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RATIONALE, AIMS AND OBJECTIVES Age-related effects on ambulatory care service utilization are not well understood. We aim to measure the utilization patterns of ambulatory health care services (i.e. family physician visits, specialist physician visits and emergency room visits) in the late life course (65 years and older). METHODS A population-based(More)
BACKGROUND The outbreak of SARS in 2003 had a dramatic effect on the health care system in Toronto. The main objective of this study was to investigate the psychosocial effects associated with working in a hospital environment during this outbreak. METHODS Questionnaires were distributed to all willing employees of Sunnybrook and Women's College Health(More)
The purpose of this paper is to present a summary of a critical review of the literature on age, health, and work. The health of older workers is a concern to the extent that the productivity of older workers is considered to be a function of age-related health, the general conclusion being that age-related declines in health inevitably lead to decreased(More)
Policy Forum T he Bill & Melinda Gates Foundation (http: ⁄⁄www. grandchallengesgh.org), the United States National Institutes of Health (http: ⁄⁄grants1.nih. gov/grants/index.cfm), the United Kingdom Wellcome Trust (http: ⁄⁄www.wellcome.ac.uk/funding), and others are increasing funding for research on diseases that affect the world's poor. The goal is to(More)
BACKGROUND The developed world is undergoing a demographic transition with greater numbers of older adults and higher rates of chronic disease. Most elder care is now provided by primary care physicians, who prescribe the majority of medications taken by these patients. Despite these significant trends, little is known about population-level prescribing(More)
BACKGROUND The objectives of this study were: a) to examine physician attitudes to and experience of the practice of evidence-based medicine (EBM) in primary care; b) to investigate the influence of patient preferences on clinical decision-making; and c) to explore the role of intuition in family practice. METHOD Qualitative analysis of semi-structured(More)
RATIONALE AND OBJECTIVES Age-related effects on health service utilization are not well understood. Most previous studies have examined only a single specific health care service or disease condition or have focused exclusively on economic variables. We aim to measure age-related change in health care utilization among the elderly. METHODS A(More)
OBJECTIVES Due to the aging baby boom population, utilization rates of diagnostic imaging (i.e., X-ray, CT, and MRI scanning) have risen rapidly relative to other health services. The aim of this study is to investigate the utilization patterns of outpatient diagnostic imaging services (X-ray, CT, and MRI) across the late life course (65 years and older).(More)
BACKGROUND As a number of commentators have noted, SARS exposed the vulnerabilities of our health care systems and governance structures. Health care professionals (HCPs) and hospital systems that bore the brunt of the SARS outbreak continue to struggle with the aftermath of the crisis. Indeed, HCPs - both in clinical care and in public health - were(More)
BACKGROUND Evidence-based medicine is gaining prominence in primary care. This study sought to examine the relationships among family physicians' attitudes toward EBM, contextual factors, and clinical decision-making and to investigate the factors that contribute to 'contrary to evidence' clinical decisions. METHODS A postal survey mailed to a random(More)