France Légaré contributes to an article by Anik Giguère's team in the Canadian Journal on Aging
As reported in their paper Assessing the Quality of Care Provided to Older Persons with Frailty in Five Canadian Provinces, Using Administrative Data
, the authors identified two cohorts of older persons with frailty in each province: decedents and living persons. Using decision rules, they considered individuals to be frail if they were long-term care residents, terminally ill, or met at least two of seven criteria based on frailty scales, geriatrician discussions, and health service utilization indicators. They assessed quality of care using six quality indicators: decrease in length of hospital stay, decrease in the number of in-patient readmissions, decrease in the number of emergency department visits, increase in the level of family physician continuity of care, decrease in the use of mechanical ventilation, and decrease in the number of admissions to intensive care. Using regression analyses, they found that being male and older were associated with poorer quality of care in both cohorts. This study provides baseline data for evaluating future efforts to improve the quality of care provided to older persons with frailty.
By Titilayo Agbadje, 24/07/2019