Effect of Socio-Demographic Factors on the Association Between Multimorbidity and Healthcare Costs: A Population-Based, Retrospective Cohort Study
2017
Objectives To estimate the attributable costs of multimorbidity and assess whether the association between the level of multimorbidity and health system costs varies by socio-demographic factors in young (<65 years) and older (≥65 years) adults living in Ontario, Canada. Design […]
Quality Indicators for Care of Osteoarthritis in Primary Care Settings: A Systematic Literature Review
2017
Background Despite the high prevalence of osteoarthritis and the prominence of primary care in managing this condition, there is no systematic summary of quality indicators applicable for osteoarthritis care in primary care settings. Objectives This systematic review aimed to identify […]
Low Disability at Admission Predicts Faster Disablement in Long-Term Care Residents
2017
Disablement is when people lose their ability to perform activities of daily living (ADLs) like bathing and dressing over time. This study examines whether high versus low disability, balance impairment, cognitive impairment and pain at admission to long-term care are […]
Health Care Outcomes for People with Multiple Chronic Conditions in Ontario, Canada
2017
This presentation will summarize evidence arising from a multi-year population-based study of over 6 Million people in Ontario, Canada who have one of 17 common chronic conditions, and particularly the more than 2.5 Million individuals with multiple chronic conditions. Aside […]
Evaluating Quality of Care Among Older Adults With Diabetes With Comorbid Chronic Conditions; A Retrospective Cohort Study
2017
Multimorbidity and Healthcare Utilization Among Home Care Clients With Dementia in Ontario, Canada: A Retrospective Analysis of a Population-Based Cohort
2017
For older adults with dementia in the community, multimorbidity – the co-occurrence of multiple chronic conditions – can result in challenges to both self-care and provided care, and can lead to poor health outcomes. Important gaps exist in our understanding […]
The Association Between Multimorbidity and Hospitalization is Modified by Individual Demographics and Physician Continuity of Care: A Retrospective Cohort Study
2016
Multimorbidity poses a significant clinical challenge and has been linked to greater health services use, including hospitalization. Important gaps persist in our understanding of how patient and health system context influence service utilization and outcomes for people with multimorbidity. Context […]
The Relative Impact of Chronic Conditions and Multimorbidity on Health-Related Quality of Life in Ontario Long-Stay Home Care Clients
2016
Health-related quality of life (HRQL) is a multidimensional construct that quantifies outcomes of health status, functional status and the subjective experience of an individual, into a single summary measure. Understanding the associations between common chronic conditions and HRQL impairments is […]
Absence of a Socioeconomic Gradient in Older Adults’ Survival With Multiple Chronic Conditions
2015
The burden of multiple chronic conditions is felt disproportionately among people living in low-socioeconomic status (SES) neighborhoods. This health-wealth gap is partly attributable to disease-promoting features of poorer neighborhoods (e.g. low grocery store availability) and more unhealthy behaviors (e.g. smoking) […]
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. […]