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Latest Research
In Ontario, nearly all home re patients are assessed with a brief clinil assessment (interRAI Contact Assessment [interRAI ]) on admission. This retrospective cohort study used linked patient-level assessment and administrative data to compare 3?frailty measures (CHESS-, AUA and FI-) that n be operationalized using the interRAI . The outcomes of interest were death, hospital admission and emergency department visits within 90?days, and assessor-rated need for comprehensive geriatric assessment (CGA). In 2014, there were 228?679?unique adult home re patients in Ontario assessed with the interRAI . Controlling for age, sex and health region, being in a higher frailty level defined by any measure increased the likelihood of experiencing adverse outcomes. Among all assessments, CHESS- was best suited for predicting death and hospital admission, and either AUA or FI- for predicting perceived need for CGA. Previous emergency department visits were more predictive of future visits than frailty. Model fit was independent of whether the assessment was completed over the phone or in-person. Full?article
It is important to have an accurate count of physicians and a measurable understanding of their service provision for physician resource planning. This descriptive study compared 2 methods (income percentiles [IP] and service day [SVD]) for lculating the supply of full-time (FT) and part-time (PT) primary re physicians (PCPs) as measures of both physician supply counts and level of provider continuity in Alberta, nada. The 2?methods agreed on the FT versus PT status of 85.2% of PCPs in 2015?but disagreed on the status of 490?PCPs. A total of 239?PCPs were classified as working FT by the IP method but PT by the SVD method. Two hundred and fifty-one PCPs were classified as working PT by the IP method but FT by the SVD method. The former group of 239?PCP worked fewer days per week (3.22?v. 4.1) and fewer weekend days per year (8.6?v. 24.1), billed more per year ($300?327?v. $201?834) and saw more patients per day (26.78?v. 17.77), with less continuity of re (38.0% v. 72.0%) than the latter group of 251?PCPs. These groups provide very different service; policy-makers may benefit from distinguishing them, say the authors. Full?article
This cross-sectional study examined associations of perceived risk of regular nnabis use with driving under the influence of nnabis (DUIC) and riding with a nnabis-impaired driver (RWCD) using the results of the 2016–2017 nadian Student Tobacco, Alcohol and Drugs Survey. A total of 52?103?students in grades 7–12, from 117?school boards and 699?schools, participated in the survey (76% response rate). Among the 14?520?students in grades 11?and 12, greater perceived risk of regular nnabis use was associated with reduced risk of DUIC and RWCD in a dose–response manner. Students perceiving that regular nnabis use posed great risk had an adjusted relative risk (ARR) of 0.06 (95% confidence interval [CI] 0.04–0.10) of DUIC in the past 30 days and an ARR of 0.09 (95% CI 0.07–0.12) of RWCD in the past 30?days, compared with students perceiving that regular use posed no risk. Associations were consistent for male and female students, and for those living in urban and rural areas. Full?article
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