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Western University

Family Medicine Publications

Primary care

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Full-Text Articles in Medicine and Health Sciences

The Prevalence Of Multimorbidity In Primary Care: A Comparison Of Two Definitions Of Multimorbidity With Two Different Lists Of Chronic Conditions In Singapore, Eng Sing Lee, Poay Sian Sabrina Lee, Ying Xie, Bridget L. Ryan, Martin Fortin, Moira Stewart Dec 2021

The Prevalence Of Multimorbidity In Primary Care: A Comparison Of Two Definitions Of Multimorbidity With Two Different Lists Of Chronic Conditions In Singapore, Eng Sing Lee, Poay Sian Sabrina Lee, Ying Xie, Bridget L. Ryan, Martin Fortin, Moira Stewart

Family Medicine Publications

Background: The prevalence of multimorbidity varies widely due to the lack of consensus in defining multimorbidity. This study aimed to measure the prevalence of multimorbidity in a primary care setting using two definitions of multimorbidity with two different lists of chronic conditions. Methods: We conducted a cross-sectional study of 787,446 patients, aged 0 to 99 years, who consulted a family physician between July 2015 to June 2016. Multimorbidity was defined as ‘two or more’ (MM2+) or ‘three or more’ (MM3+) chronic conditions using the Fortin list and Chronic Disease Management Program (CDMP) list of chronic conditions. Crude and standardised prevalence …


Development Of A Primary Care Pandemic Plan Informed By In-Depth Policy Analysis And Interviews With Family Physicians Across Canada During Covid-19: A Qualitative Case Study Protocol, Maria Mathews, Sarah Spencer, Lindsay Hedden, Emily Gard Marshall, Julia Lukewich, Leslie Meredith, Dana Ryan, Richard Buote, Tiffany Liu, Emily Volpe, Paul S. Gill, Bridget Ryan, Gordon Schacter, Jamie Wickett, Thomas R. Freeman, Shannon L. Sibbald, Eric Wong, Maddi Mckay, Rita Mccracken, Judith Belle Brown Jul 2021

Development Of A Primary Care Pandemic Plan Informed By In-Depth Policy Analysis And Interviews With Family Physicians Across Canada During Covid-19: A Qualitative Case Study Protocol, Maria Mathews, Sarah Spencer, Lindsay Hedden, Emily Gard Marshall, Julia Lukewich, Leslie Meredith, Dana Ryan, Richard Buote, Tiffany Liu, Emily Volpe, Paul S. Gill, Bridget Ryan, Gordon Schacter, Jamie Wickett, Thomas R. Freeman, Shannon L. Sibbald, Eric Wong, Maddi Mckay, Rita Mccracken, Judith Belle Brown

Family Medicine Publications

Introduction Given the recurrent risk of respiratory illness-based pandemics, and the important roles family physicians play during public health emergencies, the development of pandemic plans for primary care is imperative. Existing pandemic plans in Canada, however, do not adequately incorporate family physicians' roles and perspectives. This policy and planning oversight has become increasingly evident with the emergence of the novel coronavirus disease, COVID-19, pandemic. This study is designed to inform the development of pandemic plans for primary care through evidence from four provinces in Canada: British Columbia, Newfoundland and Labrador, Nova Scotia, and Ontario. Methods and analysis We will employ …


Systematic Review On The Instruments Used For Measuring The Association Of The Level Of Multimorbidity And Clinically Important Outcomes, Eng Sing Lee, Hui Li Koh, Elaine Qiao Ying Ho, Sok Huang Teo, Fang Yan Wong, Bridget L. Ryan, Martin Fortin, Moira Stewart May 2021

Systematic Review On The Instruments Used For Measuring The Association Of The Level Of Multimorbidity And Clinically Important Outcomes, Eng Sing Lee, Hui Li Koh, Elaine Qiao Ying Ho, Sok Huang Teo, Fang Yan Wong, Bridget L. Ryan, Martin Fortin, Moira Stewart

Family Medicine Publications

Objectives There are multiple instruments for measuring multimorbidity. The main objective of this systematic review was to provide a list of instruments that are suitable for use in studies aiming to measure the association of a specific outcome with different levels of multimorbidity as the main independent variable in community-dwelling individuals. The secondary objective was to provide details of the requirements, strengths and limitations of these instruments, and the chosen outcomes. Methods We conducted the review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO registration number: CRD42018105297). We searched MEDLINE, Embase and CINAHL electronic databases …