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Document de travail
This paper examines COVID-19 penetration as proxied by reported deaths as of the second quarter of 2020 using a comprehensive sample of 96 nations. As expected, certain health and environmental variables such as life expectancy and population de[...]
Document de travail
Practice guidelines are widely used in medical settings as a means of improving efficiency and quality of care by aligning service provision with evidence of what is effective. The objective of this work is to propose a methodology for the effec[...]
Document de travail
M. GRIGNON ; J. HURLEY ; L. WANG ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2015To our knowledge, our proposed study will be the first Canadian attempt to assess the impact of equity in the use of one service (physician care) on equity in the use of another (hospital care) based on an explicit causal mechanism (avoidable ho[...]
Document de travail
M. GRIGNON ; L. KAN ; D. PASIC ; et al. ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2015In this study, we approach weekend discharges from acute-care hospitals (ACHs) from three perspectives: What do published studies tell us about the consequences of being discharged from an acute---care hospital on weekends or during night shifts[...]
Document de travail
J. ZHAO ; W. SCARTH ; J. HURLEY ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2015This paper aims to unravel the competing effects of the health investment. It explores, both analytically and numerically, the equilibrium shift and transitional dynamics after a one-time policy of health investment. We find that such a policy i[...]
Document de travail
M.N. SWEET ; P.S. KANAROGLOU ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2015This research employs time use data from the Canadian General Social Survey of 2010 to explore the links between travel, activity participation, and subjective well-being. Policymakers regularly advocate for better life quality, but research on [...]
Document de travail
M. GRIGNON ; T. RENAUD ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2014In this study, we address the following question: Where are resources to prevent smoking and reduce smoking prevalence (the proportion of the adult population who is smoking on a regular basis) most efficiently put to use, in preventing youth fr[...]
Document de travail
CHEPA Working paper, 15-02. Income-related inequity in health and Health care utilization in Canada.
M. GRIGNON ; J. HURLEY ; L. WANG ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2014We use data from two independent large cross-sections of the Canadian population, the Canadian Communities Health Survey for 2000-01 and 2005 to estimate income-related inequity in health and health care use. We apply the Horizontal Inequity Ind[...]
Document de travail
Threshold searching and threshold surveying have been presented as separate non-arbitrary approaches for identifying the ICER threshold for determining the efficiency of a new health care intervention. More recently reconciliation between the ap[...]
Document de travail
M. VANSTONE ; F. BRUNDISINI ; D. HULAN ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2014Background : Adherence to prescribed medication regimens is an important part of self- -management for patients with diabetes. This report synthesizes qualitative information on how patients respond differently to the challenges of medication ad[...]
Document de travail
J. HURLEY ; M. JOHNSON ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2014Debate about the impact of parallel private health care insurance persists in Canada. This paper reviews evidence regarding a number of issues central to the overall assessment of parallel finance, including the operation of markets for parallel[...]
Document de travail
F.T. DENTON ; B.G. SPENCER ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2014Background: Surveys of chronic health conditions provide information about prevalence but not about the incidence and the process of change within the population. Objective: We show how the “age dynamics” of chronic conditions -- the probabiliti[...]
Document de travail
This paper reviews the evidence regarding the effectiveness of pay-for-performance, and more generally to consider how funding reform can contribute to achieving the twin aims of improving the quality of care and restraining the growth in health[...]
Document de travail
Real reforms attempt to change how health care is financed and how it is rationed. Three main explanations have been offered for why such reforms are so difficult: institutional gridlock, path dependency and societal preferences. The latter posi[...]
Document de travail
J. HURLEY ; E. MCKENZIE ; M. GRIGNON ; McMaster University. Hamilton ON. CAN | Hamilton : McMaster University | 2012Need is a central concept for health systems. Allocation according to need is the stated objective of public health systems around the world and need figures prominently in economic analysis in the health sector. Need has no universally accepted[...]
