A Review of the Literature on Barriers and Facilitators to Implementing Family Support in Early Psychosis Intervention Programs
2017
Family support and education is a core component of the Ontario Early Psychosis Intervention Program Standards, released in 2011. However, feedback from key informant surveys of Ontario early psychosis intervention (EPI) programs indicated that it can be challenging for programs […]
Examining the Relationship Between Therapeutic Self-Care and Adverse Events for Home Care Clients in Ontario, Canada: A Retrospective Cohort Study
2017
In an era of a rapidly aging population who requires home care services, clients must possess or develop therapeutic self-care ability in order to manage their health conditions safely in their homes. Therapeutic self-care is the ability to take medications […]
Multimorbidity and Healthcare Utilization Among Home Care Clients With Dementia in Ontario, Canada: A Retrospective Analysis of a Population-Based Cohort
2017
For older adults with dementia in the community, multimorbidity – the co-occurrence of multiple chronic conditions – can result in challenges to both self-care and provided care, and can lead to poor health outcomes. Important gaps exist in our understanding […]
Disability in Long-Term Care Residents Explained by Prevalent Geriatric Syndromes, Not Long-Term Care Home Characteristics: A Cross-Sectional Study
2017
Self-care disability is dependence on others to conduct activities of daily living, such as bathing, eating and dressing. Among long-term care residents, self-care disability lowers quality of life and increases health care costs. Understanding the correlates of self-care disability in […]
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 […]
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.
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 […]
The Influence of Gender and Other Patient Characteristics on Health Care-Seeking Behaviour: A QUALICOPC Study
2016
In Canada, the provincial Ministries of Health cover most primary care services provided by physicians in their respective provinces. Given the structure of the health care system, patients seeking physical and mental health care often present initially to their primary […]