Evidence map›Paper›PMID 26844122›Full record

ArticlePreventive medicine reports2015

Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada.

Clare Liddy, Sharon Johnston, Sara Guilcher, Hannah Irving, Matthew Hogel, Susan Jaglal

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive medicine reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Implementation and evolution of a regional chronic disease self-management program.Canadian journal of public health = Revue canadienne de sante publique · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Clare LiddyC.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyere St, Annex E, Ottawa, Ontario K1N 5C8, Canada; Department of Family Medicine, University of Ottawa, 43 Bruyere Street (Floor 3JB), Ottawa, Ontario K1N 5C8, Canada.
Sharon JohnstonC.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyere St, Annex E, Ottawa, Ontario K1N 5C8, Canada; Department of Family Medicine, University of Ottawa, 43 Bruyere Street (Floor 3JB), Ottawa, Ontario K1N 5C8, Canada.
Sara GuilcherCanadian Population Health Initiative, Canadian Institute for Health Information, 4110 Yonge Street, Suite 300, Toronto, Ontario M2P 2B7, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada.
Hannah IrvingC.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyere St, Annex E, Ottawa, Ontario K1N 5C8, Canada.
Matthew HogelC.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, 43 Bruyere St, Annex E, Ottawa, Ontario K1N 5C8, Canada.
Susan JaglalToronto Rehabilitation Institute-University Health Network, 7-504, 610 University Avenue, Toronto, Ontario M5G 2M9, Canada; Institute for Clinical Evaluative Sciences, University of Toronto, 155 College Street, Suite 424, Toronto, Ontario M5T 3M6, Canada.
Bruyère · CASt. Michael's Hospital · CAToronto Rehabilitation Institute · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to examine patients' patterns of health care utilization before and after participation in a Chronic Disease Self-Management Program (CDSMP). We conducted a pre-post study using health care administrative data from 186 individuals in the Ottawa region who participated in our CDSMP between September 2009 and January 2011. We collected the number of general practitioner/specialist visits, planned/unplanned emergency department visits, and hospitalizations, measured 6 months and 1 year before and after participation in the CDSMP. Multivariate analysis was performed to identify associations between patient characteristics and pre-post CDSMP health care utilization. CDSMP participation showed no effect on number of physician visits, hospitalizations, or emergency department visits. Individuals with > 5 chronic conditions were more likely to visit a physician and the emergency department following the CDSMP than those with 1 chronic condition. Among individuals > 61 years of age, those with the marital status widowed were more likely to visit their physician and the emergency department following the CDSMP than married individuals. To conclude, the CDSMP appeared not to decrease health care utilization. Low baseline utilization rates, short-term follow-ups, and a relatively healthy patient population may have contributed to the program's low impact.

Indexed as

Chronic diseaseEmergency department visitsPhysician visitsSelf-managementUtilization

Identifiers

PMID26844122
PMCPMC4721386
OpenAlexW1240359962

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.