Lifetime Cost of Chronic Ulcers Requiring Hospitalization in Ontario, Canada: A Population-Based Study

2018

Abstract Objective To determine the lifetime cost-of-illness of chronic ulcers from the perspective of the Ontario public health care payer. Methods We calculated health care costs for a cohort of individuals hospitalized for a diabetic foot ulcer, pressure ulcer or […]

Journal Article

Associations Between Physician Home Visits for the Dying and Place of Death: A Population-Based Retrospective Cohort Study

2018

Background While most individuals wish to die at home, the reality is that most will die in hospital. Aim To determine whether receiving a physician home visit near the end-of-life is associated with lower odds of death in a hospital. […]

Journal Article

The Current Application of the Royston-Parmar Model for Prognostic Modeling in Health Research: A Scoping Review

2018

Background Prognostic models incorporating survival analysis predict the risk (i.e., probability) of experiencing a future event over a specific time period. In 2002, Royston and Parmar described a type of flexible parametric survival model called the Royston-Parmar model in Statistics […]

Journal Article

‘Complexity-Compatible’ Policy for Integrated Care? Lessons From the Implementation of Ontario’s Health Links

2018

Complex adaptive systems (CAS) theory views healthcare as numerous sub-systems characterized by diverse agents that interact, self-organize, and continuously adapt. We apply this complexity science perspective to examine the extent to which CAS theory is a useful lens for designing […]

Journal Article

Relevance of Frailty to Mortality Associated with the Use of Antipsychotics Among Community‐Residing Older Adults with Impaired Cognition

2018

Purpose To examine the association between new antipsychotic use and mortality over 6 months among community‐based older adults with cognitive impairment, and variation in risk by frailty and sex. Methods We conducted a retrospective cohort study of older (aged 66+) […]

Journal Article

Patient Engagement in Hospital Health Service Planning and Improvement: A Scoping Review

2018

Journal Article

Success Strategies for Linguistically Competent Healthcare: The Magic Bullets and Cautionary Tales of the Active Offer of French-Language Health Services in Ontario

2018

An active offer of French-language health services (FLHS) was introduced in several Canadian provinces to help create an environment that will anticipate the needs of Francophones in their community and will stimulate the demand for services in French. For the […]

Journal Article

Identifying and Understanding the Health and Social Care Needs of Older Adults with Multiple Chronic Conditions and Their Caregivers: A Protocol for a Scoping Review

2017

Abstract Introduction People are living longer; however, they are not necessarily experiencing good health and well-being as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall […]

Journal Article

A Demonstration Study of Collaboration in Primary Care: Insights from Physicians and Psychologists

2017

Background Increasing recognition of the complex interplay of biopsychosocial factors influencing health and of the inefficiencies in the delivery of mental health services in primary care emphasize the need for different health professions to work together and enhance patient-centred care. […]

Journal Article

Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery

2017

Although wait times for hip fracture surgery have been linked to mortality and are being used as quality-of-care indicators worldwide, controversy exists about the duration of the wait that leads to complications.

Journal Article