Computer Use in Primary Care Practices in Canada
2017
Abstract Objective To examine the use of computers in primary care practices. Design The international Quality and Cost of Primary Care study was conducted in Canada in 2013 and 2014 using a descriptive cross-sectional survey method to collect data from […]
Alignment of Canadian Primary Care With the Patient Medical Home Model: A QUALICO-PC Study
2017
PURPOSE The patient medical home (PMH) model aims to improve patient satisfaction and health outcomes in Canada, but since its introduction in 2009, there has been no evaluation of the extent to which primary care conforms with PMH attributes. Our […]
Hospitalizations for Ambulatory Care Sensitive Conditions Across Primary Care Models in Ontario, Canada
2017
The study analyzes the relationship between the risk of a hospitalization for an ambulatory care sensitive condition (ACSC), and the primary care payment and the organizational model used by the patient (fee-for-service, enhanced fee-for-service, blended capitation, blended capitation with interdisciplinary […]
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.