Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

717
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
717
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

299
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
299
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

809
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
809
Heart Failure Drugs: Inotropic Agents01:26

Heart Failure Drugs: Inotropic Agents

395
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
395
Community Based Intervention01:30

Community Based Intervention

17
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
17
Restorative Care01:19

Restorative Care

1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
  1. Home
  3. Research Domains
  5. Health Sciences
  7. Health Services And Systems
  9. Family Care
  11. Bringing Care Close To Home: Remote Management Of Heart Failure In Partnership With Indigenous Communities In Northern Ontario, Canada

Bringing Care Close to Home: Remote Management of Heart Failure In Partnership with Indigenous Communities In Northern Ontario, Canada

Samuel Petrie1,2, Anne Simard1, Elaine Innes3

  • 1Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.

CJC Open
|December 30, 2024

Related Experiment Videos

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

11.4K
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.1K
Normothermic Ex Situ Heart Perfusion in Working Mode: Assessment of Cardiac Function and Metabolism
09:10

Normothermic Ex Situ Heart Perfusion in Working Mode: Assessment of Cardiac Function and Metabolism

Published on: January 12, 2019

13.0K

View abstract on PubMed

Summary
This summary is machine-generated.

The Medly program successfully improved cardiology care access for Indigenous patients in Northern Ontario. This digital health initiative enhanced patient self-management and satisfaction, addressing regional healthcare inequities.

Area of Science:

  • Digital health interventions
  • Cardiology
  • Indigenous health

Background:

  • The Weeneebayko Area Health Authority (WAHA) partnered with the University Health Network to address cardiology specialist access inequities in Northern Ontario.
  • A collaborative care model was developed, integrating the digital therapeutic (Medly program) with in-person cardiology clinics.

Purpose of the Study:

  • To evaluate the implementation and effectiveness of the Medly program in improving cardiology care for patients in Northern Ontario.
  • To assess patient and provider satisfaction with the digital therapeutic model.

Main Methods:

  • A WAHA-based coordinator facilitated the Medly program, supporting patient self-management of heart failure (HF).
  • Program effectiveness was monitored via app usage, algorithm alerts, and equipment distribution.

Related Experiment Videos

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

11.4K
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.1K
Normothermic Ex Situ Heart Perfusion in Working Mode: Assessment of Cardiac Function and Metabolism
09:10

Normothermic Ex Situ Heart Perfusion in Working Mode: Assessment of Cardiac Function and Metabolism

Published on: January 12, 2019

13.0K
  • Patient and clinician satisfaction surveys and a retrospective chart audit were conducted.

    • Main Results:

    • 33 patients were enrolled in the Medly program, exceeding the goal of 25.
    • 93% of eligible patients received guideline-directed medical therapy for heart failure.
    • 100% of surveyed patients felt the program facilitated care close to home; 86% of clinicians found it addressed a care gap.

    Conclusions:

    • The Medly program implementation in partnership with WAHA demonstrated success in patient referrals and quality of care.
    • The program showed adherence to evidence-based guidelines and high satisfaction rates among patients and clinicians.
    • This collaborative digital health model effectively addressed inequities in cardiology specialist access in Northern Ontario.