{"id":4056,"date":"2013-01-17T00:00:00","date_gmt":"2013-01-17T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/"},"modified":"2023-06-14T19:37:30","modified_gmt":"2023-06-14T23:37:30","slug":"quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/","title":{"rendered":"Quantifying health services use for chronic obstructive pulmonary disease"},"content":{"rendered":"<p><strong>Rationale<\/strong> &#x2014; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its impact on healthcare systems would inform strategies to reduce its burden.<\/p>\n<p><strong>Objective<\/strong> &#x2014; To quantify health services use in a large, North American COPD population.<\/p>\n<p><strong>Methods<\/strong> &#x2014; The researchers conducted a cohort study using health administrative data from Ontario, a province with a population of 13 million and universal healthcare insurance. All individuals with physician diagnosed COPD in 2008 were identified and followed for 3 years. Proportions of all hospital visits, emergency department visits, ambulatory care visits, long term care residence places, and homecare by people made or used with COPD were determined and rates of each compared between people with and without COPD.<\/p>\n<p><span class=\"bold\">Measurements and Main Results<\/span> &#x2014; A total of 853,438 individuals with COPD (11.8% of the population age 35 and older) were responsible for 24% of hospitalizations, 24% of emergency department visits, 21% of ambulatory care visits and filled 35% of long term care places and used 30% of homecare services. After adjusting for several factors, people with COPD had rates of hospital, emergency department and ambulatory care visits that were, respectively, 63%, 85%, and 48% higher rates than the rest of the population. Their rates of long term care and homecare use were 56% and 59% higher.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Individuals with COPD use large and disproportionate amounts of health services. Strategies that target this group are needed to improve their health and minimize their need for health services.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rationale &#x2014; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its impact on healthcare systems would inform strategies to reduce its burden. Objective &#x2014; To quantify health services use in a large, North American COPD population. Methods &#x2014; The researchers conducted a cohort study [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,52],"migration-helper-qa-sample-set":[],"class_list":["post-4056","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-lung-health"],"acf":{"citation":"Gershon AS, Guan J, Victor JC, Goldstein R, To T. <em>Am J Respir Crit Care Med<\/em>. 2013; 187(6):596-601. Epub 2013 Jan 17.","source_url":"http:\/\/www.atsjournals.org\/doi\/full\/10.1164\/rccm.201211-2044OC","ices_scientist":[1244,1111],"site":[6733,6735],"research_program":[6746],"news_release":[7431],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"CAFCA7E6-0702-4976-AD81-57A0B833B251","sitecore_item_name":"Quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease","sitecore_field_values":"{\n  \"Title\": \"Quantifying health services use for chronic obstructive pulmonary disease\",\n  \"Short title\": \"Quantifying health services use\",\n  \"Citation\": \"<p>Gershon AS, Guan J, Victor JC, Goldstein R, To T. <em>Am J Respir Crit Care Med<\/em>. 2013; 187(6):596-601. Epub 2013 Jan 17.<\/p>\",\n  \"Abstract\": \"<p><strong>Rationale<\/strong> &mdash; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its impact on healthcare systems would inform strategies to reduce its burden.<\/p>n<p><strong>Objective<\/strong> &mdash; To quantify health services use in a large, North American COPD population.<\/p>n<p><strong>Methods<\/strong> &mdash; The researchers conducted a cohort study using health administrative data from Ontario, a province with a population of 13 million and universal healthcare insurance. All individuals with physician diagnosed COPD in 2008 were identified and followed for 3 years. Proportions of all hospital visits, emergency department visits, ambulatory care visits, long term care residence places, and homecare by people made or used with COPD were determined and rates of each compared between people with and without COPD.<\/p>n<p><span class=\"bold\">Measurements and Main Results<\/span> &mdash; A total of 853,438 individuals with COPD (11.8% of the population age 35 and older) were responsible for 24% of hospitalizations, 24% of emergency department visits, 21% of ambulatory care visits and filled 35% of long term care places and used 30% of homecare services. After adjusting for several factors, people with COPD had rates of hospital, emergency department and ambulatory care visits that were, respectively, 63%, 85%, and 48% higher rates than the rest of the population. Their rates of long term care and homecare use were 56% and 59% higher.<\/p>n<p><strong>Conclusions<\/strong> &mdash; Individuals with COPD use large and disproportionate amounts of health services. Strategies that target this group are needed to improve their health and minimize their need for health services.<\/p>n<p><a href=\"http:\/\/www.atsjournals.org\/doi\/full\/10.1164\/rccm.201211-2044OC\" title=\"Opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{6CF3F7C3-716A-435F-BFC9-A17A5FE763F9}|{002C9B1A-B097-4316-A26A-BA3C0A3B8FA9}\",\n  \"Related Products\": \"<h2>News Release<\/h2>rn<h3><a href=\"~\/link.aspx?_id=058F64A00A8E4D1E84D0F0A3E0B125A7&amp;_z=z\">Almost 1\/4 of all hospital and ED visits in Ontario made by people with COPD: ICES study<\/a><\/h3>\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}|{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}\",\n  \"ICES Scientists\": \"{BC74234B-58F2-4366-95D9-235FF40A7AE3}|{198CB764-0CEA-499E-A508-1CAAAD283C90}\",\n  \"Posted Date\": \"20130117T000000\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2013\/January\/Quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Quantifying health services use for chronic obstructive pulmonary disease<\/title>\n<meta name=\"description\" content=\"Rationale &#x2014; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its\" \/>\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\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Quantifying health services use for chronic obstructive pulmonary disease\" \/>\n<meta property=\"og:description\" content=\"Rationale &#x2014; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/\" \/>\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=\"2023-06-14T23:37:30+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\\\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\\\/\",\"name\":\"ICES | Quantifying health services use for chronic obstructive pulmonary disease\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2013-01-17T05:00:00+00:00\",\"dateModified\":\"2023-06-14T23:37:30+00:00\",\"description\":\"Rationale &#x2014; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\\\/#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\":\"Quantifying health services use for chronic obstructive pulmonary disease\"}]},{\"@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 | Quantifying health services use for chronic obstructive pulmonary disease","description":"Rationale &#x2014; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its","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\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Quantifying health services use for chronic obstructive pulmonary disease","og_description":"Rationale &#x2014; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-06-14T23:37:30+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\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/","name":"ICES | Quantifying health services use for chronic obstructive pulmonary disease","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2013-01-17T05:00:00+00:00","dateModified":"2023-06-14T23:37:30+00:00","description":"Rationale &#x2014; Chronic obstructive pulmonary disease (COPD), a common manageable condition, is a leading cause of death. A better understanding of its","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/quantifying-health-services-use-for-chronic-obstructive-pulmonary-disease\/#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":"Quantifying health services use for chronic obstructive pulmonary disease"}]},{"@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\/4056","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\/news_release\/7431"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6746"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6735"},{"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\/1111"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1244"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=4056"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=4056"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=4056"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=4056"},{"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=4056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}