Integrating Long-Term Care Into a Community-Based Continuum
2016
A growing body of international evidence suggests that aging populations are not, in themselves, major drivers of rising health care utilization, since utilization is increasing across all age groups. However, as people age they are more likely to experience multiple […]
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 […]
Effects of Community-Based Primary Care Visits and Medication Reconciliation After Discharge on Risk of 30-Day Hospital Readmissions in Ontario
2015
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 […]
Transitions of Care—Leaving the Hospital: The Concerns of Complex Chronic Disease Patients
2014
Integrating Community-Based Care for People with Chronic Health and Social Needs in Ontario
2014
Providing Integrated Care for Older People With Complex Needs: Lessons From Seven International Case Studies
2014
People are living longer, increasing the incidence of multiple chronic conditions (MCCs). Older people with MCC increasingly live alone and the availability of informal care by spouses or family members is declining. These trends have resulted in a growing demand […]