Avoidable Hospitalizations in Persons with Dementia: a Population-Wide Descriptive Study (2000–2015)

  • Claire Godard-Sebillotte McGill University
  • Erin Strumpf McGill University
  • Nadia Sourial McGill University
  • Louis Rochette McGill University, Institut national de santé publique du Québec (INSPQ)
  • Eric Pelletier McGill University, Institut national de santé publique du Québec (INSPQ)
  • Isabelle Vedel McGill University
Keywords: primary care, interdisciplinary primary care teams, dementia, avoidable hospitalization, Ambulatory Care Sensitive Conditions

Abstract

Background

Whether avoidable hospitalizations in community-dwelling persons with dementia have decreased during primary care reforms is unknown.

Methods

We described the prevalence and trends in avoidable hos­pitalizations in population-based repeated yearly cohorts of 192,144 community-dwelling persons with incident dementia (Quebec, 2000–2015) in the context of a province-wide pri­mary care reform, using the provincial health administrative database.

Results

Trends in both types of Ambulatory Care Sensitive Condition (ACSC) hospitalization (general and older population) and 30-day readmission rates remained constant with average rates per 100 person-years: 20.5 (19.9–21.1), 31.7 (31.0–32.4), 20.6 (20.1–21.2), respectively. Rates of delayed hospital discharge (i.e., alternate level of care (ALC) hospitalizations) decreased from 23.8 (21.1–26.9) to 17.9 (16.1–20.1) (relative change -24.6%).

Conclusions

These figures shed light on the importance of the phenomenon, its lack of improvement for most outcomes over the years, and the need to develop evidence-based policies to prevent avoidable hospitalizations in this vulnerable population.

Author Biographies

Claire Godard-Sebillotte, McGill University

Department of Family Medicine

Erin Strumpf, McGill University

Department of Epidemiology, Biostatistics, and Occupational Health, Department of Economics

Nadia Sourial, McGill University

Department of Family Medicine

Louis Rochette, McGill University, Institut national de santé publique du Québec (INSPQ)

Department of Economics

Eric Pelletier, McGill University, Institut national de santé publique du Québec (INSPQ)

Department of Economics

Isabelle Vedel, McGill University

Department of Family Medicine

Published
2021-07-28
How to Cite
Godard-Sebillotte, C., Strumpf, E., Sourial, N., Rochette, L., Pelletier, E., & Vedel, I. (2021). Avoidable Hospitalizations in Persons with Dementia: a Population-Wide Descriptive Study (2000–2015). Canadian Geriatrics Journal, 24(3), 209-221. https://doi.org/10.5770/cgj.24.486
Section
Original Research