ArticleCMAJ open
Intensity of outpatient physician care in the last year of life: a population-based retrospective descriptive study.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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Who cites it
10 citing papers in PubMed, 12 citations in OpenAlex.
- Association Between Team-Based Continuity of Care Measures and End-of-Life Health Care Outcomes: A Retrospective Cohort Study in Ontario, Canada.Medical care · 2026Article
- Measuring the relationship between outpatient family physician visit regularity and acute care utilization during the end of life: a population-level retrospective cohort study.Family practice · 2026Article
- Article
- Continuity and discontinuity of end-of-life care: A grounded theory study of bereaved family caregivers' experiences.Palliative care and social practice · 2026Article
- A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study.Chronic illness · 2025Article
- Article
- End-of-Life Care Among Patients With Kidney Failure on Maintenance Dialysis: A Retrospective Population-Based Study.Canadian journal of kidney health and disease · 2024Article
- Fighting Fires and Battling the Clock: Advance Care Planning in Family Medicine Residency.Family medicine · 2023Article
- Estimation of the demand for palliative care in non-oncologic patients in Chile.BMC palliative care · 2023Article
- Palliative care is increasing, but curative care is growing even faster in the last months of life.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundFor many patients, health care needs increase toward the end of life, but little is known about the extent of outpatient physician care during that time. The objective of this study was to describe the volume and mix of outpatient physician care over the last 12 months of life among patients dying with different end-of-life trajectories.
methodsWe conducted a retrospective descriptive study involving adults (aged ≥ 18 yr) who died in Ontario between 2013 and 2017, using linked provincial health administrative databases. Decedents were grouped into 5 mutually exclusive end-of-life trajectories (terminal illness, organ failure, frailty, sudden death and other). Over the last 12 months and 3 months of life, we examined the number of physician encounters, the number of unique physician specialties involved per patient and specialty of physician, the number of unique physicians involved per patient, the 5 most frequent types of specialties involved and the number of encounters that took place in the home; these patterns were examined by trajectory.
resultsDecedents (
interpretationMultiple physicians are involved in outpatient care in the last 12 months of life for all end-of-life trajectories, with family physicians as the predominant specialty. Those who plan health care models of the end of life should consider support for family physicians as coordinators of patient care.
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