Walter P Wodchis

Learn More
„ „ Integrated care is a process that must be led, managed and nurtured over time. Initiatives often have to navigate and overcome existing organisational and funding silos. „ „ There is no single organisational model or approach that best supports integrated care. The starting point should be a clinical/service model designed to improve care for people,(More)
BACKGROUND AND OBJECTIVE Health care use of children with medical complexity (CMC), such as those with neurologic impairment or other complex chronic conditions (CCCs) and those with technology assistance (TA), is not well understood. The objective of the study was to evaluate health care utilization and costs in a population-based sample of CMC in Ontario,(More)
OBJECTIVES To introduce a health-related quality of life measure for home care and institutional long-term care settings based on the Minimum Data Set (MDS) and the Health Utilities Index Mark 2 (HUI2). METHODS Health attributes of Health Related Quality of Life (HRQOL) were identified, and suitable constructs were determined. Items from the MDS were(More)
Patient satisfaction in health care constitutes an important component of organizational performance in the hospital setting. Satisfaction measures have been developed and used to evaluate and improve hospital performance, quality of care and physician practice. In order to direct improvement strategies, it is necessary to evaluate both individual and(More)
OBJECTIVE To evaluate the consistency of self-reported health-related quality of life (HRQL) using the Health Utilities Index Mark 2 (HUI2) with observer rated HRQL using the Minimum Data Set Health-Status Index (MDS-HSI). STUDY DESIGN AND SETTING Frail older home care clients in Calgary Alberta and Wayne County, Michigan responded to HUI2 questionnaires(More)
OBJECTIVE To investigate the effects of perceived supervisory support provided by registered nursing staff on job stress and job satisfaction among nurse aides (NAs) working in long-term care. BACKGROUND Job-related stress is a major problem for NAs working in long-term care settings leading to reduced job satisfaction. No studies have used a theoretical(More)
BACKGROUND Goal setting is a recommended approach in clinical care that can help individuals with multi-morbidities and their caregivers manage chronic conditions. In this paper, the types of goals that were important for older persons with multi-morbidities were explored from the perspectives of patients, their caregivers and physicians. Comparisons of(More)
OBJECTIVES This study explored the care challenges experienced by older patients with multimorbidity, their informal caregivers and family physicians. APPROACH Semi-structured interviews were conducted with 27 patients, their informal caregivers and family physicians. Qualitative description was used to identify key themes in the interview transcripts. (More)
BACKGROUND Older adults experiencing multiple chronic illnesses are at high risk of hospitalization and health decline if they are unable to manage the significant challenges posed by their health conditions. Goal-oriented care approaches can provide better care for these complex patients, but clinicians find the process of ascertaining goals "too complex(More)
BACKGROUND The heterogeneity evident among home care clients highlights the need for greater understanding of the clinical and social determinants of multi-dimensional health-related quality of life (HRQL) indices and of potential sex-differences in these determinants. We examined the relative contribution of social and clinical factors to HRQL among older(More)