TY - JOUR T1 - Correlates of a “do not hospitalize” designation JF - Canadian Family Physician JO - Can Fam Physician SP - 1158 LP - 1164 VL - 56 IS - 11 AU - Margaret McGregor AU - Dan Pare AU - Areta Wong AU - Michelle B. Cox AU - Penny Brasher Y1 - 2010/11/01 UR - http://www.cfp.ca/content/56/11/1158.abstract N2 - OBJECTIVE To explore what nursing home resident demographic, clinical, functional, and health services utilization characteristics influence a “do not hospitalize” designation. DESIGN Historical cohort study. SETTING Vancouver, BC. PARTICIPANTS Extended care residents in 2 hospital-based and 4 free-standing nursing homes who died between 2001 and 2007. MAIN OUTCOME MEASURES The designation of “do not hospitalize” on a resident’s chart. RESULTS Continuity of family physician care from admission to death (adjusted hazard ratio [AHR] 2.16, 95% confidence interval [CI] 1.33 to 3.49), a sudden and unexpected death (AHR 0.43, 95% CI 0.25 to 0.73), and age (AHR 1.02, 95% CI 1.01 to 1.02) were independently associated with a “do not hospitalize” designation. CONCLUSION The greater than 2-fold positive association of continuity of family physician care with a “do not hospitalize” designation is an interesting addition to the literature on how continuity of physician care matters. ER -