{"id":4716,"date":"2021-03-11T19:21:54","date_gmt":"2021-03-12T00:21:54","guid":{"rendered":"https:\/\/ccna-ccnv.ca\/ccna_publication\/primary-care-continuity-and-potentially-avoidable-hospitalization-in-persons-with-dementia-2\/"},"modified":"2024-12-03T14:57:28","modified_gmt":"2024-12-03T19:57:28","slug":"primary-care-continuity-and-potentially-avoidable-hospitalization-in-persons-with-dementia-2","status":"publish","type":"ccna_publication","link":"https:\/\/ccna-ccnv.ca\/fr\/ccna_publication\/primary-care-continuity-and-potentially-avoidable-hospitalization-in-persons-with-dementia-2\/","title":{"rendered":"Primary care continuity and potentially avoidable hospitalization in persons with dementia"},"content":{"rendered":"<h2 id=\"article--abstract--header\" class=\"section-title\" data-v-2f5357c2=\"\">Abstract<\/h2>\n<hr class=\"thick\" data-v-2f5357c2=\"\" \/>\n<div class=\"section-content\" data-v-2f5357c2=\"\">\n<div data-v-2f5357c2=\"\">\n<div id=\"article--abstract--content\" class=\"abstract\">\n<h4>Background\/objective<\/h4>\n<p>To measure the association between high primary care continuity and potentially avoidable hospitalization in community-dwelling persons with dementia. Our hypothesis was that high primary care continuity is associated with fewer potentially avoidable hospitalizations.<\/p>\n<h4>Design<\/h4>\n<p>Population-based retrospective cohort (2012-2016), with inverse probability of treatment weighting using the propensity score.<\/p>\n<h4>Setting<\/h4>\n<p>Quebec (Canada) health administrative database, recording most primary, secondary and tertiary care services provided via the public universal health insurance system.<\/p>\n<h4>Participants<\/h4>\n<p>Population-based sample of 22,060 community-dwelling 65 + persons with dementia on March 31st, 2015, with at least two primary care visits in the preceding year (mean age 81\u2009years, 60% female). Participants were followed for 1 year, or until death or long-term care admission.<\/p>\n<h4>Exposure<\/h4>\n<p>High primary care continuity on March 31st, 2015, i.e., having had every primary care visit with the same primary care physician, during the preceding year.<\/p>\n<h4>Main outcome measures<\/h4>\n<p>Primary: Potentially avoidable hospitalization in the follow-up period as defined by ambulatory care sensitive conditions (ACSC) hospitalization (general and older population definitions), 30-day hospital readmission; Secondary: Hospitalization and emergency department visit.<\/p>\n<h4>Results<\/h4>\n<p>Among the 22,060 persons, compared with the persons with low primary care continuity, the 14,515 (65.8%) persons with high primary care continuity had a lower risk of ACSC hospitalization (general population definition) (relative risk reduction 0.82, 95% CI 0.72-0.94), ACSC hospitalization (older population definition) (0.87, 0.79-0.95), 30-day hospital readmission (0.81, 0.72-0.92), hospitalization (0.90, 0.86-0.94), and emergency department visit (0.92, 0.90-0.95). The number needed to treat to prevent one event were, respectively, 118 (69-356), 87 (52-252), 97 (60-247), 23 (17-34), and 29 (21-47).<\/p>\n<h4>Conclusion<\/h4>\n<p>Increasing continuity with a primary care physician might be an avenue to reduce potentially avoidable hospitalizations in community-dwelling persons with dementia on a population-wide level.<\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"author":19,"featured_media":0,"template":"","meta":{"_acf_changed":false},"studies-relation":[],"class_list":["post-4716","ccna_publication","type-ccna_publication","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Primary care continuity and potentially avoidable hospitalization in persons with dementia - CCNA - CCNV<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ccna-ccnv.ca\/fr\/ccna_publication\/primary-care-continuity-and-potentially-avoidable-hospitalization-in-persons-with-dementia-2\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Primary care continuity and potentially avoidable hospitalization in persons with dementia - 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