Trajectories of Stroke Care in Ontario: Which Path to Best Care?
2017
Background: Few studies have tracked stroke survivors through transitions across the health system and identified the most common trajectories and quality of care received. The objectives of our study were to examine the trajectories that incident stroke patients experience and […]
The Relationship Between Diabetes Care Quality and Diabetes-Related Hospitalizations and the Modifying Role of Comorbidity
2017
Objectives To evaluate the impact of comorbidity on diabetes care quality and diabetes-related hospitalizations and to examine whether associations between the likelihood of diabetes-related hospitalizations and compliance with diabetes testing are modified by type of comorbidity. Methods A population-based cohort […]
High Cost Users of Health Care Among Adults With Developmental Disabilities
2017
The Health Care Access Research and Developmental Disabilities Program (H-CARDD) has studied the health service use of over 66,000 adults with developmental disabilities and demonstrated that they have more complex health profiles and are more likely to use hospital based […]
Family Work in Four Early Psychosis Intervention Programs: An Exploratory Study
2016
Family support is a recommended practice in guidelines for Early Psychosis Intervention (EPI) programs worldwide and is included in the Ontario Early Psychosis Intervention Program Standards1. However, implementation is often a challenge due to time and resource constraints. Additionally, a […]
Palliative Care Delivery Across Health Sectors: A Population-Level Observational Study
2016
Little population-level information exists about the delivery of palliative care across multiple health sectors, important in providing a complete picture of current care and gaps in care.
Palliative Care in Ontario: A Population-Based Study Across Health Sectors Using Health Administrative Databases
2016
In collaboration with Cancer Care Ontario, the Central East LHIN led the work of the Data and Performance Subcommittee of Provincial Hospice Palliative Care Steering Committee, with the responsibility of developing and implementing a data and performance measurement strategy. To […]
Half of All Patients Dying in Ontario Receive Some Form of Palliative Care, Usually in Hospital
2016
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 […]
Health Care Use During Transfer to Adult Care Among Youth With Chronic Conditions
2016
Transfer of youth with chronic health conditions to adult care is often suboptimal due to factors such as emotional and cognitive developmental challenges, lack of individual and family-centered social supports, communication and coordination challenges between health care sectors, and a […]