Effect of Continuity of Care on the Risk of Developing Multimorbidity in Ontario, Canada between 2001 - 2015: A Retrospective Cohort Study
Year: 2018
Type: dissertation
Study design: Observational Study
Abstract: Identifying modifiable, population-based factors for the prevention of multimorbidity is necessary to protect the health of patients and avoid unnecessary healthcare system costs. This study explored whether relationship continuity of care delays the onset of chronic conditions in patients from Ontario, Canada. Health administrative databases were used to assemble the cohort (N= 166,665) that was followed retrospectively between 2001 - 2015. A cause-specific hazards regression modelling approach was used to estimate the effect of continuity treated as a time-dependent exposure on the risk of developing multimorbidity and subsequent conditions adjusted for age, sex, place of residence, patient enrolment, income, and the number of physician visits. Estimates revealed that the risk of developing a second, third, and fourth condition was 8%, 10%, and 11% lower for patients with high versus low continuity, respectively. Therefore, efforts should be made to reduce the burden of multimorbidity by focusing on continuity of care.
Source: TSpace (University of Toronto)
Author: Phat Edward Chau
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3139626849