{"id":21175,"date":"2025-01-31T11:03:18","date_gmt":"2025-01-31T16:03:18","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=21175"},"modified":"2025-02-13T12:17:37","modified_gmt":"2025-02-13T17:17:37","slug":"improving-epilepsy-care-in-ontario-canada-the-impact-of-a-provincial-strategy-for-epilepsy-care","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/improving-epilepsy-care-in-ontario-canada-the-impact-of-a-provincial-strategy-for-epilepsy-care\/","title":{"rendered":"Improving epilepsy care in Ontario, Canada: the impact of a provincial strategy for epilepsy care"},"content":{"rendered":"<p><strong>Objective<\/strong> \u2014 In 2016, the Ontario Ministry of Health and Long-Term Care implemented the Provincial Strategy for Epilepsy Care to increase epilepsy surgery use in Ontario, Canada. The objectives of this study were to assess whether the use of (1) epilepsy surgery, including (a) its receipt and (b) assessments for candidacy, and (2) other healthcare for epilepsy, including (a) neurological consultations, (b) emergency department (ED) visits, and (c) hospital admissions, changed since its implementation.<\/p>\n<p><strong>Methods<\/strong> \u2014 We used linked health administrative data and an interrupted time series design. Annual cohorts were created for July 1st to June 30th of each year from 2007 to 2019, comprising patients with drug-resistant epilepsy eligible for publicly-funded prescription drug coverage with no cancer history. We used segmented Poisson regression models to assess whether the annual rates of each outcome changed between the period before the Provincial Strategy was implemented (July 2007 to June 2016) and the period after.<\/p>\n<p><strong>Results<\/strong> \u2014 There was a level increase in the rate of epilepsy surgery of 48% (95% CI: 0%, 118%) and slope decreases in the rates of neurological consultations, ED visits, and hospital admissions for epilepsy of 10% (95% CI: -15%, -5%), 10% (95% CI: -20%, 1%), and 7% (95% CI: &#8211; 12%, -1%) per year, respectively, associated with the Provincial Strategy.<\/p>\n<p><strong>Conclusion<\/strong> \u2014 The Provincial Strategy may be associated with an increased rate of epilepsy surgery and reduced rates of other healthcare use for epilepsy. Other regions experiencing low epilepsy surgery rates may benefit from similar interventions<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective \u2014 In 2016, the Ontario Ministry of Health and Long-Term Care implemented the Provincial Strategy for Epilepsy Care to increase epilepsy surgery use in Ontario, Canada. The objectives of this study were to assess whether the use of (1) epilepsy surgery, including (a) its receipt and (b) assessments for candidacy, and (2) other healthcare [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[41,60],"migration-helper-qa-sample-set":[],"class_list":["post-21175","journal_article","type-journal_article","status-publish","hentry","topic-brain-diseases","topic-policy-and-program-evaluation"],"acf":{"citation":"Antaya TC, Carter B, Shariff SZ, Boiss\u00e9 Lomax L, Donner E, Nylen K, Snead OC 3rd, Burneo JG. <em>Can J Neurol Sci<\/em>. 2025; Jan 31 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1017\/cjn.2025.14","ices_scientist":[1359,1169],"site":[6739],"research_program":[6742],"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 v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Improving epilepsy care in Ontario, Canada: the impact of a provincial strategy for epilepsy care<\/title>\n<meta name=\"description\" content=\"Objective \u2014 In 2016, the Ontario Ministry of Health and Long-Term Care implemented the Provincial Strategy for Epilepsy Care to increase epilepsy surgery\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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