A Challenge to All. A Primer on Inter-Country Differences of High-Need, High-Cost Patients

2019

Across countries, a small group of patients accounts for the majority of health care spending. These patients are more likely than other patients to experience problems with quality and safety in their care, suggesting that efforts targeting efficiency and quality […]

Journal Article

The Relationship Between Hospital Adoption and Use of High Technology Medical Imaging and In-Patient Mortality and Length of Stay

2019

The purpose of this paper is to investigate the relationship between hospital adoption and use of computed tomography (CT) scanners, and magnetic resonance imaging (MRI) machines and in-patient mortality and length of stay.

Journal Article

Patient and Caregiver Experience With Delayed Discharge From a Hospital Setting: A Scoping Review

2019

Background Delayed hospital discharge occurs when patients are medically cleared but remain hospitalized because a suitable care setting is not available. Delayed discharge typically results in reduced levels of treatment, placing patients at risk of functional decline, falls and hospital‐related […]

Journal Article

The Incremental Health Care Costs of Frailty Among Home Care Recipients with and Without Dementia in Ontario, Canada: A Cohort Study

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 […]

Journal Article

Patient and Caregiver Experiences on Care Transitions for Adults With a Hip Fracture: A Scoping Review

2019

Purpose: The purpose of this scoping review was to explore the literature on experiences and perspectives of patients with hip fractures and their caregivers during transitions in care. Methods: Seven databases were searched for studies published between 1 January 2000 […]

Journal Article

Smoking, Drinking, Diet and Physical Activity—Modifiable Lifestyle Risk Factors and Their Associations with Age to First Chronic Disease

2019

This study examined the incidence of a person’s first diagnosis of a selected chronic disease, and the relationships between modifiable lifestyle risk factors and age to first of six chronic diseases.

Journal Article

Combining Integration of Care and a Population Health Approach: A Scoping Review of Redesign Strategies and Interventions, and Their Impact

2019

Background and aim: Many health systems attempt to develop integrated and population health-oriented systems of care, but knowledge of strategies and interventions to support this effort is lacking. We aimed to identify specific redesign strategies and interventions, and to present […]

Journal Article

Self-Management, Self-Management Support Needs and Interventions in Advanced Cancer: A Scoping Review

2019

Patients with advanced cancer can experience illness trajectories similar to other progressive chronic disease conditions where undertaking self-management (SM) and provision of self-management support (SMS) becomes important. The main objectives of this study were to map the literature of SM […]

Journal Article

Does End-of-Life Care Differ for Anglophones and Francophones? A Retrospective Cohort Study of Decedents in Ontario, Canada

2019

Background: Approximately half of decedents in Ontario, Canada, receive some palliative care, but little is known about the influence of language on the nature of these services. Objective: To examine differences between English- and French-speaking residents of Ontario in end-of-life […]

Journal Article

New Voices, New Power, New Ways of Working: Bringing Integrated Care to the National Health Service in England.

2019

his issue of Healthcare Quarterly features the third and final instalment in a three-part series developed by Ontario’s The Change Foundation featuring international perspectives on health service delivery models that improve system integration and ensure seamless services and better coordination. […]

Journal Article