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BACKGROUND Computer simulation studies of the emergency department (ED) are often patient driven and consider the physician as a human resource whose primary activity is interacting directly with the patient. In many EDs, physicians supervise delegates such as residents, physician assistants and nurse practitioners each with different skill sets and levels(More)
BACKGROUND Health technology assessments (HTA) generally, and economic evaluations (EE) more specifically, have become an integral part of health care decision making around the world. However, these assessments are time consuming and expensive to conduct. Evaluation resources are scarce and therefore priorities need to be set for these assessments and the(More)
PURPOSE A systems analysis perspective was undertaken to evaluate access to surgery for children with medically refractory epilepsy (MRE) in Ontario, the largest province in Canada. The analysis focused on the assessment of referral patterns, healthcare utilization, time intervals and patient flow to determine surgical candidacy in children with MRE. The(More)
  • R Krell, M E Lim
  • 1989
The University of British Columbia Child and Family Psychiatry Outpatient Department has, since 1974, conducted intensive child psychiatry assessments of patients referred from outlying areas. The marathon assessment, as we have called it, requires up to three days during which clinic staff conduct interviews with the referred patient and family, and(More)
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