{"id":"https://openalex.org/W7204463680","doi":"https://doi.org/10.12927/hcq.2026.27907","title":"No Older Adults Left Behind: Why Home-Based Primary Care Is Critical to Integrated Health Systems","display_name":"No Older Adults Left Behind: Why Home-Based Primary Care Is Critical to Integrated Health Systems","publication_year":2026,"publication_date":"2026-07-23","ids":{"openalex":"https://openalex.org/W7204463680","doi":"https://doi.org/10.12927/hcq.2026.27907","pmid":"https://pubmed.ncbi.nlm.nih.gov/42669638"},"language":"en","primary_location":{"id":"doi:10.12927/hcq.2026.27907","doi":"https://doi.org/10.12927/hcq.2026.27907","is_oa":false,"landing_page_url":"https://doi.org/10.12927/hcq.2026.27907","pdf_url":null,"source":{"id":"https://openalex.org/S4210202300","display_name":"Healthcare Quarterly","issn_l":"1710-2774","issn":["1710-2774","1929-6347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320841","host_organization_name":"Longwoods Publishing","host_organization_lineage":["https://openalex.org/P4310320841"],"host_organization_lineage_names":["Longwoods Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare Quarterly","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5148454471","display_name":"Susan Ng","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Susan Ng","raw_affiliation_strings":["Susan Ng, is an advanced practice nurse with the Seniors Home Support Program in Markham/Stouffville, ON"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Susan Ng, is an advanced practice nurse with the Seniors Home Support Program in Markham/Stouffville, ON","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087938876","display_name":"Elizabeth Mui","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Elizabeth Mui","raw_affiliation_strings":["Elizabeth Mui, is the lead physician for the Seniors Home Support Program in Markham/Stouffville, ON. She is a clinical teacher at the University of Toronto in Toronto, ON"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Elizabeth Mui, is the lead physician for the Seniors Home Support Program in Markham/Stouffville, ON. She is a clinical teacher at the University of Toronto in Toronto, ON","institution_ids":["https://openalex.org/I185261750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013380008","display_name":"Andrew B. LoGiudice","orcid":"https://orcid.org/0000-0003-3527-4389","observed_orcids":["https://orcid.org/0000-0003-3527-4389"]},"institutions":[{"id":"https://openalex.org/I4210110649","display_name":"Markham Stouffville Hospital","ror":"https://ror.org/01safxj67","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210110649"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Andrew LoGiudice","raw_affiliation_strings":["Andrew LoGiudice, served as a system planner and data analyst for the Eastern York Region North Durham Ontario Health Team, Markham and Stouffville, ON from 2023 to 2025"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Andrew LoGiudice, served as a system planner and data analyst for the Eastern York Region North Durham Ontario Health Team, Markham and Stouffville, ON from 2023 to 2025","institution_ids":["https://openalex.org/I4210110649"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5148433819","display_name":"Donya Razavi","orcid":"https://orcid.org/0000-0002-9501-4768","observed_orcids":["https://orcid.org/0000-0002-9501-4768"]},"institutions":[{"id":"https://openalex.org/I192455969","display_name":"York University","ror":"https://ror.org/05fq50484","country_code":"CA","type":"education","lineage":["https://openalex.org/I192455969"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Donya Razavi","raw_affiliation_strings":["Donya Razavi, served as an OHT Impact Fellow for the Eastern York Region North Durham Ontario Health Team from 2023 to 2024. She is an assistant professor in the School of Global Health at York University in Toronto, ON"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Donya Razavi, served as an OHT Impact Fellow for the Eastern York Region North Durham Ontario Health Team from 2023 to 2024. She is an assistant professor in the School of Global Health at York University in Toronto, ON","institution_ids":["https://openalex.org/I192455969"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"29","issue":"2","first_page":"22","last_page":"28"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.8051999807357788,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.8051999807357788,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.12030000239610672,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10312","display_name":"Health, Nursing, Elderly Care","score":0.00930000003427267,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/home-based-primary-care","display_name":"home-based primary care","score":0.9169999957084656},{"id":"https://openalex.org/keywords/integrated-care","display_name":"integrated care","score":0.9340000152587891},{"id":"https://openalex.org/keywords/person-centred-care","display_name":"person-centred care","score":0.8510000109672546},{"id":"https://openalex.org/keywords/high-cost-users","display_name":"high-cost users","score":0.5329999923706055},{"id":"https://openalex.org/keywords/hospitalization-avoidance","display_name":"hospitalization avoidance","score":0.7279999852180481},{"id":"https://openalex.org/keywords/interdisciplinary-care-teams","display_name":"interdisciplinary care teams","score":0.7020000219345093},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.7160000205039978},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.6639999747276306},{"id":"https://openalex.org/keywords/markham","display_name":"Markham","score":0.5040000081062317}],"concepts":[{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.7093999981880188},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6819000244140625},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.5896999835968018},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.47749999165534973},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.4738999903202057},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44670000672340393},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.39719998836517334},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3813000023365021},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.3804999887943268},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.35899999737739563},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3377000093460083},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2808000147342682},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.27059999108314514},{"id":"https://openalex.org/C2778584109","wikidata":"https://www.wikidata.org/wiki/Q60603744","display_name":"Health care reform","level":4,"score":0.2623000144958496},{"id":"https://openalex.org/C3019887659","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Older people","level":2,"score":0.260699987411499},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.25519999861717224},{"id":"https://openalex.org/C2779541514","wikidata":"https://www.wikidata.org/wiki/Q1477478","display_name":"Integrated care","level":3,"score":0.25209999084472656}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006699","descriptor_name":"Home Care Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D016330","descriptor_name":"Frail Elderly","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018577","descriptor_name":"Homebound Persons","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.12927/hcq.2026.27907","doi":"https://doi.org/10.12927/hcq.2026.27907","is_oa":false,"landing_page_url":"https://doi.org/10.12927/hcq.2026.27907","pdf_url":null,"source":{"id":"https://openalex.org/S4210202300","display_name":"Healthcare Quarterly","issn_l":"1710-2774","issn":["1710-2774","1929-6347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","medline","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320841","host_organization_name":"Longwoods Publishing","host_organization_lineage":["https://openalex.org/P4310320841"],"host_organization_lineage_names":["Longwoods Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare Quarterly","raw_type":"journal-article"},{"id":"pmid:42669638","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42669638","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare quarterly (Toronto, Ont.)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2956079053","https://openalex.org/W4413102501","https://openalex.org/W4409337288","https://openalex.org/W7098346483","https://openalex.org/W2098436107","https://openalex.org/W7213889164","https://openalex.org/W2416495389","https://openalex.org/W2954140579","https://openalex.org/W1945147345","https://openalex.org/W4409371549"],"abstract_inverted_index":{"In":[0],"response":[1],"to":[2,5,70,108,117],"province-wide":[3],"reforms":[4],"advance":[6],"integrated":[7,21,110],"care,":[8,119],"the":[9,72,85,93],"Eastern":[10],"York":[11],"Region":[12],"North":[13],"Durham":[14],"Ontario":[15],"Health":[16],"Team":[17],"launched":[18],"an":[19,67,141],"innovative":[20],"home-based":[22],"primary":[23],"care":[24,91,111],"(IHBPC)":[25],"program":[26],"for":[27],"frail":[28],"homebound":[29,134],"seniors":[30],"in":[31,130],"Markham":[32],"and":[33,39,57,63,96],"Stouffville.":[34],"Findings":[35],"from":[36],"patient,":[37],"caregiver":[38],"provider":[40],"surveys":[41],"-":[42,48,138],"along":[43],"with":[44],"hospital":[45,64],"avoidance":[46],"data":[47],"demonstrate":[49],"that":[50,104],"utlizing":[51],"a":[52,124],"team":[53],"of":[54,75,78,84,99,127],"family":[55],"physicians":[56],"interdisciplinary":[58],"providers":[59],"working":[60],"across":[61,92],"community":[62],"sectors":[65],"is":[66,88],"effective":[68],"approach":[69],"addressing":[71],"complex":[73],"needs":[74],"high-cost":[76],"users":[77],"health":[79,128],"services.":[80],"A":[81],"key":[82],"feature":[83],"program's":[86],"success":[87],"embedding":[89],"person-centred":[90],"macro,":[94],"meso":[95],"micro":[97],"levels":[98],"integration,":[100],"providing":[101],"lessons":[102],"learned":[103],"can":[105],"be":[106,123],"applied":[107],"other":[109],"initiatives.":[112],"To":[113],"ensure":[114],"equitable":[115],"access":[116],"high-quality":[118],"IHBPC":[120],"programs":[121],"must":[122],"core":[125],"component":[126],"systems":[129],"every":[131],"jurisdiction":[132],"where":[133],"older":[135],"adults":[136],"live":[137],"not":[139],"merely":[140],"afterthought.":[142]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-08-28T00:00:00"}
