Role of Context in Care Transition Interventions for Medically Complex Older Adults: A Realist Synthesis Protocol
2015
Approximately 30-50% of older adults have two or more conditions and are referred to as multimorbid or complex patients, who require extensive health care resources and often require visits to various healthcare providers. Managing the transition between these providers and […]
A Patient-Centered Transitions Framework for Persons With Complex Chronic Conditions
2015
Hospitals are under increasing pressures by governing bodies to meet mandated performance standards and fiscal targets. As a result, hospitals are incentivized by funders to discharge patients efficiently and effectively. Being discharged from hospital is a vulnerable process for patients. […]
Perceived Value of Support for Older Adults Coping With Multimorbidity: Patient, Informal Care-Giver and Family Physician Perspectives
2015
In Ontario, Canada, Community Care Access Centres (CCACs) organize government-funded home-care services including professional care, home-making and personal support services. Over time, CCACs have increasingly provided more medicalized, post-acute care rather than chronic disease management due to budget constraints. Informal […]
The Increasing Burden and Complexity of Multimorbidity
2015
Multimorbidity, the co-occurrence of two or more chronic conditions, is common among older adults. In Canada, 74% of individuals aged 65+ reported having one or more of 11 chronic conditions in 2008. Multimorbidity has been associated with lower health related […]
Perceived Risk Factors of Health Decline: A Qualitative Study of Hospitalized Patients With Multimorbidity
2015
Effectively preventing and managing chronic illness are key goals for health systems worldwide. A growing number of people are living longer with multiple chronic illnesses, accompanied by a high degree of treatment burden and heavy use of health care resources. […]
An International Cross-Sectional Survey on the Quality and Costs of Primary Care (QUALICO-PC): Recruitment and Data Collection of Places Delivering Primary Care Across Canada
2015
Performance reporting in primary health care in Canada is challenging because of the dearth of concise and synthesized information. The paucity of information occurs, in part, because the majority of primary health care in Canada is delivered through a multitude […]
Health System Strategies Supporting Transition to Adult Care
2015
In recent years, the number of youth with chronic medical conditions surviving into adulthood has increased. The transition from paediatric to adult care has previously been associated with poor clinical outcomes, increased costs and low patient and family satisfaction. The […]
Experiences of Older Adults in Transition From Hospital to Community
2014
The lack of continuity of care during the transition from hospital to community has been identified as a problem with serious negative implications for the well-being of individuals in many countries where this has been studied, including Canada, the United […]
Patient-Centered Care and Patient-Reported Measures: Let’s Look Before We Leap
2014
Individuals with multiple chronic conditions (MCCs) have two or more chronic health conditions. While healthcare has traditionally focused on the needs of single-disease patients, increasing evidence suggests that MCCs may be becoming the norm, rather than the exception. MCC patients […]
Under the Same Roof: Co-Location of Practitioners Within Primary Care is Associated With Specialized Chronic Care Management
2014
Chronic diseases are the leading cause of death worldwide, and their burden is predicted to increase. Canada and New Zealand are similarly affected by the growing burden of chronic disease, which has had substantial impact on the primary care system […]