Supporting Goal-Oriented Primary Health Care for Seniors with Complex Care Needs Using Mobile Technology: Evaluation and Implementation of the Health System Performance Research Network, Bridgepoint Electronic Patient Reported Outcome Tool
2016
Background: Many mHealth technologies do not meet the needs of patients with complex chronic disease and disabilities (CCDDs) who are among the highest users of health systems worldwide. Furthermore, many of the development methodologies used in the creation of mHealth […]
Health Care Utilization and Costs for Patients With End-Stage Liver Disease Are Significantly Higher at the End of Life Compared to Those of Other Decedents
2019
Background & Aims Patients with end-stage liver disease (ESLD) have progressively complex medical needs. However, little is known about their end-of-life health care utilization or associated costs. We performed a population-based study to evaluate the end-of-life direct utilization and costs […]
Do-Not-Resuscitate and Do-Not-Hospitalize Orders in Nursing Homes: Who Gets Them and Do They Make a Difference?
2019
Objectives To describe the rate of do-not-resuscitate (DNR) and do-not-hospitalize (DNH) orders among residents newly admitted into long-term care homes. We also assessed the association between DNR and DNH orders with hospital admissions, deaths in hospital, and survival. Design A […]
The Impact of Hospital Harm on Length of Stay, Costs of Care and Length of Person-Centred Episodes of Care: A Retrospective Cohort Study
2019
BACKGROUND: There is a lack of data in Canada on the longitudinal effects of adverse events that occur in hospital, specifically in the period after discharge. Our objective was to quantify the impact of adverse events on hospital length of […]
“She Was Just Lying in Bed for Three Days” the Experiences of Caregivers of Patients Who Are Stuck in Hospital
2019
Distributed Leadership Enactment in the Implementation of Inter-Organizational Networks
2019
Providing care for increasingly medically and socially complex populations is a well-recognized challenge that necessitates coordinating services across multiple sectors and organizations. There is a need to re-organize how care is delivered to align with coordination efforts, in the form […]
The Health Impact of Living in a Nursing Home With a Predominantly Different Spoken Language
2019
The Incremental Health Care Costs of Frailty Among Home Care Recipients With and Without Dementia in Ontario, Canada
2019
Objective: In this study, we investigated the incremental 1-year direct costs of health care associated with frailty among home care recipients in Ontario with and without dementia. Methods: We conducted a cohort study of 159,570 home care clients aged 50 […]
Contextual Factors Influencing the Implementation of Innovations in Community-Based Primary Health Care: The Experience of 12 Canadian Research Teams
2019
The objectives of this paper are to: (1) identify contextual factors such as policy that impacted the implementation of community-based primary health care (CBPHC) innovations among 12 Canadian research teams and (2) describe strategies used by the teams to address […]
Joint Impact of Dementia and Frailty on Healthcare Utilisation and Outcomes: a retrospective cohort study of long-stay home care recipients
2019
Objectives To examine the associations between dementia and 1-year health outcomes (urgent hospitalisation, long-term care (LTC) admission, mortality) among long-stay home care recipients and the extent to which these associations vary by clients’ frailty level. Design A retrospective cohort study […]