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Using neighborhood level ‘Measures of Vulnerability (MOV)’ to address health inequalities

Context

Information about the individuals’ Social Determinants of Health could help primary care (PC) providers prioritize and tailor care, but such data are not routinely collected in electronic medical records (EMRs). Neighbourhood level Measures of Vulnerability (MOVs) derived from census data may provide good proxy information. We studied three commonly used multi-dimensional Canadian neighbourhood MOVs to identify which have the strongest ability to discriminate health measures between most deprived and least deprived individuals.

Physician and nurse practitioner home visits at end of life associated with better patient outcomes: a population-based study

Context

Home visits at the end of life decrease hospitalizations and hospital deaths, which reduces healthcare costs and aligns with most patients’ wishes. In addition to family physicians, nurse practitioners (NPs) play a critical role in meeting the rising demand for home and community-based palliative care. However, very few population-level studies have examined practice patterns of NPs delivering home-based end-of-life care and the collaboration between physicians and NPs.

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