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http://hdl.handle.net/11375/11266
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DC Field | Value | Language |
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dc.contributor.advisor | Seow, Hsien | en_US |
dc.contributor.advisor | Brazil, Kevin | en_US |
dc.contributor.advisor | Pond, Greg | en_US |
dc.contributor.author | Almaawiy, Ummukulthum A. | en_US |
dc.date.accessioned | 2014-06-18T16:54:07Z | - |
dc.date.available | 2014-06-18T16:54:07Z | - |
dc.date.created | 2011-09-26 | en_US |
dc.date.issued | 2011-10 | en_US |
dc.identifier.other | opendissertations/6246 | en_US |
dc.identifier.other | 7290 | en_US |
dc.identifier.other | 2258640 | en_US |
dc.identifier.uri | http://hdl.handle.net/11375/11266 | - |
dc.description.abstract | <p><strong>Background and Objectives: </strong>Previous research has examined the effect of family physician continuity of care within end-of-life care cancer patients and its association with reduced use of acute care services. However, such research has not been examined in the end of life homecare cancer population.<strong> Objectives: </strong>To investigate the association of family physician continuity with location of death, hospital and emergency room (ER) visits in the last 2 weeks of life in end of life homecare cancer patients.<strong> Research Design: </strong>Retrospective study involving secondary data analysis of 7 linked databases<strong>. Subjects: </strong>All those who died of cancer between January 1, 2006 to December 31, 2006 in Ontario who had at least 1 visit to a family physician and enrolled in homecare for at least 2 weeks.<strong> Methods: </strong>The relationship of family physician continuity of care and location of death, and hospital and ER visits in the last 2 weeks of life was examined using logistic regression.<strong> Results: </strong>The Usual Provider of Care (UPC) measure demonstrated a dose response relationship with increasing continuity resulting in decreased odds of dying in the hospital and visiting the hospital and ER in the last 2 weeks of life. The Family Physician visits per week measure demonstrated a threshold effect relationship with location of death and hospital visits and dose response relationship with ER visits in the last 2 weeks of life. <strong>Conclusions:</strong> These results demonstrate an association between family physician continuity of care and location of death and visits to the hospital and ER in the last 2 weeks of life. This indicates the need for more involvement of family physicians in end of life cancer care.</p> | en_US |
dc.subject | continuity of care | en_US |
dc.subject | palliative | en_US |
dc.subject | homecare | en_US |
dc.subject | end of life | en_US |
dc.subject | family physician | en_US |
dc.subject | Health Services Research | en_US |
dc.subject | Health Services Research | en_US |
dc.title | Family Physician Continuity of Care in End-of-Life Homecare Cancer Patients and its Association with Acute Care Services Use | en_US |
dc.type | thesis | en_US |
dc.contributor.department | Health Research Methodology | en_US |
dc.description.degree | Master of Science (MSc) | en_US |
Appears in Collections: | Open Access Dissertations and Theses |
Files in This Item:
File | Size | Format | |
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fulltext.pdf | 693.57 kB | Adobe PDF | View/Open |
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