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. […]

Journal Article

Resource Utilization Among Young and Midlife Ontarians Following Discharge From Complex Continuing Care

2015

Presentation

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 […]

Journal Article

Ontario’s Health Links: Measuring Success

2015

Presentation

Effects of Community-Based Primary Care Visits and Medication Reconciliation After Discharge on Risk of 30-Day Hospital Readmissions in Ontario

2015

Presentation

Healthcare Costs for 17 Chronic Conditions in Ontario

2015

Presentation

Projection of Health Care Costs in the Last Year of Life Among Canadians From 2015 to 2030

2015

Presentation

How Much Palliative Care is Delivered at the End-of-Life? : A Population-Level Observational Study in Ontario

2015

Presentation

Population-Based Studies on Health Care at the End-of-Life

2015

Presentation

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 […]

Journal Article