PT  - JOURNAL ARTICLE
AU  - McGregor, Margaret
AU  - Pare, Dan
AU  - Wong, Areta
AU  - Cox, Michelle B.
AU  - Brasher, Penny
TI  - Correlates of a “do not hospitalize” designation
DP  - 2010 Nov 01
TA  - Canadian Family Physician
PG  - 1158--1164
VI  - 56
IP  - 11
4099  - http://www.cfp.ca/content/56/11/1158.short
4100  - http://www.cfp.ca/content/56/11/1158.full
SO  - Can Fam Physician2010 Nov 01; 56
AB  - 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.