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 […]
Who Are the High-Cost Users? A Method for Person-Centred Attribution of Health Care Spending
2016
Healthcare payers have traditionally focused on payments to providers within specific sectors such as acute, physician, pharmacy and other providers. Recently, there are renewed efforts to draw attention away from sector specific costs and focus on the characteristics of individuals […]
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 […]
Cost Trajectories for Cancer Patients
2016
Background Health care spending is known to be highly skewed, with a small subset of the population consuming a disproportionate amount of health care resources. Patients with cancer are high-cost users because of high incremental health care costs for treatment […]
The Determinants of the Propensity to Receive Publicly Funded Home Care Services for the Elderly in Canada: A Panel Two-Stage Residual Inclusion Approach
2016
One anticipated consequence of the aging of societies around the world is an increase in the prevalence of chronic conditions and disability and a higher demand for long-term care, including home care (HC) services. In this study, the distinction between […]
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 […]
Do New and Traditional Models of Primary Care Differ With Regard to Access?
2016
Over the past decade, primary care (PC) has undergone substantial changes that vary among provinces in Canada. In some provinces, reformed models of PC have been widely adopted based on different funding models, whereas other regions have retained more traditional […]
Absence of a Socioeconomic Gradient in Older Adults’ Survival With Multiple Chronic Conditions
2015
The burden of multiple chronic conditions is felt disproportionately among people living in low-socioeconomic status (SES) neighborhoods. This health-wealth gap is partly attributable to disease-promoting features of poorer neighborhoods (e.g. low grocery store availability) and more unhealthy behaviors (e.g. smoking) […]