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dc.contributor.authorReid, Patrick Michael
dc.date.accessioned2018-04-25T18:52:51Z
dc.date.available2018-04-25T18:52:51Z
dc.identifier.urihttp://hdl.handle.net/10222/73889
dc.description.abstractObjective: Unplanned readmission to hospital is widely used as an indicator of hospital performance. Community-based primary health care systems likely also play a role in unexpected returns to hospital. Our objective was to estimate the effect of community on the time to an unplanned, repeat hospitalization (URH) after an index discharge. Approach: Using methods for small area rate estimation, we used an accelerated failure time model with a random effect for community to estimate the adjusted relative risk of experiencing an unplanned repeat hospitalization as a function of community of residence. Results: Community of residence had a large and significant effect on the time to experiencing an URH. The risk of URH associated with living in particular communities can be larger than the adjusted risk of conditions like cardiovascular disease and diabetes. Conclusion: Community of residence can play a substantial role in the time until someone returns to hospital unexpectedly.en_US
dc.language.isoenen_US
dc.subjectEpidemiologyen_US
dc.subjectHealth Services Researchen_US
dc.subjectCommunity-based Primary Health Care Systemsen_US
dc.subjectNova Scotiaen_US
dc.subjectUnplanned Repeat Hospitalizationsen_US
dc.subjectSmall Area Rate Variationen_US
dc.titleSMALL AREA VARIATIONS IN UNPLANNED REPEAT HOSPITALIZATION IN NOVA SCOTIAen_US
dc.date.defence2018-03-14
dc.contributor.departmentDepartment of Community Health & Epidemiologyen_US
dc.contributor.degreeMaster of Scienceen_US
dc.contributor.external-examinern/aen_US
dc.contributor.graduate-coordinatorKathy MacPhersonen_US
dc.contributor.thesis-readerDr. Jonathan Rossen_US
dc.contributor.thesis-readerDr. Tara Sampallien_US
dc.contributor.thesis-readerDr. Rick Gibsonen_US
dc.contributor.thesis-readerDr. Pantelis Andreouen_US
dc.contributor.thesis-supervisorDr. George Kepharten_US
dc.contributor.ethics-approvalReceiveden_US
dc.contributor.manuscriptsNoen_US
dc.contributor.copyright-releaseNot Applicableen_US
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