Affiliation: University of Toronto
Kiran T, Davie S, Singh D, Hranilovic S, Pinto A, Abramovich A, et al
. Cancer screening rates among transgender adults: Cross-sectional analysis of primary care data. Can Fam Physician. 2019;65:e30-e37 pubmed
..Future research and quality improvement activities should aim to understand and address potential patient, provider, and system factors. ..
Kiran T, Ramji N, Derocher M, Rajesh G, Davie S, Lam Antoniades M. Ten tips for advancing a culture of improvement in primary care. BMJ Qual Saf. 2018;: pubmed publisher
..Success has required deep engagement with both patients and clinicians, a long-term vision, and requisite patience. ..
Kiran T, Davie S, Moineddin R, Lofters A. Mailed Letter Versus Phone Call to Increase Uptake of Cancer Screening: A Pragmatic, Randomized Trial. J Am Board Fam Med. 2018;31:857-868 pubmed publisher
..However, phone calls were more expensive than letters. Primary care practices should consider integrating phone call reminders into their practice, possibly as part of a targeted or staged approach to outreach for cancer screening. ..
Kiran T, Moineddin R, Kopp A, Frymire E, Glazier R. Emergency Department Use and Enrollment in a Medical Home Providing After-Hours Care. Ann Fam Med. 2018;16:419-427 pubmed publisher
..It will therefore be important to prospectively evaluate policy reforms aimed at improving access to primary care outside of conventional hours. ..
Kiran T, Kopp A, Moineddin R, Glazier R. Longitudinal evaluation of physician payment reform and team-based care for chronic disease management and prevention. CMAJ. 2015;187:E494-502 pubmed publisher
..The shift to capitation payment and the addition of team-based care in Ontario were associated with moderate improvements in processes related to diabetes care, but the effects on cancer screening were less clear. ..
Slater M, Kiran T. Measuring the patient experience in primary care: Comparing e-mail and waiting room survey delivery in a family health team. Can Fam Physician. 2016;62:e740-e748 pubmed
..Further research is needed to understand how primary care practices can optimize electronic survey delivery methods to survey a representative sample of patients. ..
Kiran T, Kopp A, Moineddin R, Victor J, Campbell R, Shah B, et al
. Unintended consequences of delisting routine eye exams on retinopathy screening for people with diabetes in Ontario, Canada. CMAJ. 2013;185:E167-73 pubmed publisher
..More research is needed to understand whether patients are being charged for an insured service or to what degree misunderstanding has prevented patients from seeking care. ..
Kiran T, Kopp A, Glazier R. Those Left Behind From Voluntary Medical Home Reforms in Ontario, Canada. Ann Fam Med. 2016;14:517-525 pubmed publisher
..Patients left behind from medical home reforms are more likely to be poor, urban, and new immigrants and receive lower quality care. Strategies are needed to reach out to these patients and their physicians to reduce gaps in care. ..
Kiran T, Wilton A, Moineddin R, Paszat L, Glazier R. Effect of payment incentives on cancer screening in Ontario primary care. Ann Fam Med. 2014;12:317-23 pubmed publisher
..The pay-for-performance scheme was associated with little or no improvement in screening rates despite substantial expenditure. Policy makers should consider other strategies for improving rates of cancer screening. ..