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Maternal cardiovascular disease after twin pregnancies complicated by hypertensive disorders of pregnancy: a population-based cohort study

Maternal cardiovascular disease after twin pregnancies complicated by hypertensive disorders of pregnancy: a population-based cohort study
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Joel Ray , Sima Gandhi , Liran Hiersch , Jon Barrett , Jun Guan , Sarah Mcdonald , Nir Melamed , Beth Murray Davis , Michael Geary , Howard Berger , Christina Diong , Outcomes Through An Obstetrical Research Network , International Classification Of Diseases , National Ambulatory Care Reporting System , Fetal Medicine Research , Sunnybrook Health Sciences Center , Sunnybrook Research Ethics Board , Ontario Health Insurance Plan , University Of Toronto , Ontario Ministry Of Health , Ontario Personal Health Information Protection , Canadian Institute Of Health Research , Tier Ii Canada Research , Canadian Medical Protective Association , Registered Persons Database , Canadian Institutes ,

Trends in prevalence of chronic disease and multimorbidity in Ontario, Canada

Abstract
BACKGROUND: New case-mix tools from the Canadian Institute for Health Information offer a novel way of exploring the prevalence of chronic disease and multimorbidity using diagnostic data. We took a comprehensive approach to determine whether the prevalence of chronic disease and multimorbidity has been rising in Ontario, Canada.
METHODS: In this observational study, we applied case-mix methodology to a population-based cohort. We used 10 years of patient-level data (fiscal years 2008/09 to 2017/18) from multiple care settings to compute the rolling 5-year prevalence of 85 chronic diseases and multimorbidity (i.e., the co-occurrence of 2 or more diagnoses). Diseases were further classified based on type and severity. We report both crude and age- and sex-standardized trends. ....

United States , Mitch Steffler , Farshad Murtada , Jasmin Kantarevic , Jeffrey Hatcher , Ontario Mental Health Reporting System , National Ambulatory Care Reporting System , Ontario Health Insurance Plan , Canadian Institute For Health Information , Tableau Software , Ontario Ministry Of Health , Ontario Medical Association , Canadian Institute , Health Information , Johns Hopkins , Ontario Ministry , Grouping Methodology , Registered Persons Database , Abstract Database , Ambulatory Care Reporting System , Statistics Canada , Tableau Desktop Professional Edition , Ontario Medical , Ontario Cancer Registry , Sharada Weir , Population Grouping Methodology ,

Emergency department use following incentives to provide after-hours primary care: a retrospective cohort study

Abstract
BACKGROUND: Access to primary care outside of regular working hours is limited in many countries. This study investigates the relation between the after-hours premium, an incentive for primary care physicians to provide services after hours, and less-urgent visits to the emergency department in Ontario, Canada.
METHODS: We analyzed a retrospective cohort of a random sample of Ontario residents from April 2002 to March 2006, and a subcohort of patients followed from April 2005 to March 2016. We linked patient and primary care physician data with emergency department visit data. We used fixed-effects regression models to analyze the association between the introduction of the after-hours premium, as well as subsequent increases in the value of the premium, and the number of monthly emergency department visits. ....

Client Agency Program Enrolment , Emergency Department , Ontario Personal Health Information Protection , National Ambulatory Care Reporting System , Ontario Health Insurance Plan Claims Database , Observational Studies , Corporate Provider Database , Registered Persons Database , Canadian Census , Canadian Triage , Acuity Scale , Johns Hopkins Adjusted Clinical Groups , Personal Health Information Protection Act , அவசரம் துறை , ஆஂடேரியொ தனிப்பட்ட ஆரோக்கியம் தகவல் ப்ரொடெக்ஶந் , தேசிய ஆம்புலேட்டரி பராமரிப்பு புகாரளித்தல் அமைப்பு , ஆஂடேரியொ ஆரோக்கியம் காப்பீடு திட்டம் கூற்றுக்கள் தரவுத்தளம் , அவதானிப்பு ஆய்வுகள் , பெருநிறுவன வழங்குநர் தரவுத்தளம் , பதிவுசெய்யப்பட்டது நபர்கள் தரவுத்தளம் , கனடியன் மக்கள் தொகை கணக்கெடுப்பு , கனடியன் சோதனை , கூர்மை அளவு , தனிப்பட்ட ஆரோக்கியம் தகவல் ப்ரொடெக்ஶந் நாடகம் ,