Direct Medical Costs of Motorcycle Crashes in Ontario
2017
BACKGROUND: There is no reliable estimate of costs incurred by motorcycle crashes. Our objective was to calculate the direct costs of all publicly funded medical care provided to individuals after motorcycle crashes compared with automobile crashes. METHODS: We conducted a […]
Understanding the Sustainability of Cross-Sectoral Care Coordination: An Exploration of Two Approaches to Coordinating Mental and Physical Health Services
2017
Coordinated health services are required for complex patients with comorbid mental and physical health conditions. Health Links (HL) is an initiative in Ontario, Canada promoting integration across the mental and physical health sectors. Collaborative structures in HLs were determined by […]
Operationalizing Patient-Centered Integrated Care: The Gap between Discourse and Action
2017
Complex patients have multiple chronic conditions, often compounded by psychosocial challenges They require a mix of services delivered by multiple providers across settings, which are optimally coordinated through integrated care models. A key success factor of these models is patient-centeredness […]
The Generation of Integration: The Mechanisms and Challenges of Implementing Healthcare Integration Across Ontario, Canada
2017
Faced with rising healthcare costs and inefficiencies in the healthcare system, the Ministry of Health and Long-Term Care invited proposals for integrated funding models (IFMs) across the province of Ontario, Canada. Six pilot programs were selected, each of which included […]
Distributed Versus Centralized Leadership in the Implementation of a Canadian Integrated Care Initiative
2017
Traditional notions of leadership involve more centralized power at the senior levels, with the expectation that vision and strategy will trickle down to operational levels. This type of leadership may work well in smaller organizations, but the complexity of integrated […]
Use of Hospital-Related Health Care Among Health Links Enrollees in the Central Ontario Health Region: A Propensity-Matched Difference-in Differences Study
2017
Health Links are a new model of providing care coordination for high-cost, high-needs patients in Ontario. We evaluated use of hospital-related health care services among Health Links patients in the Central Local Health Integration Network (LHIN) of Ontario in the […]
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 […]
What Works in Implementation of Integrated Care Programs for Older Adults With Complex Needs? A Realist Review
2017
PURPOSE: A realist review of the evaluative evidence was conducted on integrated care (IC) programs for older adults to identify key processes that lead to the success or failure of these programs in achieving outcomes such as reduced healthcare utilization, […]
Barriers and Facilitators to Implementing Family Support and Education in Early Psychosis Intervention Programmes: A Systematic Review
2017
Family support is a core component of the Early Psychosis Intervention (EPI) model, yet it continues to have relatively low rates of implementation in practice. This paper reports results of a literature review on facilitators and barriers to delivering family […]
Discharge Destination Following Hip Fracture: Comparative Effectiveness and Cost Analyses
2017
Abstract Summary This study determines outcomes and costs of similar hip fracture patients that were discharged from hospital to a rehabilitation facility or to the community within 1 year. Community patients had worse outcomes and lower costs compared to rehabilitation […]