{"id":20781,"date":"2024-11-27T15:06:39","date_gmt":"2024-11-27T20:06:39","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=20781"},"modified":"2024-11-29T16:23:14","modified_gmt":"2024-11-29T21:23:14","slug":"comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/","title":{"rendered":"Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic"},"content":{"rendered":"<p><strong>Objective<\/strong> \u2014 To measure the association between types of serious illness and the use of different physician-delivered care models near the EOL during the COVID-19 pandemic.<\/p>\n<p><strong>Design, setting and participants<\/strong> \u2014 Population-based cohort study using health administrative datasets in Ontario, Canada, for adults aged \u226518 years in their last 90 days of life who died of cancer or terminal noncancer illness and received physician-delivered care models near the end-of-life between March 14, 2020 and January 24, 2022.<\/p>\n<p><strong>Exposure <\/strong>\u2014 The type of serious illness (cancer or terminal noncancer illness).<\/p>\n<p><strong>Main outcome<\/strong> \u2014 Physician-delivered care models for adults in the last 90 days of life (exclusively virtual, exclusively home-based in-person, or mixed).<\/p>\n<p><strong>Results <\/strong>\u2014 The study included 75,930 adults (median age 78 years, 49% female, cancer n = 58,894 [78%], noncancer illness n = 17,036 [22%]). A higher proportion of people with cancer (39.3%) received mixed model of care compared to those with noncancer illnesses (chronic organ failure 24.4%, dementia 37.9%, multimorbidity 28%). Compared to people with cancer, people with chronic organ failure (adjusted odds ratio [aOR], 1.61, 95% CI: 1.54 to 1.68) and those with multimorbidity ([aOR], 1.49, 95% CI: 1.39 to 1.59) had a higher odds of receiving virtual care than a mixed model of care. People with dementia had a higher odds of home-based in-person care than a mixed model of care ([aOR], 1.47, 95% CI 1.27, 1.71) and virtual care ([aOR], 1.40, 95% CI 1.20\u20131.62) compared to people with cancer.<\/p>\n<p><strong>Conclusion <\/strong>\u2014 A person\u2019s type of serious illness was associated with different care models near the end-of-life. This study demonstrates persistent disease-specific differences in care delivery or possibly the tailoring of models of care in the last 90 days of life based on a person\u2019s specific care needs.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective \u2014 To measure the association between types of serious illness and the use of different physician-delivered care models near the EOL during the COVID-19 pandemic. Design, setting and participants \u2014 Population-based cohort study using health administrative datasets in Ontario, Canada, for adults aged \u226518 years in their last 90 days of life who died [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[38,30,28],"migration-helper-qa-sample-set":[],"class_list":["post-20781","journal_article","type-journal_article","status-publish","hentry","topic-cancer-and-cancer-screening","topic-home-and-community-care","topic-primary-care"],"acf":{"citation":"Akhter R, Stukel TA, Chung H, Bell CM, Detsky AS, Downar J, Isenberg SR, Lapp J, Mokhtarnia M, Stall N, Tanuseputro P, Quinn KL. <em>PLoS One<\/em>. 2024; 19(11):e0301813.","source_url":"https:\/\/doi.org\/10.1371\/journal.pone.0301813","ices_scientist":[1372,17132,1274,1104],"site":[6733],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic<\/title>\n<meta name=\"description\" content=\"Objective \u2014 To measure the association between types of serious illness and the use of different physician-delivered care models near the EOL during the\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic\" \/>\n<meta property=\"og:description\" content=\"Objective \u2014 To measure the association between types of serious illness and the use of different physician-delivered care models near the EOL during the\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2024-11-29T21:23:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\\\/\",\"name\":\"ICES | Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2024-11-27T20:06:39+00:00\",\"dateModified\":\"2024-11-29T21:23:14+00:00\",\"description\":\"Objective \u2014 To measure the association between types of serious illness and the use of different physician-delivered care models near the EOL during the\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic","description":"Objective \u2014 To measure the association between types of serious illness and the use of different physician-delivered care models near the EOL during the","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic","og_description":"Objective \u2014 To measure the association between types of serious illness and the use of different physician-delivered care models near the EOL during the","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2024-11-29T21:23:14+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/","name":"ICES | Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2024-11-27T20:06:39+00:00","dateModified":"2024-11-29T21:23:14+00:00","description":"Objective \u2014 To measure the association between types of serious illness and the use of different physician-delivered care models near the EOL during the","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparison-of-physician-delivered-models-of-virtual-and-home-based-in-person-care-for-adults-in-the-last-90-days-of-life-with-cancer-and-terminal-noncancer-illness-during-the-covid-19-pandemic\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Comparison of physician-delivered models of virtual and home-based in-person care for adults in the last 90 days of life with cancer and terminal noncancer illness during the COVID-19 pandemic"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/20781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6747"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6733"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1104"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1274"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/17132"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1372"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=20781"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=20781"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=20781"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=20781"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=20781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}