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C anadians' long-standing approval of their health care system declined significantly during the 1990s. While 61% of respondents to a 1991 Angus Reid poll rated the system " excellent " or " very good, " that figure had fallen to 52% by 1995, and was just 24% in 1999. 1 This erosion of confidence may have been fuelled, in part, by extensive media coverage(More)
BACKGROUND Primary care reform initiatives in Ontario are proceeding with little information about the views of practicing family physicians. METHODS A postal questionnaire was sent to 1200 randomly selected family physicians in Ontario five months after the initial invitation to join the Ontario Family Health Network. It sought information about their(More)
This descriptive study takes stock of the nation's health services and health policy research capacity by profiling the organizational models, operational challenges and success strategies utilized by Canadian academic health policy research centres. While each such centre is unique, the results point to some common themes, including symbiotic relationships(More)
Although preliminary evidence shows that people generally prefer to die at home, very little is known about where Canadians die. Understanding the epidemiology of dying in Canada may illuminate opportunities to improve quality of end-of-life care and related health policy. We conducted a cross-sectional analysis of death records in Canada to determine the(More)
  • S E Shortt
  • 1996
This review of current literature on the relationship between unemployment and health covers time-series studies and critiques of this approach; micro-level studies of plant closures, which have yet to provide convincing data; and various studies dealing with mortality rates, physical health, mental health, women, children and families, and youth. At(More)
PURPOSE The purpose of this study was to describe factors contributing to the decision-making processes of elderly persons as they formulate advance directives in long-term care. DESIGN AND METHODS This study was qualitative, based on grounded theory. Recruitment was purposive and continued until saturation was reached. Nine residents of a long-term-care(More)
State-funded healthcare systems increasingly recognize accountability as an important public policy issue. This article explores significant aspects of current theory and practice in order to describe an accountability framework for the Canadian health system. Stakeholders include governments, institutions, providers and patients. Their relationships may be(More)
  • S E Shortt
  • 1979
Psychiatric illness and behavioural problems among physicians are reviewed in this paper. Some studies suggest that the medical profession has a high rate of alcoholism, drug abuse and marital discord. As well, physicians appear to commit suicide and to seek admission to psychiatric institutions more frequently than comparable populations. Considered as(More)
This paper summarizes current knowledge about social capital and its application to health policy. There is a consensus that social capital is a characteristic of social groups, rather than individuals, and is born of shared experience which fosters mutual trust and reciprocity. It is a collective resource that may accumulate over time and facilitates the(More)