{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:04:57Z","timestamp":1792188297762,"version":"4.4.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Australian Government, National Health and Medical Research Council Investigator","award":["GNT2026400"],"award-info":[{"award-number":["GNT2026400"]}]},{"name":"Australian Government, National Health and Medical Research Council Investigator","award":["GNT1194084"],"award-info":[{"award-number":["GNT1194084"]}]},{"name":"Australian Government, National Health and Medical Research Council Investigator","award":["GNT2016277"],"award-info":[{"award-number":["GNT2016277"]}]},{"name":"Australian Government, National Health and Medical Research Council Investigator","award":["GNT119378"],"award-info":[{"award-number":["GNT119378"]}]},{"name":"Australian Government Medical Research Future Fund Primary Health Care Research Grant","award":["MRFF1200056"],"award-info":[{"award-number":["MRFF1200056"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>High-quality evidence on the benefits of primary care in long-term care (LTC) is lacking. This study investigated the effect of primary health care services, continuity of care and care patterns on the risk of mortality and hospitalisation-related outcomes in LTC facility residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of 358\u2009354 residents of 2948 LTC facilities across Australia was conducted (1 January 2013\u201331 December 2019). Primary care services, general practitioner (GP) continuity of care, and care patterns were examined. One-year risk of all-cause\/premature mortality and nine hospitalisation measures were investigated. Propensity-score\u2013adjusted survival models were employed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Residents with a care pattern inclusive of high preventive health services utilisation and low urgent after-hours attendances had lower risks of mortality [vs. high overall use, hazard ratio (HR)\u2009=\u20090.91, 95% confidence interval (CI)\u2009=\u20090.88\u20130.94; vs. high reactive use, HR\u2009=\u20090.91, 95% CI\u2009=\u20090.88\u20130.94] and most outcomes examined [e.g. fractures, subdistribution hazard ratio (sHRs) range\u2009=\u20090.90\u20130.91, 95% CI range\u2009=\u20090.84\u20130.97] compared to those with other care patterns. Residents who continued to see their usual GP had a lower risk of emergency department presentations (sHR\u2009=\u20090.92, 95% CI=\u20090.90\u20130.94), unplanned hospitalisations (sHR\u2009=\u20090.94, 95% CI=\u20090.92\u20130.96), falls (sHR\u2009=\u20090.89, 95% CI=\u20090.86\u20130.92), malnutrition (sHR\u2009=\u20090.88, 95% CI=\u20090.82\u20130.96), and dementia\/delirium hospitalisations (sHR\u2009=\u20090.79, 95% CI=\u20090.72\u20130.87) than those who did not. Nurse practitioner attendances, optometrical services, comprehensive medication reviews, health assessments, management plans and podiatry attendances on their own were associated with lower premature mortality and some hospitalisation-related outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Care patterns focusing on prevention and disease management, GP continuity of care and certain primary care services can positively impact residents\u2019 health and outcomes in LTC facilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afag026","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:08:38Z","timestamp":1769515718000},"source":"Crossref","is-referenced-by-count":3,"title":["The impact of primary health care services, continuity of care and patterns of care on mortality and hospitalisation-related outcomes in residents of long-term care facilities: a comprehensive national evaluation"],"prefix":"10.1093","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8261-2665","authenticated-orcid":false,"given":"Maria C","family":"Inacio","sequence":"first","affiliation":[{"name":"Registry of Senior Australians Research Centre, South Australian Health and Medical Research Institute , Adelaide, South Australia ,","place":["Australia"]},{"name":"Registry of Senior Australians Research Centre, Caring Futures Institute, Flinders University , Adelaide, South Australia ,","place":["Australia"]},{"name":"UniSA Allied Health and Human Performance, University of South Australia , Adelaide ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0916-3098","authenticated-orcid":false,"given":"Johannes","family":"Schwabe","sequence":"additional","affiliation":[{"name":"Registry of Senior Australians Research Centre, South Australian 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