Variation in care of patients with elderly-onset inflammatory bowel disease in Ontario, Canada: A population-based cohort study.

ABSTRACT:

Background

Variation in health care, when not based on patient preference, may result in poorer care. We determined whether variation in health services utilization, gastroenterologist care and outcomes existed among patients with elderly-onset inflammatory bowel disease (IBD).

Methods

Patients with IBD (diagnosed ≥65 years) were identified from population-based health administrative data from Ontario, Canada (1999 to 2014). We assessed variation across multispecialty physician networks in gastroenterologist care and outcomes using multilevel logistic regression. Median odds ratios (MOR) described variation. We evaluated the association between gastroenterologist supply, specialist care and outcomes.

Results

In 4806 patients, there was significant variation in having

SUBMITTER: Kuenzig ME 

PROVIDER: S-EPMC8023856 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature