{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T08:05:53Z","timestamp":1769155553441,"version":"3.49.0"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":44,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015569","name":"Canadian Consortium on Neurodegeneration in Aging","doi-asserted-by":"publisher","award":["CNA-163902"],"award-info":[{"award-number":["CNA-163902"]}],"id":[{"id":"10.13039\/100015569","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institute of Health Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Persons with dementia living in the community are vulnerable to service disruptions as they rely on a mix of outpatient care from different types of physicians. To demonstrate how outpatient physician visits evolved among persons with dementia during a health crisis compared to the prior year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using administrative databases, two retrospective cohorts (2019\/pre-COVID-19 pandemic; 2020\/pandemic) of community-dwelling persons with dementia aged 65+ were identified within three Canadian provinces (Alberta, Ontario, and Quebec). We measured the rates of visits (total\/virtual\/in-person) to family physicians, cognitive specialists (neurologists, geriatricians, and psychiatrists), and other specialists. Provincial incident rate ratios (IRR) and 95% confidence intervals (CIs) were calculated by comparing three pandemic periods (first wave; interim period; second wave) to the corresponding pre-pandemic periods (reference) and subsequently pooled using a meta-analysis to obtain overall estimates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Pre-pandemic (n = 160 288) and pandemic (n = 166 392) cohorts had similar characteristics. Although significant increases in family physician visits within provinces were observed during certain periods, there was no significant change in overall estimates compared to pre-pandemic levels. Overall cognitive (IRR 0.85, CI 0.80\u20130.90) and other specialist (IRR 0.71, 0.56\u20130.90) visits were significantly lower in the first wave compared to pre-pandemic period. There was a significant increase in virtual visits and a significant decline in in-person visits across all physician types throughout the pandemic periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Family physicians are the cornerstone of sustaining dementia care during health crises such as the COVID-19 pandemic, in part due to virtual care. Future research may investigate long-term outcomes of abrupt disruption in specialist and other community care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmaf105","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T13:07:08Z","timestamp":1765544828000},"source":"Crossref","is-referenced-by-count":0,"title":["Family physician and specialist care for persons with dementia living in the community: through thick and thin"],"prefix":"10.1093","volume":"43","author":[{"given":"Deniz","family":"Cetin-Sahin","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University , Montreal, H3S 1Z1 ,","place":["Canada"]},{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital , Montreal, H3T 1E1 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of Family Medicine, Faculty of Medicine and Health Sciences, McGill University , Montreal, H3S 1Z1 ,","place":["Canada"]},{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital , Montreal, H3T 1E1 ,","place":["Canada"]},{"name":"Department of Medicine, Division of Geriatrics, Faculty of Medicine and Health Sciences, McGill University , Montreal, H3G 1A4 ,","place":["Canada"]},{"name":"Donald Berman Maimonides Geriatric Centre for Research in Aging , Montreal, H4W 1W3 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sid","family":"Feldman","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Division of Care of the Elderly, University of Toronto , Toronto, M5G 1V7 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Gruneir","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine and Dentistry, 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University of Western Ontario , London, N6G 2M1 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Diong","sequence":"additional","affiliation":[{"name":"Life Stage Research Program, Institute for Clinical Evaluative Sciences (ICES) , Toronto, M4N 3M5 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genevi\u00e8ve","family":"Arsenault-Lapierre","sequence":"additional","affiliation":[{"name":"Center for Research and Expertise in Social Gerontology, Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et services sociaux du Centre-Ouest de l\u2019Ile-de-Montr\u00e9al , C\u00f4te Saint-Luc, H4W 2T5 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Kosteniuk","sequence":"additional","affiliation":[{"name":"Canadian Centre for Rural and Agricultural Health, Department of Medicine, University of Saskatchewan , Saskatoon, S7N 2Z4 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saskia","family":"Sivananthan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University , Montreal, H3S 1Z1 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5035-6457","authenticated-orcid":false,"given":"Delphine","family":"Bosson-Rieutort","sequence":"additional","affiliation":[{"name":"Department of Health Management, Evaluation and Policy, School of Public of Health, University of Montreal , Montreal, H3N 1X9 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e9lanie","family":"Le Berre","sequence":"additional","affiliation":[{"name":"VITAMCentre de recherche en sant\u00e9 durable , Quebec City, G1J 2G1 ,","place":["Canada"]},{"name":"D\u00e9partement de m\u00e9decine sociale et pr\u00e9ventive, Facult\u00e9 de 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