A5072134463- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Global Health Care Issues
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Global Health Workforce Issues
- Palliative Care and End-of-Life Issues
- Health disparities and outcomes
- Ethics in Clinical Research
- Frailty in Older Adults
- Data Quality and Management
- Chronic Disease Management Strategies
- Healthcare Systems and Technology
- Family and Disability Support Research
- Healthcare Systems and Reforms
- Homelessness and Social Issues
- Patient Satisfaction in Healthcare
- Down syndrome and intellectual disability research
- Dementia and Cognitive Impairment Research
- Pharmaceutical Economics and Policy
- Public Health Policies and Education
- Climate Change and Health Impacts
- Child and Adolescent Psychosocial and Emotional Development
- Reproductive Health and Contraception
University of British Columbia
2016-2025
University of Alberta
2016-2025
The Centre for Health (New Zealand)
2011-2024
Cancer Research Institute
2024
University of Toronto
2009-2023
3M (United States)
2023
Women's College Hospital
2023
McMaster University
2007-2022
Vancouver Hospital and Health Sciences Centre
2004-2022
McGill University
2009-2022
Background: Virtual visits are clinical interactions in health care that do not involve the patient and provider being same room at time. The use of virtual is growing rapidly care. Some systems integrating into primary as a complement to existing modes care, part reflecting focus on patient-centered There is, however, limited empirical evidence about how patients view this new form it affects overall system use.
We examined income-related inequalities in self-reported health the United States and Canada extent to which they are associated with individual-level risk factors care system characteristics.
This consensus statement reflects the deliberations of an international group stakeholders with a range expertise in public involvement and engagement (PI&E) relating to data-intensive health research. It sets out eight key principles establish secure role for PI&E research community internationally ensure best practice its execution. Our aim is promote culture change societal benefits through ensuring socially responsible trajectory innovations this field.
 premise that should...
Context. While an association between pediatric behavioral disorders and injuries is generally acknowledged, no studies have measured the risk for injury in context of a large, population-based study that free cohort biases. Objectives. To examine childhood behavior ([CBDs] as indicated by prescription methylphenidate [MPH]) variety outcomes, to evaluate among these children after controlling known demographic correlates. Design. Population-based database analysis all British Columbia (BC)...
Background Adverse drug events are a leading cause of emergency department visits and unplanned admissions, prolong hospital stays. Medication review interventions aim to identify adverse optimize medication use. Previous evaluations in-hospital reviews have focused on at discharge, with an unclear effect health outcomes. We assessed the early pharmacist-led outcomes high-risk patients. Methods used quasi-randomized design evaluate quality improvement project in three hospitals British...
Exposure to fine particulate matter (PM2.5) during wildfire seasons has been associated with adverse health outcomes. Previous studies have focused on daily exposure, but PM2.5 levels in smoke events can vary considerably within 1 d.We aimed assess the immediate and lagged relationship between sub-daily exposure acute outcomes British Columbia.We used a time-stratified case-crossover study design evaluate association modeled hourly ambulance dispatches from 2010 2015. Distributed lag...
PURPOSE: This study aimed to investigate the impact of early versus not-early palliative care among cancer decedents on end-of-life health costs. METHODS: Using linked administrative databases, we created a retrospective cohort between 2004 and 2014 in Ontario, Canada. We identified those who received (palliative service used hospital or community 12 6 months before death [exposure]). propensity score matching identify control group care, hard matched age, sex, type, stage at diagnosis....
In the United States, mifepristone is available for medical abortion (for use with misoprostol) only Risk Evaluation and Mitigation Strategy (REMS) restrictions, despite an absence of evidence to support such restrictions. Mifepristone has been in Canada a normal prescription since November 2017.
Abstract Illness increases with age. All else being equal, an older population has greater needs for health care. This logic led to dire predictions of skyrocketing costs “apocalyptic demography”. Yet numerous studies have shown that aging effects are relatively small, and all is not equal. Cost projections rest on specific assumptions about trends in age-specific morbidity care use far from self-evident. Sharply contrasting assumptions, example, made by Fries, who foresees a “of morbidity”...
To examine medical care use and costs, patterns of morbidity co-morbidity, other patient characteristics high users physician services in British Columbia.This population-based study uses claims, hospital discharge summaries vital statistics data linked at the level individual to compare users, non-users Province Columbia, Canada. The included all enrolled adults universal health plan during fiscal year 1996/97. High were defined as most costly 5% fee-reimbursed services. Key variables age,...
Overall life expectancy in Canada is among the highest world and research evidence suggests that healthcare system part of reason for this.However, patient waits, low international rankings continued expenditure growth all provide a buttress against complacency.There can be little doubt improvement must happen.Improvement depends on information, more specifically information about outcomes care.Without sound analysis what works real when applied to patients, we have not done our jobs as...
In 2007, the province of British Columbia implemented incentive payments to primary care physicians for provision comprehensive, continuous, guideline-informed patients with 2 or more chronic conditions. We examined impact this program on access and continuity, rates hospital admission costs.We analyzed all BC who qualified based their diagnostic profile. tracked contacts admissions (total, via emergency department targeted conditions), cost physician services, pharmaceuticals, 24 months...
Background There is evidence in the literature that parents of children who have a developmental disability experience an increased risk mental health problems. Methods This study used population-level administrative data from Ministry Health, British Columbia, Canada, to assess compared with do not disability. Population-level and individual explanatory variables available were included models. Results At population level, found strong higher odds depression or other diagnoses Age parent at...
Introduction Sleep-time blood pressure correlates more strongly with adverse cardiovascular events than does daytime pressure. The BedMed trial evaluates whether bedtime antihypertensive administration, as compared conventional morning use, reduces major events. Methods and analysis Design Prospective randomised, open-label, blinded end-point trial. Participants Hypertensive primary care patients using lowering medication free from glaucoma. Setting Community providers in 5 Canadian...
KEY POINTS During the first year of COVID-19 pandemic through early 2021, international comparisons showed a wide variation in patterns mortality across countries.[1][1] Although some countries saw no change or even fewer deaths than expected, others marked increases, such as
Canada's public health system was reformed after its 2003 severe acute respiratory syndrome (SARS) outbreak, which the worst outside of Asia with 438 cases and 44 deaths. 1 Ensuing national provincial inquiries led to creation Public Health Agency Canada (PHAC) coordinate preparation for response threats. 2 Subnational agencies were also created or strengthened function as regional centres disease control. These actions should have put in a good position respond covid-19 pandemic. 3 4Despite...
Aims While diagnostic codes from administrative health data might be a valuable source to identify adverse drug events (ADEs), their ability unintended harms remains unclear. We validated claims‐based diagnosis for ADEs based on identified in prospective cohort study and assessed whether key attributes predicted documentation data. Methods This was retrospective analysis of 3 cohorts British Columbia, 2008 2015 ( n = 13 969). linked prospectively insurance examine the sensitivity specificity...
BackgroundResearch and surveillance using routinely collected health data rely on algorithms or definitions to ascertain disease cases measures. Whenever algorithm validation studies are not possible due the unavailability of a reference standard, feasibility can be used create assess for use in more than one population jurisdiction. Publication methods conduct is critical reproducibility transparency. Existing guidelines applicable include STrengthening Reporting OBservational Epidemiology...