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Lamontagne F, Masse MH, Yarnell C, Camirand-Lemyre F, Lévesque S, Domingue MP, O'Hearn K, Watpool I, Hoogenes J, Sprague S, Ménard J, Lemaire-Paquette S, Hébert-Dufresne L, Cook D, Hébert P, Rowan K, Yada N, Menon K, Fowler R, Fox-Robichaud A, Boutin D, Marshall J, Kho ME. The response of Canada's clinical health research ecosystem to the COVID-19 pandemic. CMAJ 2024; 196:E779-E788. [PMID: 38885975 PMCID: PMC11182674 DOI: 10.1503/cmaj.230760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/05/2024] [Indexed: 06/20/2024] Open
Abstract
BACKGROUND The response of Canada's research community to the COVID-19 pandemic provides a unique opportunity to examine the country's clinical health research ecosystem. We sought to describe patterns of enrolment across Canadian Institutes of Health Research (CIHR)-funded studies on COVID-19. METHODS We identified COVID-19 studies funded by the CIHR and that enrolled participants from Canadian acute care hospitals between January 2020 and April 2023. We collected information on study-and site-level variables from study leads, site investigators, and public domain sources. We described and evaluated factors associated with cumulative enrolment. RESULTS We obtained information for 23 out of 26 (88%) eligible CIHR-funded studies (16 randomized controlled trials [RCTs] and 7 cohort studies). The 23 studies were managed by 12 Canadian and 3 international coordinating centres. Of 419 Canadian hospitals, 97 (23%) enrolled a total of 28 973 participants - 3876 in RCTs across 78 hospitals (median cumulative enrolment per hospital 30, interquartile range [IQR] 10-61), and 25 097 in cohort studies across 62 hospitals (median cumulative enrolment per hospital 158, IQR 6-348). Of 78 hospitals recruiting participants in RCTs, 13 (17%) enrolled 50% of all RCT participants, whereas 6 of 62 hospitals (9.7%) recruited 54% of participants in cohort studies. INTERPRETATION A minority of Canadian hospitals enrolled the majority of participants in CIHR-funded studies on COVID-19. This analysis sheds light on the Canadian health research ecosystem and provides information for multiple key partners to consider ways to realize the full research potential of Canada's health systems.
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Affiliation(s)
- François Lamontagne
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que.
| | - Marie-Hélène Masse
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Christopher Yarnell
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Félix Camirand-Lemyre
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Simon Lévesque
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Marie-Pier Domingue
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Katie O'Hearn
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Irene Watpool
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Jennifer Hoogenes
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Sheila Sprague
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Julie Ménard
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Samuel Lemaire-Paquette
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Laurent Hébert-Dufresne
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Deborah Cook
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Paul Hébert
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Kathryn Rowan
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Nicole Yada
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Kusum Menon
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Robert Fowler
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Alison Fox-Robichaud
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Denis Boutin
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - John Marshall
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
| | - Michelle E Kho
- Université de Sherbrooke (Lamontagne, Camirand-Lemyre, Lévesque, Domingue); Centre de recherche du Centre hospitalier universitaire de Sherbrooke (Lamontagne, Masse, Camirand-Lemyre, Lévesque, Domingue, Ménard, Lemaire-Paquette), Sherbrooke, Que.; Department of Critical Care Medicine and Research Institute (Yarnell), Scarborough Health Network, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (O'Hearn, Menon); Ottawa Hospital Research Institute (Watpool), Ottawa, Ont.; McMaster University School of Rehabilitation Science (Hoogenes, Kho); McMaster University (Sprague, Cook, Fox-Robichaud); Hamilton, Ont.; University of Vermont (Hébert-Dufresne), Burlington, Vt.; Bruyère Research Institute (Hébert), Ottawa, Ont.; Intensive Care National Audit and Research Centre (Rowan), London, UK; Unity Health Toronto (Yada), Toronto, Ont.; Children's Hospital of Eastern Ontario (Menon); University of Ottawa (Menon), Ottawa, Ont.; University of Toronto (Yada, Fowler, Marshall); Sunnybrook Hospital (Fowler), Toronto, Ont.; Patient with lived experience (Boutin), Sherbrooke, Que
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Koonin LM, Sliger K, Kerr J, Bullen-Austin L, Graeden E, Farris K, Ionta C, Krause D, Patel A. CDC's Flu on Call Simulation: Testing a National Helpline for Use During an Influenza Pandemic. Health Secur 2021; 18:392-402. [PMID: 33107763 DOI: 10.1089/hs.2019.0152] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
During an influenza pandemic, healthcare facilities are likely to be filled to capacity, leading to delays in seeing a provider and obtaining treatment. Flu on Call is a collaborative effort between the US Centers for Disease Control and Prevention and partners to develop a toll-free telephone helpline to reduce the burden on healthcare facilities and improve access to antivirals for people who are ill during an influenza pandemic. This study tested the feasibility of Flu on Call during a 1-day simulation using a severe pandemic scenario. Trained volunteer actors placed calls to the helpline using prepared scripts that were precoded for an expected outcome ("disposition") of the call. Scripts represented callers who were ill, those calling for someone else who was ill, and callers who were only seeking information. Information specialists and medical professionals managed the calls. Results demonstrated that Flu on Call may effectively assist callers during a pandemic, increase access to antiviral prescriptions, and direct patients to the appropriate level of care. Overall, 84% of calls exactly matched the expected call disposition; few calls (2%) were undermanaged (eg, the caller was ill but not transferred to a medical professional or received advice from the medical professional that was less intensive than what was warranted). Callers indicated a high level of satisfaction (83% reported their needs were met). Because of the high volume of calls that may be received during a severe pandemic, the Flu on Call platform should evolve to include additional triage channels (eg, through internet, chat, and/or text access).
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Affiliation(s)
- Lisa M Koonin
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
| | - Kellye Sliger
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
| | - Justin Kerr
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
| | - Lisa Bullen-Austin
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
| | - Ellie Graeden
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
| | - Kevin Farris
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
| | - Christopher Ionta
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
| | - Diane Krause
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
| | - Anita Patel
- Lisa M. Koonin, DrPH, MN, MPH, was Deputy Director at the time this study was conducted; and Anita Patel, PharmD, MS, is Senior Advisor, Pandemic Medical Care and Countermeasures Lead; both in the Influenza Coordination Unit, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention, Atlanta, GA. Kellye Sliger, MPH, is an Epidemiologist; Kevin Farris, MAEd, is Health Communication, Preparedness, and Training Manager; and Diane Krause, MS-MPH is a Health Education Specialist; all at Oak Ridge Associated Universities, Oak Ridge, TN. Justin Kerr, PhD, is Head of Research; and Ellie Graeden, PhD, is Chief Executive Officer; both at Talus Analytics, Boulder, CO. Lisa Bullen-Austin is Senior Vice President, Vigilant Watch Integration Inc, Stafford, VA. Christopher Ionta is Senior Business Process Analyst with SRA International/CSRA, Inc., Atlanta, GA
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