Canadian Medical Association journal最新文献

{"title":"Les déformations des doigts dans la maladie de Parkinson.","authors":"Akio Kikuchi","doi":"10.1503/cmaj.241215-f","DOIUrl":"10.1503/cmaj.241215-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E545-E546"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Crise de santé mentale chez les étudiantes et étudiants.","authors":"Martin Sellier Silva, Irnes Zeljkovic, Lena Palaniyappan","doi":"10.1503/cmaj.241439-f","DOIUrl":"10.1503/cmaj.241439-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E547-E548"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unilateral facial flushing and hyperhidrosis in a 50-year-old woman.","authors":"Mao-Lin Li, Kun-Yi Li, Lan Wen","doi":"10.1503/cmaj.250097","DOIUrl":"10.1503/cmaj.250097","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E536-E537"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"May 2025 obituaries.","authors":"","doi":"10.1503/cmaj.250711","DOIUrl":"https://doi.org/10.1503/cmaj.250711","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E540-E542"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of single-entry referral models and team-based care on wait times for hip and knee joint replacement in Ontario: a simulation study.","authors":"Pardis Seyedi, Dionne Aleman, Nancy N Baxter, Chaim M Bell, Merve Bodur, Andrew Calzavara, Robert Campbell, Michael Carter, Pieter de Jager, Scott D Emerson, Jonathan Irish, Danielle Martin, Samantha Lee, Jonathan Persitz, Marcy Saxe-Braithwaite, Julie Takata, Olivia Varkul, Suting Yang, Claudia Zanchetta, David R Urbach","doi":"10.1503/cmaj.241755","DOIUrl":"10.1503/cmaj.241755","url":null,"abstract":"<p><strong>Background: </strong>Long wait times for scheduled surgery are a major problem in Canadian health systems. We sought to determine the extent to which single-entry referral models (next available consultation), team-based care models (next available surgery regardless of consulting surgeon), or both could affect wait times for consultations and surgery.</p><p><strong>Methods: </strong>We performed a discrete-event simulation study of wait times for consultations and surgeries for knee and hip joint replacement in Ontario's 5 postal regions using prospectively collected data on surgical wait times. We simulated the effects of coordinated referral models on the wait time for consultation (wait 1) and surgery (wait 2).</p><p><strong>Results: </strong>Coordinated models led to larger reductions in high-outlier wait times (as reflected by the 90th percentile and the percentage of patients exceeding wait-time targets) than on median wait times when compared with the status quo. Single-entry referral models largely influenced wait 1, and team-based models of care affected only wait 2. Fully integrated models incorporating both single-entry referral and team-based care largely prevented patients from exceeding both wait-1 and wait-2 targets; the percentage of patients exceeding wait-1 targets in these models was 0% in all regions, and the percentage exceeding wait-2 targets was 0% except for Ontario West (2.0%, from 35.7% at baseline), East (1.1%, from 22.7% at baseline), and North (1.0%, from 25.1% at baseline).</p><p><strong>Interpretation: </strong>Coordinated referral and practice models improve access to scheduled surgery in Canadian health systems. Implementation of these models could largely eliminate prolonged wait times for joint replacement surgery in Ontario.</p>","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E524-E531"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician entrepreneurs should be supported to address Canada's health care challenges.","authors":"Kumanan Wilson, Dante Morra","doi":"10.1503/cmaj.250235","DOIUrl":"10.1503/cmaj.250235","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E538-E539"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mallet finger in a 19-year-old athlete.","authors":"Stephanie Kim, Joo Hyung Yoon, Stahs Pripotnev","doi":"10.1503/cmaj.250150","DOIUrl":"10.1503/cmaj.250150","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E532-E533"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chutes chez les personnes âgées.","authors":"Benoit Lafleur, Manuel Montero-Odasso, Shirley Huang","doi":"10.1503/cmaj.241702-f","DOIUrl":"10.1503/cmaj.241702-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E543-E544"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doxycycline postexposure prophylaxis to prevent bacterial sexually transmitted infections.","authors":"Victor Leung, Junine Toy, Peter Phillips, Julio S G Montaner","doi":"10.1503/cmaj.250128","DOIUrl":"10.1503/cmaj.250128","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E534-E535"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Courir dans la tempête.","authors":"Emily Groot","doi":"10.1503/cmaj.241116-f","DOIUrl":"10.1503/cmaj.241116-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 18","pages":"E522-E523"},"PeriodicalIF":9.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}