ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2022
Rates of health services use among residents of retirement homes in Ontario: a population-based cohort study.
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Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11citing papers in PubMed
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Who cites it
11 citing papers in PubMed.
- Inactivity is isolation: insights from a sedentary time intervention in assisted living.BMC geriatrics · 2025Trial
- Article
- Article
- Measuring and monitoring safety of older adults living in retirement homes: a scoping review protocol.BMJ open · 2025Article
- Developing an evidence base to inform retirement home policy development using an equity and diversity lens: a mixed methods study protocol.BMC geriatrics · 2025Article
- Respiratory Syncytial Virus (RSV)-Related Hospitalization and Increased Rate of Cardiovascular Events in Older Adults.Journal of the American Geriatrics Society · 2025Article
- Chronic disease prevalence and preventive care among Ontario social housing residents compared with the general population: a population-based cohort study.Journal of epidemiology and community health · 2025Article
- An evaluation of barriers and facilitators to implementing multiplex rapid antigen testing for SARS-CoV-2 and influenza A and B in congregate living settings.Frontiers in public health · 2025Article
- A portrait of older adults in naturally occurring retirement communities in Ontario, Canada: A population-based study.Journal of the American Geriatrics Society · 2025Article
- Supporting resident-centred decision-making about transitions from long-term care homes to hospital: a qualitative study protocol.BMJ open · 2024Article
- Article
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Authors and funding
13 authors.
Derek R ManisCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Jeffrey W PossCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Aaron JonesCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Paula A RochonCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Susan E BronskillCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Michael A CampitelliCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Richard PerezCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Nathan M StallCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Ahmad RahimCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Glenda BabeCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Jean-Éric TarrideCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Julia AbelsonCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont.
Andrew P CostaCentre for Health Economics and Policy Analysis (Manis, Tarride, Abelson, Costa), and Department of Health Research Methods, Evidence, and Impact (Manis, Jones, Tarride, Abelson, Costa), Department of Medicine (Costa), McMaster University; Programs for Assessment of Technology in Health (Tarride), The Research Institute of St. Joe's Hamilton, St. Joseph's Healthcare Hamilton; Centre for Integrated Care (Costa), St. Joseph's Health System, Hamilton, Ont.; ICES Central (Manis, Rochon, Bronskill, Campitelli, Perez, Rahim, Babe, Costa), Toronto, Ont.; School of Population and Public Health (Poss), University of Waterloo, Waterloo, Ont.; Women's College Research Institute (Rochon, Bronskill, Stall); Institute for Health Policy, Management & Evaluation (Rochon, Bronskill, Stall), and Division of Geriatric Medicine (Rochon), Faculty of Medicine, University of Toronto; Sunnybrook Research Institute (Bronskill); Division of General Internal Medicine and Geriatrics (Stall), Sinai Health and University Health Network; National Institute on Ageing, Ryerson University (Stall), Toronto, Ont.; Schlegel Research Institute for Aging (Costa), Waterloo, Ont. acosta@mcmaster.ca.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBecause there are no standardized reporting systems specific to residents of retirement homes in North America, little is known about the health of this distinct population of older adults. We evaluated rates of health services use by residents of retirement homes relative to those of residents of long-term care homes and other populations of older adults.
methodsWe conducted a retrospective cohort study using population health administrative data from 2018 on adults 65 years or older in Ontario. We matched the postal codes of individuals to those of licensed retirement homes to identify residents of retirement homes. Outcomes included rates of hospital-based care and physician visits.
resultsWe identified 54 733 residents of 757 retirement homes (mean age 86.7 years, 69.0% female) and 2 354 385 residents of other settings. Compared to residents of long-term care homes, residents of retirement homes had significantly higher rates per 1000 person months of emergency department visits (10.62 v. 4.48, adjusted relative rate [RR] 2.61, 95% confidence interval [CI] 2.55 to 2.67), hospital admissions (5.42 v. 2.08, adjusted RR 2.77, 95% CI 2.71 to 2.82), alternate level of care (ALC) days (6.01 v. 2.96, adjusted RR 1.51, 95% CI 1.48 to 1.54), and specialist physician visits (6.27 v. 3.21, adjusted RR 1.64, 95% CI 1.61 to 1.68), but a significantly lower rate of primary care visits (16.71 v. 108.47, adjusted RR 0.13, 95% CI 0.13 to 0.14).
interpretationResidents of retirement homes are a distinct population with higher rates of hospital-based care. Our findings can help to inform policy debates about the need for more coordinated primary and supportive health care in privately operated congregate care homes.
Indexed as
Nursing HomesRetirementAgedAged, 80 and overCohort StudiesFemaleHumansLong-Term CareMaleOntarioRetrospective Studies
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