Substudy2 tracked the movement of clients through the British Columbia continuing care system over a 10-year period to document patterns of movement and to determine if care patterns might be predictable. Predictable care patterns have implications for clinicians who could then prepare in advance for possible changes in care status. However, the study found that, contrary to assumptions there would be four to six common patterns of movement, there was in fact a wide variety of care trajectories, none with a large percentage of clients. The most common pattern was for clients to enter the system at a given level and type of care and die without any changes in the level and type of care. A total of 6,384 clients was used for the study which accessed a linkable longitudinal database at the University of B.C.
This project was supported by the Health Transition Fund, which was created in 1997 to provide support for evidence-based decision-making in health care reform by supporting pilot and evaluation projects which test innovative approaches to health care delivery. The views expressed herein do no necessarily represent the official policy of federal, provincial, or territorial governments.