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Comparing the ambulatory care and outcomes for rural and urban patients with chronic ischemic heart disease: a population-based cohort study.

Circ Cardiovasc Qual Outcomes

November 2014

From the Institute for Clinical Evaluative Sciences (C.T., H.C.W., F.Q., J.V.T., R.S.B.), Women's College Hospital Institute for Health Systems Solutions and Virtual Care (R.S.B.), Institute for Health Policy, Management and Evaluation (H.C.W., J.V.T., R.S.B.), Division of Cardiology, Sunnybrook Health Sciences Center (H.C.W., J.V.T.), and Peter Munk Cardiac Center of the University Health Network - Toronto General Hospital (R.S.B.), University of Toronto Medical School, University of Toronto, Toronto, Ontario, Canada (C.T.).

Background: Little is known about variations in the quality of ambulatory care between urban and rural communities for patients with stable ischemic heart disease. The objectives of this study were to understand the effect of rurality on variations of ambulatory processes of care and outcomes for patients with stable ischemic heart disease.

Methods And Results: A population-based cohort study was conducted, which included all Ontario patients with stable ischemic heart disease confirmed on cardiac catheterization between October 1, 2008, and September 30, 2011.

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