register of Control…
What Is Implementation Research
Despite the growing knowledge base on evidence-based practices in social work and medicine, there is a large gap between what is known and what is consistently done. Implementation research is the study of methods to promote the uptake of research findings into routine practice. In this article, we describe the rationale for implementation research and outline the concepts and effectiveness of its practices. Despite a large number of systematic r…
Communication Channels in General Internal Medicine
General internal medicine (GIM) is a communicatively complex specialty because of its diverse patient population and the number and diversity of health care providers working on a medicine ward. Effective interprofessional communication in such information-intensive environments is critical to achieving optimal patient care. Few empirical studies have explored the ways in which health professionals exchange patient information and the implication…
Improving the reporting of pragmatic trials
BACKGROUND: The CONSORT statement is intended to improve reporting of randomised controlled trials and focuses on minimising the risk of bias (internal validity). The applicability of a trial's results (generalisability or external validity) is also important, particularly for pragmatic trials. A pragmatic trial (a term first used in 1967 by Schwartz and Lellouch) can be broadly defined as a randomised controlled trial whose purpose is to inform …
Health Impact of Hospital Restrictions on Seriously Ill Hospitalized Patients
BACKGROUND: Restrictions on non-urgent hospital care imposed to control the 2003 Toronto severe acute respiratory syndrome outbreak led to substantial disruptions in hospital clinical practice, admission, and transfer patterns. OBJECTIVES: We assessed whether there were unintended health consequences to seriously ill hospitalized patients. STUDY DESIGN, SETTING, AND POPULATION: Population-based longitudinal cohort study of patients residing in To…
Written Parental Consent in School-Based HIV/Aids Prevention Research
Objectives. We examined the process of obtaining “active,” written parental consent for a school-based HIV/AIDS prevention project in a South African high school by investigating (1) parental consent form return rates, (2) parents’ recall and knowledge of the research, and (3) the extent to which this consent procedure represented parents’ wishes about their child’s involvement in the research. Methods. This cross-sectional descriptive study comp…
What Is Implementation Research
Despite the growing knowledge base on evidence-based practices in social work and medicine, there is a large gap between what is known and what is consistently done. Implementation research is the study of methods to promote the uptake of research findings into routine practice. In this article, we describe the rationale for implementation research and outline the concepts and effectiveness of its practices. Despite a large number of systematic r…
Communication Channels in General Internal Medicine
General internal medicine (GIM) is a communicatively complex specialty because of its diverse patient population and the number and diversity of health care providers working on a medicine ward. Effective interprofessional communication in such information-intensive environments is critical to achieving optimal patient care. Few empirical studies have explored the ways in which health professionals exchange patient information and the implication…
Beyond the grey tsunami
A realist evaluation of value-based care delivery in home care
Written Parental Consent in School-Based HIV/Aids Prevention Research
Objectives. We examined the process of obtaining “active,” written parental consent for a school-based HIV/AIDS prevention project in a South African high school by investigating (1) parental consent form return rates, (2) parents’ recall and knowledge of the research, and (3) the extent to which this consent procedure represented parents’ wishes about their child’s involvement in the research. Methods. This cross-sectional descriptive study comp…
Improving the reporting of pragmatic trials
BACKGROUND: The CONSORT statement is intended to improve reporting of randomised controlled trials and focuses on minimising the risk of bias (internal validity). The applicability of a trial's results (generalisability or external validity) is also important, particularly for pragmatic trials. A pragmatic trial (a term first used in 1967 by Schwartz and Lellouch) can be broadly defined as a randomised controlled trial whose purpose is to inform …
Health Impact of Hospital Restrictions on Seriously Ill Hospitalized Patients
BACKGROUND: Restrictions on non-urgent hospital care imposed to control the 2003 Toronto severe acute respiratory syndrome outbreak led to substantial disruptions in hospital clinical practice, admission, and transfer patterns. OBJECTIVES: We assessed whether there were unintended health consequences to seriously ill hospitalized patients. STUDY DESIGN, SETTING, AND POPULATION: Population-based longitudinal cohort study of patients residing in To…
What Is Implementation Research
Despite the growing knowledge base on evidence-based practices in social work and medicine, there is a large gap between what is known and what is consistently done. Implementation research is the study of methods to promote the uptake of research findings into routine practice. In this article, we describe the rationale for implementation research and outline the concepts and effectiveness of its practices. Despite a large number of systematic r…
Communication Channels in General Internal Medicine
General internal medicine (GIM) is a communicatively complex specialty because of its diverse patient population and the number and diversity of health care providers working on a medicine ward. Effective interprofessional communication in such information-intensive environments is critical to achieving optimal patient care. Few empirical studies have explored the ways in which health professionals exchange patient information and the implication…
Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases
BACKGROUND: Lay health workers (LHWs) are widely used to provide care for a broad range of health issues. Little is known, however, about the effectiveness of LHW interventions. OBJECTIVES: To assess the effects of LHW interventions in primary and community health care on maternal and child health and the management of infectious diseases. SEARCH STRATEGY: For the current version of this review we searched The Cochrane Central Register of Control…
Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi
BACKGROUND: Nearly 3 million people in resource-poor countries receive antiretrovirals for the treatment of HIV/AIDS, yet millions more require treatment. Key barriers to treatment scale up are shortages of trained health care workers, and challenges integrating HIV/AIDS care with primary care. THE RESEARCH: PALM PLUS (Practical Approach to Lung Health and HIV/AIDS in Malawi) is an intervention designed to simplify and integrate existing Malawian…
Implementation of national guidelines, incorporated within structured diabetes and hypertension records at primary level care in Cape Town, South Africa
BACKGROUND AND OBJECTIVES: Many clinical management guidelines for chronic diseases have been published, but they have not been put into practice by busy clinicians at primary care levels. This study evaluates the implementation of national guidelines incorporated within a structured diabetes and hypertension clinical record (SR) in Cape Town in a randomised controlled trial (RCT). METHODS: Eighteen public sector community health centres (CHC) we…
The PRECIS-2 tool
PRECIS is a tool to help trialists make design decisions consistent with the intended purpose of their trial. This paper gives guidance on how to use an improved, validated version, PRECIS-2, which has been developed with the help of over 80 international trialists, clinicians, and policymakers. Keeping the original simple wheel format, PRECIS-2 has nine domains—eligibility criteria, recruitment, setting, organisation, flexibility (delivery), fle…
North–south collaboration and capacity development in global health research in low- and middle-income countries – the Arcade projects
BACKGROUND: Research capacity enhancement is needed in low- and middle-income countries (LMICs) for improved health, wellbeing, and health systems' development. In this article, we discuss two capacity-building projects, the African/Asian Regional Capacity Development (ARCADE) in Health Systems and Services Research (HSSR) and Research on Social Determinants of Health (RSDH), implemented from 2011 to 2015. The two projects focussed on providing c…
Student experiences of participating in five collaborative blended learning courses in Africa and Asia
BACKGROUND: As blended learning (BL; a combination of face-to-face and e-learning methods) becomes more commonplace, it is important to assess whether students find it useful for their studies. ARCADE HSSR and ARCADE RSDH (African Regional Capacity Development for Health Systems and Services Research; Asian Regional Capacity Development for Research on Social Determinants of Health) were unique capacity-building projects, focusing on developing B…
Successes and challenges of north–south partnerships – key lessons from the African/Asian Regional Capacity Development projects
INTRODUCTION: Increasing efforts are being made globally on capacity building. North-south research partnerships have contributed significantly to enhancing the research capacity in low- and middle-income countries (LMICs) over the past few decades; however, a lack of skilled researchers to inform health policy development persists, particularly in LMICs. The EU FP7 funded African/Asian Regional Capacity Development (ARCADE) projects were multi-p…
‘Research clinics’
BACKGROUND: Capacity development in health research is high on the agenda of many low- and middle-income countries. OBJECTIVE: The ARCADE projects, funded by the EU, have been working in Africa and Asia since 2011 in order to build postgraduate students' health research capacity. In this short communication, we describe one initiative in these projects, that of research clinics - online journal clubs connecting southern and northern students and …
A partial economic evaluation of blended learning in teaching health research methods
BACKGROUND: Novel research training approaches are needed in global health, particularly in sub-Saharan African universities, to support strengthening of health systems and services. Blended learning (BL), combining face-to-face teaching with computer-based technologies, is also an accessible and flexible education method for teaching global health and related topics. When organised as inter-institutional collaboration, BL also has potential for …
Hockey Fans in Training (Hockey FIT) pilot study protocol
NCT02396524 (Clinicaltrials.gov). Date of registration: Feb 26, 2015
Lay health workers perceptions of an anemia control intervention in Karnataka, India
This trial was registered with ISRCTN.com (identifier: ISRCTN68413407 ) on 23 September 2013
Beyond the grey tsunami
A realist evaluation of value-based care delivery in home care
WOmen's Action for Mums and Bubs (Womb) Trial Protocol
Introduction: In Australia, there have been improvements in Aboriginal and Torres Strait Islander maternal health, however inequities remain. There is increasing international evidence illustrating the effectiveness of Participatory Women’s Groups (PWGs) in improving Maternal and Child Health (MCH) outcomes. Using a non-randomised, cluster stepped-wedge implementation of a complex intervention with mixed methods evaluation, this study aims to tes…
Achieving holistic, quality-of-life focused care
The compassionate community movement as both a public health approach and a social model of care for various life stages is gaining traction in Canada and elsewhere. One example is the Windsor-Essex Compassion Care Community (WECCC), an evidence-based model and set of tools to improve the quality of life, health and wellness of vulnerable and aging populations by identifying and addressing upstream and downstream social and other risks to physica…
Exploration of pharmacist integration into a community-based approach for complex vulnerable patients
Exploration of pharmacist integration into a community-based approach for complex vulnerable patients with the Windsor-Essex Compassion Care Community (WECCC)Authors:Doris Nessim, Kathy Pfaff, Michelle Howard, Deborah Sattler, Merrick Zwarenstein, Lisa Dolovich (presenter) BACKGROUND: Globally, health systems are challenged with managing the increasing lifespans and vulnerabilities associated with aging and accompanying chronic diseases, which ar…
Key features of programs that integrate informal care
Background: Formal health care systems alone are insufficient to address patients needs for overall health and wellness over the life course. Over 90% of the care people receive is informal. Gaps of most concern include practical support, self-care, social relationships, and activities. Therefore, to scale solutions at a population level, there is a need to understand key features that support integrating informal and formal care across social, m…
Medicine (22 obras) · Nursing (13 obras) · Political science (9 obras) · Family medicine (8 obras) · Economic growth (7 obras) · Psychology (7 obras) · Health care (6 obras) · Global Health and Surgery (5 obras) · Global Maternal and Child Health (5 obras) · Medical education (5 obras)