A5023974426- Healthcare Policy and Management
- Global Health Care Issues
- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Employment and Welfare Studies
- Global Health Workforce Issues
- Healthcare innovation and challenges
- Intergenerational Family Dynamics and Caregiving
- Migration, Aging, and Tourism Studies
- Mobile Health and mHealth Applications
- Medication Adherence and Compliance
- Efficiency Analysis Using DEA
- Acute Ischemic Stroke Management
- Economics of Agriculture and Food Markets
- Retirement, Disability, and Employment
- Economic theories and models
- Spatial and Panel Data Analysis
- Dental Implant Techniques and Outcomes
- Stroke Rehabilitation and Recovery
- Migration, Health and Trauma
- Gender, Labor, and Family Dynamics
- Workplace Health and Well-being
- Healthcare Systems and Practices
University of Toronto
2016-2025
Public Health Ontario
2018-2024
Indiana University
2024
Institute for Clinical Evaluative Sciences
2008-2023
Institute of Health Economics
2012-2020
Institute for Work & Health
2016
Systems, Applications & Products in Data Processing (Canada)
2016
Institute of Health Services and Policy Research
2016
Centre for Global Health Research
2016
Agence Régionale de Santé Ile-de-France
2013
Objective. To estimate the direct and indirect arthritis-attributable costs to individuals with disabling hip and/or knee osteoarthritis (OA).
Background Telemonitoring (TM) can improve heart failure (HF) outcomes by facilitating patient self-care and clinical decision support. However, these are only possible if patients consistently adhere to taking prescribed home readings. Objective The objectives of this study were (1) quantify the degree which adhered readings in context a mobile phone–based TM program (2) explain longitudinal adherence rates based on duration enrollment, characteristics, perceptions program. Methods A...
Abstract – Objective: To measure the effectiveness of fluoride varnish (FV) (Duraflor ® , 5% sodium fluoride, Pharmascience Inc., Montréal, QC, Canada) and caregiver counseling in preventing early childhood caries (ECC) Aboriginal children a 2‐year community‐randomized controlled trial. Methods: Twenty First Nations communities Sioux Lookout Zone (SLZ), Northwest Ontario, Canada were randomized to two study groups. All caregivers received oral health counseling, while one group FV twice per...
Health Economic (multiway sensitivity analyses).2b.To estimate the total healthcare costs and attributable to prostate cancer across all stages of disease, determine predictors those costs, as describing cost care for patients with is useful understand economic burden illness, explore patterns care, provide reliable data evaluations.We estimated direct medical 42 484 men diagnosed in Ontario, Canada between 1995 2002 using linked administrative data. The observation time was divided into...
Background: Telemonitoring has shown promise for alleviating the burden of heart failure on individuals and health systems. However, real-world implementation sustained programs is rare. Objective: The objective this study was to evaluate a mobile phone–based telemonitoring program, which been implemented as part standard care in specialty function clinic by answering two research questions: (1) To what extent program successfully implemented? (2) What were barriers facilitators implementing...
Health care aides (HCAs) provide most direct in long-term (LTC) and home community (HCC) settings but are understudied. We validate three key work attitude measures to better understand HCAs' experiences: engagement (WEng), psychological empowerment (PE), organizational citizenship behavior (OCB-O). Data were collected from 306 HCAs working LTC HCC, using survey items for WEng, PE, OCB-O adapted HCAs. Psychometric evaluation involved confirmatory factor analysis (CFA). Predictive validity...
Our overarching study objective is to further our understanding of the work psychology Health Support Workers (HSWs) in long-term care and home community settings Ontario, Canada. Specifically, we seek novel insights about relationships among aspects these workers' environments, their attitudes, outcomes interests informing development human resource programs enhance elder care. We conducted a path analysis data collected via survey administered convenience sample Ontario HSWs engaged...
The object of the present study was to test hypotheses possible relationships between amplitude A oral temperature circadian rhythm and (a) tolerance shift-work on one hand, (b) speed adjustment other hand. 29 oil refinery shift-workers (on a 3-4 day rotation system) volunteered for study. Four groups were formed. (I) 6 young operators with no medical complaint; subjects' age: 21 35 y: duration: 1 4 y. (II) 10 senior 44 57 y; 15 32 (111) minor complaints; 46 56 duralion:22 31 (IV) 7 major...
OBJECTIVES: We sought to compare the health status of patients with a sustained response antiviral therapy for hepatitis C virus (HCV) infection that treatment failures, using health-related quality life and preference (utility) measures. METHODS: Sustained responders had undetectable HCV viral levels 6 months after therapy. After therapy, participants completed, by mail or interview, hepatitis-specific Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36), Utilities Index Mark 2/3...
Background: Traumatic brain injury (TBI) is a leading cause of death and disability in developed countries. We document trends TBI-related hospitalizations Ontario, Canada, between April 1992 March 2002, focusing on relationships inpatient hospitalization rates, age, sex, injury, severity level, in-hospital mortality. Methods: Information all acute hospital separations Ontario with diagnosis TBI was analyzed using logistic regression. Results: Hospitalization rates fell steeply among...
This paper examines relationships between aging, social capital, and healthcare utilization. Cross-sectional data from the 2001 Canadian Community Health Survey Census are used to estimate a two-part model for both GP physicians (visits) hospitalization (annual nights) focusing on impact of community- (CSC) individual-level capital (ISC). Quantile regressions were also performed visits. CSC is measured using Petris Social Capital Index (PSCI) based employment levels in religious...
The literature on the effects of public smoking bans behaviour presents conflicting results and there is limited evidence their impact active smoking. This paper evaluates using data from British Household Panel Survey exploiting policy experiment provided by differential timing introduction in Scotland England. We assess short-term employing a series flexible difference-in-differences fixed panel models. find that England had short-run both prevalence total level Although we identify...
RÉSUMÉ L’Ontario compte la plus forte proportion des maisons de soins infirmiers à but lucratif au Canada. Ces infirmiers, connus en Ontario comme longue durée (SLD), offrent 24 heures garde et aux personnes qui sont incapables vivre façon autonome. De plus, ces installations fonctionnent aussi membres chaînes multi-établissements, mais elles n’ont pas été largement étudiées En utilisant données longitudinales (1996–2011) l’Enquête sur les établissements résidentiels ( n = 627), notre...
Objectives: Achalasia is a chronic, progressive, and incurable esophageal motility disease. There clinical uncertainty about which treatment should be recommended as first-line therapy. Our objective was to evaluate the effectiveness of pneumatic dilation compared with laparoscopic Heller myotomy partial fundoplication in improving achalasia-specific quality life. Methods: This prospective, multicenter, randomized trial at five academic hospitals Canada. Fifty previously untreated adults...
This special issue marks the 40th anniversary of Canada Health Act (1985). Though it remains an iconic symbol national pride, may not be untouchable. The papers in this critically examine strengths and limitations context persistent health system challenges gaps coverage. They also provide constructive recommendations for a path forward reimagined legislative framework to better achieve agreed-upon goals reasonable equitable access comprehensive basket services Canada.
Background A master’s programme in Health Systems Leadership and Innovation was launched 2016 to integrate health systems science innovation management within the medical education continuum. Objectives To identify faculty staff perceptions of tailoring accommodate potential future learning needs as a continuous quality improvement initiative programme. Methods combination two qualitative research methodologies used: (1) situational analysis explain context (2) collaborative autoethnographic...
Abstract The Brenner hypothesis is essentially that economic cycles, characterized by unemployment and fluctuations in per capita income can have profound negative implications for population health. A number of subsequent studies identified shortcomings Brenner's model reported results the most part contradict his results. This paper argues failure to account time‐series properties (i.e. potential unit root behaviour) macro level data a key omission other studies. To address this an error...