Primary care and other health system use by adult home care patients in Ontario, September 2014 to October 2016
| Health system use | Total no. (%) of patients* n = 226 054 | No. (%) of patients; chronic condition | ||
|---|---|---|---|---|
| Heart failure n = 29 875 | COPD n = 44 209 | Dementia n = 58 413 | ||
| Primary care | ||||
| Any primary care physician visit | 190 777 (84.4) | 25 596 (85.7) | 37 867 (85.7) | 47 872 (82.0) |
| Rate of primary care physician visits per month | 0.78 | 0.94 | 0.86 | 0.79 |
| Any primary care coordination with home care | 8918 (3.9) | 1509 (5.1) | 2079 (4.7) | 2048 (3.5) |
| Any primary care physician home visit | 29 532 (13.1) | 4873 (16.3) | 5953 (13.5) | 8623 (14.8) |
| Any primary care visit after hours or on weekends or holidays | 34 071 (15.1) | 4542 (15.2) | 6705 (15.2) | 7690 (13.2) |
| Other health sectors | ||||
| Any specialist physician visit | 154 007 (68.1) | 21 163 (70.8) | 31 109 (70.4) | 32 433 (55.5) |
| Rate of specialist visits per month | 0.60 | 0.70 | 0.64 | 0.42 |
| Average count of specialties seen | 1.50 | 1.64 | 1.62 | 1.00 |
| Any personal support | 162 276 (71.8) | 23 213 (77.7) | 32 643 (73.8) | 45 845 (78.5) |
| Any home nursing | 80 636 (35.7) | 13 836 (46.3) | 18 334 (41.5) | 14 284 (24.5) |
| Rate of personal support hours per month | 22.3 | 23.4 | 20.4 | 29.3 |
| Rate of home nursing visits per month | 6.8 | 6.3 | 6.1 | 5.1 |
| Any emergency department visit | 105 909 (46.9) | 17 461 (58.4) | 24 316 (55.0) | 27 263 (46.7) |
| Any acute care hospital admission | 61 598 (27.2) | 12 011 (40.2) | 15 148 (34.3) | 16 154 (27.7) |
| Long-term care home admission | 35 484 (15.7) | 4631 (15.5) | 5909 (13.4) | 19 896 (34.1) |
| Death | 29 843 (13.2) | 6930 (23.2) | 7633 (17.3) | 8577 (14.7) |
| Rate of emergency department visits per month | 0.17 | 0.25 | 0.23 | 0.15 |
| Transitions between care settings† | ||||
| 0 | 136 627 (60.4) | 14 923 (50.0) | 24 876 (56.3) | 27 728 (47.5) |
| 1–2 | 64 222 (28.4) | 10 053 (33.7) | 12 980 (29.4) | 23 792 (40.7) |
| ≥ 3 | 25 205 (11.2) | 4900 (16.4) | 6353 (14.4) | 6893 (11.8) |