Table 3. Physician Care and Continuity in Long-Term Care Facilities
Secondary Outcome Measures (Physician Care and Continuity in LTCFs)Before Care by Design™*After Care by Design™†Change (%)P Value
Time 1 (n = 164)Time 2 (n = 142)
LTCF physician contacted before EHS call (for all residents with a 911 call)38.4 (63)53.5 (76)+15.1.01‡
Onsite assessment conducted by a family physician before EHS call (for all residents with a 911 call)3.7 (6)9.2 (13)+5.5.03‡
EHS calls that resulted in transports (most recent 911 call only)94.5 (155)88.0 (125)−6.5.08‡
Notes in patient charts (only residents living in an LTCF for the full time period), n (%)Time 1 (n = 138)Time 2 (n = 97)
    0–112.3 (17)3.09 (3)−9.2.002‡
    2–947.8 (66)35.1 (34)−12.7
    ≥1037.7 (52)54.6 (53)+16.9
    Missing2.2 (3)7.2 (7)
Notes in patient charts (only residents living in an LTCF for the full time period), median (IQR)7 (3.0–12.0)10 (7.0–13.0).0026§

  • Data are mean (standard deviation).

  • ↵* September 1, 2008, to January 31, 2009.

  • ↵† September 1, 2010, to January 31, 2011.

  • ↵‡ χ2 Test.

  • ↵§ Wilcoxon rank-sum test.

  • EHS, Emergency Health Services; IQR, interquartile range; LTCF, long-term care facility.