annual report 2000/2001

Annual Report2000/2001

July 2001

Manitoba Centre forHealth Policy and EvaluationDepartment of Community Health SciencesFaculty of Medicine, University of Manitoba

Prepared byShannon Lussier

Mission Statement

The Manitoba Centre for Health Policy andEvaluation (MCHPE) undertakes population-based health services research and policyanalyses. MCHPE relies upon the uniquePopulation Health Research Data Repository todescribe and explain patterns of care and profilesof health and illness. MCHPE’s mission is toprovide accurate and timely information to healthcare decision-makers, analysts and providers, sothey can offer services which are effective andefficient in maintaining and improving the healthof Manitobans. The Centre is a research unit inthe Department of Community Health Sciences,Faculty of Medicine, University of Manitoba.

TABLE OF CONTENTS

CO-DIRECTORS’ LETTER......................................1DELIVERABLES APRIL 1, 2000 TO MARCH 31,2001........................................................................2

Deliverables Completed .................................................. 2Deliverables Forthcoming ............................................... 4

ADVISORY BOARD MEMBERS................................7FACULTY AND STAFF .............................................9ASSOCIATES .........................................................11EDUCATION..........................................................13

Courses Taught in the Department of Community HealthSciences......................................................................... 13Courses Taught in Other Departments .......................... 13Other Teaching Activities ............................................. 13Graduate Student Supervision....................................... 14MCHPE Colloquiums in the Department of CommunityHealth Sciences ............................................................. 15

COMMITTEES .......................................................16RESEARCH............................................................19

Personnel Awards.......................................................... 19Ongoing Research ......................................................... 19

PUBLICATIONS .....................................................21PRESENTATIONS...................................................25BUDGET................................................................29

MCHPE ANNUAL REPORT 2000/2001

CO-DIRECTORS’ LETTER

The year 2000 – 2001 has been a year of growth and change for the Manitoba Centre for HealthPolicy and Evaluation (MCHPE). The biggest change has been the decision to move MCHPEfrom 2 locations - St. Boniface and Bannatyne Campus to one location - the 4th floor of the JohnBuhler Research Centre. Construction started in January 2001 and we anticipate the actual movein late September 2001. We are looking forward to improved communication within the Centrealong with state-of-the-art facilities in which to work.

Our faculty and staff received numerous awards and honours. Of particular note are two receivedthis year by Evelyn Shapiro, MCHPE Senior Researcher: an honourary Doctor of Laws from theUniversity of Manitoba, and the Medal of Honour from the Canadian Medical Association. TheMedal of Honour is the highest honour bestowed on a non-physician by the association -- and isgiven for outstanding public service. She has been invited to address their annual meeting inMontreal in August 2001.

Our work at the Manitoba Centre will be enhanced by three major new research awards: theCanada Research Chair in Population Health awarded to Noralou Roos, the CommunityAlliances for Health Research grant, "The Need to Know: Collaborative Research by theMCHPE, Rural and Northern Regional Health Authorities and Manitoba Health," awarded toCharlyn Black and Pat Martens and the Canadian Population Health Initiative grant, "Populationand Communities: Understanding the Determinants of Health," awarded to Les Roos.

There are a number of people whom we wish to thank for their commitment and support. Amongthem are:• members of our Advisory Board, especially our Chair, Brian Postl;• Kue Young, Department Head, Community Health Sciences• Brian Hennen, Dean, Faculty of Medicine• David Chomiak, Minister of Health• Ron Hikel, Deputy Minister of Health (and we welcome Milton Sussman the new Deputy

Minister)• Louis Barre, Chief Information Officer, Manitoba Health• numerous individuals who have provided input and feedback for our deliverables, especially

those who have served on one of our Working Groups; and• all the MCHPE staff whose hard work and conscientious commitment are critical to the

success of all MCHPE's activities

Charlyn Black, MD, ScD Noralou P Roos, PhDCo-Director and Associate Professor Co-Director and Professor


DELIVERABLES APRIL 1, 2000 TO MARCH 31, 2001

Deliverables CompletedUsing the Manitoba Hospital Management Information System: Comparing Average CostPer Weighted Case and Financial Ratios of Manitoba Hospitals, 1997/98 (Greg Finlayson,Noralou Roos, Philip Jacobs, Diane Watson)

The Management Information System (MIS) was introduced in all Manitoba hospitals in1995/96. A report released in 1999 looked at how this financial and statistical classificationsystem could be used for estimating the cost of providing care to patients with different treatmentneeds in different types of hospitals. This project reviews how financial and statistical reportingimproved between 1995/96 and 1997/98, and estimates costs of inpatient care in all Manitobahospitals using the newly introduced “complexity” grouping system. In addition, MIS data wereused to describe a variety of indicators of differences between hospitals. Hospital financialmanagers were consulted to ensure that MIS data can be used to compare financial performanceacross Manitoba facilities.

Waiting Times:(1) Participation in Western Canadian Waiting List Project (Charlyn Black)

The Western Canada Waiting List Project is a Health Transition Fund project, involving19 partners: four research organizations, seven urban health authorities, four medical associationsand four health ministries. The project developed valid, reliable, practical and clinicallytransparent tools to assist in the management of waiting lists for selected diagnostic, surgical andconsultative procedures. Prioritization tools were developed and tested in five areas: generalsurgery, MRI, cataract surgery, hip replacement and ambulatory paediatric psychiatry. CharlynBlack was a member of the Steering Committee for this project.

(2) Waiting Times for Surgery: 1997/98 and 1998/99 Update (Carolyn DeCoster, LeonardMacWilliam, Randy Walld)

The Update project used MCHPE’s previously reported definition of waiting time forsurgery, i.e., the time between the date of a pre-operative visit and the surgery date, andincorporates additional years of data to see if any changes have occurred.

The Impact of Influenza-Like Illness on the Winnipeg Health Care System: Is an EarlyWarning System Possible? (Verena Menec, Charlyn Black, Leonard MacWilliam, Fred Aoki,Sandra Peterson and David Friesen)

The overall goal of this project was to provide a comprehensive picture of influenza inManitoba, including estimates of morbidity and mortality and related impacts on the health caresystem, and to consider possible approaches to reducing the burden of influenza. The projectaddressed four questions: (1) What is the impact of influenza on the health of Manitobans and onthe health care system? (2) What are the characteristics of patients hospitalized for influenza-related illnesses? (3) Are preventive strategies optimal? (4) Is an early warning system possible?

Assessing the Health of Children in Manitoba: A Population-Based Study (Marni Brownell,Patricia Martens, Anita Kozyrskyj, Patricia Fergusson, Jennifer Lerfald, Teresa Mayer, ShelleyDerksen, and David Friesen)

In recognition of the importance of child development in determining future health andwell-being, a number of provincial and national initiatives are calling for child health strategies.Produced in consultation with other groups doing research in this area, MCHPE's child-health


encyclopaedia gives numerous details on the health of Manitoba's 325,000 children. Included are:physical health status, patterns of health care use, and social determinants of health, such associoeconomic status and educational achievement. Information was provided for the province asa whole, as well as across and within Regional Health Authorities and for sub-areas of Winnipeg.

Indicators of Health Status and Health Service Use for the Winnipeg Regional HealthAuthority (Norman Frohlich, Randy Fransoo, Noralou Roos)

This deliverable compiled a set of health care indicators for the twelve community areasdeveloped by the Winnipeg Regional Health Authority. The project relates health to the use ofhealth care services according to where people live in Winnipeg. Using premature mortality ratesto rank communities in terms of their overall health status, several other indicators wereexamined, including socioeconomic risk, and use of hospitals, nursing homes and physicians.

Changes in Health and Health Care Use of Manitobans, 1985-1998 (Noralou Roos, EvelynShapiro, Ruth Bond, Charlyn Black, Greg Finlayson, Christine Newburn-Cook, LeonardMacWilliam, Carmen Steinbach, Marina Yogendran, Randy Walld)

Many changes have occurred in health care in the last fifteen years. This deliverableexplored (a) changes and trends in population health using different indicators such as prematuremortality rates and prevalence rates of chronic conditions, and (b) patterns and significant trendsin the use of health care services, including hospitals, physicians, nursing homes, home care andprescription drugs.

Acuity of Patients Hospitalized for Medical Conditions at Winnipeg Acute Care Hospitals(Sharon Bruce, Carolyn DeCoster, Jan Trumble-Waddell, Charles Burchill, Suzanne De Haney)

In collaboration with the Winnipeg Regional Health Authority, the acuity of medicalpatients in Winnipeg acute care hospitals was assessed. For each Winnipeg acute care hospital, arepresentative sample of medical records was reviewed, using the InterQual ISD (Intensity-Severity-Discharge) Level of Care Criteria. The project identified the proportion of admissionsand days of care that were acute, and the proportion for which other levels of care would havemet the patient’s needs, including sub-acute, rehabilitation, long term care, or home care. Inaddition, acuity during a flu-pressure period was assessed, as well as reasons for extended staysby long-stay patients.


The Distribution of Morbidity Across Physician Practices in Manitoba: How Do TheyDiffer? (Robert Reid, Bogdan Bogdanovic, Noralou P Roos, Charlyn Black, LeonardMacWilliam, Verena Menec)

This report is the second in a two-part project on profiling primary care populations inManitoba. Two different methods were used to infer which patients ‘belonged’ to one of 29 largephysician group practices. The first method assigned patients where they received most of theircare. In the second, full-time equivalent patients were assigned based on the proportion of careprovided at different practices. The Johns Hopkins Ambulatory Care Grouper system was used toassign case-mix to the practice populations. Other measures of morbidity were age, sex andincome level. This study was important because in efforts to develop different methods ofprimary care compensation, the morbidity level of the patients served by a practice is animportant issue.

Deliverables Forthcoming

Options for Managing Patients Who Require Observation in Winnipeg Acute Care SettingsEarlier MCHPE research (1993/94) suggested that approximately 20% of medical

admissions to Winnipeg acute care hospitals required observation only, yet since that time, thenumber of observation beds has decreased. This project will provide critical information aboutcharacteristics of patients who are identified by the InterQual assessment tool as requiringobservation: their demographic profiles, their living arrangements, the illnesses for which theyrequire observation, and the patterns of care that they currently receive in the Winnipeg acutecare hospital system.

Population-Based Patterns of Use of Home Care ServicesThe purpose of this project is to develop information capabilities using existing data in

the area of home care, making it possible to understand which types of people are receiving homecare services and under what circumstances. Several sources of home care data are being used;since they have not been used before for developing population-based measures, the focus of theproject will be establishing their validity and reliability. This project should provide criticalinformation to Regional Health Authorities.

Implications of Changing Demographics for RHA PlanningThis project estimates the impact of projected RHA population shifts on future hospital

service needs. The elderly population is projected to increase, and hospital use has been falling.Understanding how these two trends interact is important to the RHAs; they are keen tounderstand these future scenarios to plan service changes more effectively.

Health Status and Health Care Use of Manitoba Registered First Nations PeopleThis project will study the health of Manitoba Registered First Nations people, and iden-

tify factors that contribute to differences in health. The study will focus on the First Nationspopulation as a group, with comparison to the Manitoba population across various health-relateddimensions. It will also study subpopulations of the First Nations population to assist in thedevelopment of useful planning strategies. This is a collaborative project between the Assemblyof Manitoba Chiefs’ Health Information and Research Committee, and two units in the Depart-ment of Community Health Sciences: MCHPE and the Northern Health Research Unit’sAboriginal Centre of Excellence.


Issues in Developing a Planning Framework for Personal Care Home BedsThe need to develop a more considered approach to planning for long term care,

especially as the population ages, has been identified by program and Capital Planning staff ofManitoba Health. Currently a simple ratio of beds to population over 75 years of age is used.This project will address the issue of whether there are more accurate and meaningful ways toproject Manitoba’s future need for PCH beds, and will build on work in this area done byManitoba Health.

Perspectives on Home Care Data RequirementsThis project will inform Manitoba Health of the data elements related to home care

services that are important to enable program planning, evaluation and research. In Manitoba,the only province-wide electronic home care data available that provides insight into the use ofpublic home care services is the province’s home care payroll data from the Manitoba SupportSystems Payroll (MSSP). Currently, there is consideration of moving away from the MSSPsystem as the payroll system for the Home Care Program’s direct service workers. In light ofsuch a consideration, this project will involve review of the Manitoba Support Systems Payroll(MSSP) data to identify what data should be routinely reported to Manitoba Health to permit asystem-wide perspective on delivery of services.

Building Ongoing Capacity to Use MIS Data for Facility-Specific ComparisonsPrevious MCHPE research using MIS data has involved consultation with hospitals and

numerous adjustments to the data to improve accuracy. These adjustments are time- and labour-intensive and are therefore difficult to replicate on an ongoing basis. This project will look at howmuch of a difference the detailed adjustments made. First, the same key indicators will beduplicated using the crude (i.e., unadjusted) MIS data for the same fiscal year (1997/98), and thenthe two versions will be compared. Where there are large differences, MCHPE will work withManitoba Health to identify possible approaches to refining future use of MIS data.

Changing Patterns of Urban Primary Care Over TimeThis project will study changing patterns of use of urban primary care physicians over

time. It will examine how primary care practices have changed over time by examining patientloads, provision of care to/acceptance of new patients, provision of care to patients in hospitalsettings, and other factors. It will also examine how factors such as physician age and genderaffect these patterns. One key output of this project would be the development of a framework,key measures, and a baseline for evaluating primary care demonstration projects.

The Health of the ElderlyThis project would look for the facts behind the headlines. What should the Manitoba

health care system expect from the projected increase in numbers of elderly? The projectreviewing trends in health and health care since 1985 resulted in several intriguing findings:while individuals are entering nursing home at a higher rate, they appear to be entering at anolder age and remaining at home, in the community longer. While the rate at which the elderly inWinnipeg are being hospitalized has increased, the number of days used has dropped sharply.While the proportion of elderly in contact with physicians every year has increased, the numbersof visits per year made to physicians has dropped. In contrast to the headlines, are Manitoba eld-erly not just living longer, but aging more successfully? How does this vary across the provinceand across Winnipeg areas?


Pharmaceuticals: Focussing on Appropriate UtilizationAnalyses of trends over time reveal that pharmaceutical costs are rising very rapidly. To

provide perspective to this issue, and to provide insight about potential strategies for influencingpharmaceutical use patterns, this project will focus on studying patterns of appropriate andinappropriate use of pharmaceutical agents.

Long Stay Patients Who are Discharged Home or Who Die in HospitalLong stays in Winnipeg hospitals represent only 5% of the hospitalizations, but consume

approximately 40% of hospital days. Surprisingly, only 29% of patients who have a long stay areultimately discharged to a Personal Care Home. Fully 52% of patients who have a long stay in aWinnipeg hospital are eventually discharged home, and another 19% end up dying in hospital.This project will study differences among these three populations of patients, and determine whatfactors are associated with these three outcomes.

Why is the Health of Some Manitobans NOT Improving?Analyses of trends in health and health care over a fifteen year period reveal that the

health of most Manitobans is improving. However, for some residents, this is not the case. Thehealth gap between residents of the North and other Manitobans is widening; the same wideninghealth gap is developing between residents of low income and high income Winnipegneighbourhoods. This project will study trends in patterns of health among the healthiest, theintermediate, and the poorest health regions over time. It will focus on the how changingpatterns of both access to medical care and changing patterns in the broader determinants ofhealth are associated with the divergent pattern detected. In particular, the project will examinepatterns of income, education and social service use that were associated with changing patternsof health and health care use over time.


ADVISORY BOARD MEMBERS

The role of the Advisory Board is to develop a broad perspective on problemsconfronting our health system and potential solutions, advise and assist MCHPE to determine anappropriate set of activities to meet its goals and objectives, and to assure the long-term viabilityof MCHPE. The Board meets twice a year. In addition to the full Advisory Board, an ExecutiveCommittee carries out the functions of the Advisory Board between meetings. The followingpeople served as members of MCHPE’s Advisory Board for all or part of the fiscal year endingMarch 31, 2001.

CHAIR: Brian Postl, MD, Chief Executive Officer, Winnipeg Regional Health Authority.

• Charlyn Black, Co-Director, Manitoba Centre for Health Policy and Evaluation

• Tom Carson, Deputy Minister, Manitoba Culture, Heritage and Tourism

• Rick Dedi, Assistant Deputy Minister, Insured Benefits, Pharmacare & Labour MarketServices, Manitoba Health

• Daniel Friedman, PhD, Assistant Commissioner, Bureau of Health Statistics, Research andEvaluation, Massachusetts Department of Public Health

• Gary Glavin, PhD, Associate Vice President, Research, University of Manitoba

• Brian Hennen, MD, CCFP, Dean of Faculty of Medicine, University of Manitoba

• Sue Hicks, External Programs/Operations, Manitoba Health

• Ron Hikel, Deputy Minister of Health, Manitoba Health (former)

• Alan Katz, MD, Assistant Professor, Family Medicine, University of Manitoba

• Ben Levin, Deputy Minister of Education, Manitoba Education & Training

• Arthur V. Mauro, OC, QC, Counsel, Aikins Macaulay & Thorvaldson.; Chancellor, Universityof Manitoba

• John S. Millar, MD, Vice President, Canadian Institute for Health Information

• Tannis Mindell, Deputy Minister, Family Services and Housing, Province of Manitoba

• J. Fraser Mustard, MD, PhD, OC, President, The Founder’s Network, Toronto

• Don Potter, Deputy Minister, Government Services, Province of Manitoba

• Leslie Roos, PhD, Director of the Manitoba Health Data Base, Manitoba Centre for HealthPolicy and Evaluation


• Noralou Roos, PhD, Co-Director, Manitoba Centre forHealth Policy and Evaluation

• Calvin Tant, CEO, Burntwood Regional Health Authority Inc.

• Mark Taylor, MD, Deputy Head, Surgery, St Boniface General Hospital; Assistant Professor,Surgery, University of Manitoba

• John Wade, MD, Professor, Departments of Anaesthesia and Community Health Sciences,University of Manitoba

• Kue Young, MD, FRCPC, DPhil, Professor and Head of the Department of CommunityHealth Sciences, Faculty of Medicine, University of Manitoba

• Milton Sussman, Deputy Minister of Health, Province of Manitoba


FACULTY AND STAFF

Researchers and Senior ResearchersCharlyn Black, Co-Director and Senior ResearcherRuth Bond, Research Co-ordinatorMarni Brownell, ResearcherSharon Bruce, ResearcherCarolyn DeCoster, Senior Researcher and Communications Co-ordinatorPatti Fergusson, Research AssociateGreg Finlayson, ResearcherRandy Fransoo, Research Co-ordinatorNorm Frohlich, Senior ResearcherAnita Kozyrskyj, ResearcherPatricia Martens, ResearcherVerena Menec, ResearcherColleen Metge, ResearcherLori Mitchell, Research Co-ordinatorChristine Newburn-Cook, ResearcherLeslie Roos, Senior Researcher and Director of Data RepositoryNoralou Roos, Co-Director and Senior ResearcherEvelyn Shapiro, Senior ResearcherDavid Stewart, ResearcherDiane Watson, Executive Manager and Researcher

Systems Development, Programming, Security and Technical SupportBogdan Bogdanovic, Systems AnalystCharles Burchill, Senior Systems Analyst and Security Co-ordinatorMatthew Dahl, ProgrammerShelley Derksen, Systems AnalystNatalia Dik, Programmer AnalystOke Ekuma, Research AssistantDavid Friesen, Systems AnalystLeonard MacWilliam, Systems AnalystTeresa Mayer, Programmer AnalystRod McRae, Systems AnalystJ Patrick Nicol, Systems ConsultantSandra Peterson, Programmer AnalystCarmen Steinbach, Programmer AnalystKen Turner, Senior ProgrammerRandy Walld, Systems AnalystAndré Wajda, Systems ConsultantMarina Yogendran, Systems Analyst


FinanceLinda Henderson, Grants OfficerLinda Kostiuk, Assistant Grants OfficerCarola Lange, Assistant Grants OfficerDebbie Molina, Finance OfficerKerry LeMadec, Grants Officer

AdministrationJo-Anne Baribeau, Research SupportPaulette Collins, Administrative AssistantJanine Harasymchuk, Research SupportPhyllis Jivan, Research SupportShannon Lussier, Research SupportCarole Ouelette, Office ManagerEileen Pyke, Education Co-ordinator

Student Research AssistantsContinuingPatricia Caetano, Laurel Jebamani, Jennifer Lerfald, Ruth-Ann Soodeen, Paul Willetts

SummerChristine Dueck, Stephen Dueck, Aleeza Gerstein, Sumit Gupta


ASSOCIATES

The designation of Associate of the Manitoba Centre for Health Policy and Evaluation wascreated to recognize the valuable contribution made to its research by external participants.Associates are involved in collaborative research with an MCHPE Researcher, have an ongoingcommitment to health services research, have previous research involvement with scholarlypublications, and/or have clinical/policy expertise that is of assistance to MCHPE Researchers inframing research questions, interpreting results of particular analyses and advising on the policyimplications of the findings. The following were Associates for all or part of the fiscal yearending March 31, 2001.

• Nick Anthonisen, MD, PhD, Professor, Department of Internal Medicine, University ofManitoba

• Fred Aoki, MD, Professor, Departments of Internal Medicine and Pharmacology, Universityof Manitoba

• Keumhee Chough Carrière, PhD, Professor, Department of Mathematical Sciences,University of Alberta

• David Fedson, MD, Director, Medical Affairs, Pasteur Merieux MSD, Lyon, France

• Betty Havens, D Litt, Professor, Department of Community Health Sciences, University ofManitoba; Research Fellow, Statistics Canada

• Philip Jacobs, D Phil, CMA, Professor, Public Health Sciences, Faculty of Medicine,University of Alberta

• Meir Kryger, MD, FRCPC, Professor and Director, Sleep Disorders Centre, Faculty ofMedicine, University of Manitoba; Division Head, Education, World Health OrganizationsWorld-Wide Project on Sleep Disorders

• Barbara Law, MD, FRCPC, Associate Professor, Department of Pediatrics and Child Health,and Department of Medical Microbiology, University of Manitoba; Section Head, PediatricInfectious Diseases, Children's Hospital, Health Sciences Centre

• Jure Manfreda, MD, Associate Professor, Departments of Community Health Sciences andInternal Medicine, University of Manitoba

• Blake McClarty, MD, FRCP, Associate Professor, Department of Radiology, University ofManitoba; Clinical and Research Director, Magnetic Resonance Imaging Unit, St. BonifaceGeneral Hospital

• Nazeem Muhajarine, PhD, Assistant Professor, Department of Community Health andEpidemiology, University of Saskatchewan

• Robert P Murray, PhD, Associate Professor and Director, Alcohol and Tobacco ResearchUnit, Department of Community Health Sciences, University of Manitoba


• John O'Neil, PhD, Professor and Director, Northern Health Research Unit, Department ofCommunity Health Sciences, University of Manitoba

• Cam Mustard, ScD, Associate Professor, Department of Public Health Sciences, Universityof Toronto; Scientific Director, Institute for Work and Health, Toronto

• Robert Reid, MD, PhD, Research Associate, Centre for Health Services and Policy Research,Associate Member, Department of Health Care and Epidemiology and Department of FamilyPractice, University of British Columbia

• Jan Roberts, MD, PhD, Medical Officer of Health, South Eastman Region, Manitoba;Assistant Professor, Department of Community Health Sciences, University of Manitoba

• Patrick Romano, MD, MPH, Associate Professor of Pediatrics in Residence; AssociateProfessor of Medicine in Residence, University of California Davis School of Medicine

• Phil St. John, MD, MPH, Assistant Professor, Department of Internal Medicine, Universityof Manitoba

• Estelle Simons, MD, FRCPC, Bruce Chown Professor and Head, Section of Allergy andClinical Immunology, Department of Pediatrics and Child Health, University of Manitoba

• John Wade, MD, FRCPC, Professor, Departments of Anaesthesia and Community HealthSciences, University of Manitoba

• Kue Young, MD, FRCPC, DPhil, Professor and Head, Department of Community HealthSciences, University of Manitoba


EDUCATION

Courses Taught in the Department of Community Health Sciences

Number Title Instructor93.713 Methods in Health Services Research and Evaluation Charlyn Black93.733 Cultural Perspectives on Illness and Medical Practice Sharon Bruce93.749 Empirical Perspectives on Social Organization and

HealthAnita Kozyrskyj

93.757 Managing Health Systems Anita Kozyrskyj93.747 Biostatistics I-tutorials Patricia Martens93.748 Biostatistics II-tutorials Patricia Martens93.742 Pharmacoepidemiology Colleen Metge93.731 Epidemiology of Health Care Les Roos

Courses Taught in Other Departments

Department Course title InstructorAnthropology Anthropology of Illness Sharon BrucePharmacy Principles of Professional Practice Anita KozyrskyjPolitical Studies Introduction to Politics and Government David Stewart

Other Teaching Activities

Activity Instructors Contact hoursLectures Charlyn Black, Patricia Martens, Carolyn DeCoster,

Anita Kozyrskyj, Verena Menec, Colleen Metge,Leslie Roos, Donna Turner

45

Tutorials Charlyn Black, Sharon Bruce, Carolyn DeCoster,Anita Kozyrskyj, Patricia Martens, Verena Menec,Leonie Stranc

59

Supervision Charlyn Black, Leslie Roos, Noralou Roos 80Exam set-up and marking Charlyn Black, Anita Kozyrskyj, Patricia Martens 50Colloquium Coordination Patricia Martens 120CHSRF Career RenewalAward Mentorship

Leslie Roos 50

Other Charlyn Black, Noralou Roos Les Roos 21


Graduate Student Supervision

Student Name DegreeSought

Advisor CommitteeMember

Faculty Name

Daley, Pat PhD Yes David StewartDeCoster, Carolyn PhD Yes Noralou RoosDow, Gordon MSc Yes Charlyn BlackHanlon-Dearman, Ana MSc Yes Sharon BruceFransoo, Randy PhD Yes Noralou RoosJohnson, Charlotte MSc Yes Charlyn BlackKelly, Karen PhD Yes Leslie RoosKoene, Miriam PhD Yes David StewartLee, Sandra MSc Yes Charlyn BlackMann, Valerie MSc Yes Charlyn BlackMitchell, Lori PhD Yes Charlyn BlackPeterson, Sandra PhD Yes Charlyn BlackRoberecki, Susan MSc Yes Leslie RoosRobinson, Jeffrey MSc Yes Sharon BruceRoss, Susan MA Yes Evelyn ShapiroSchultz, Linda MSc Yes Charlyn BlackStranc, Leonie PhD Yes

YesLeslie Roos

Charlyn BlackUhanova, Julia MSc Yes Leslie Roos


MCHPE Colloquiums in the Department of Community Health SciencesHow Well Does Use of Health Care Services in Winnipeg Match Need? Recent Data onUtilization in the Winnipeg Regional Health Authority, by Norman Frohlich, PhD, Professor, I.H.Asper School of Business, Senior Researcher, Manitoba Centre for Health Policy and Evaluation,May 11, 2001

To accountability and beyond! What can a generic measure tell us about the health effects ofHuman Immunodeficiency Virus (HIV) illness? by Ron Wall, PhD, Policy Analyst/Economist,Applied Research and Analysis Directorate of Health Canada, Associate, Centre for Addictionand Mental Health, April 12, 2001

How do neighbourhoods affect health? by Katherine Frohlich, PhD, Postdoctoral Fellow,Canadian Institute for Health Research, University of California at Berkeley, April 6, 2001

Student Forum: Sex and stress: Gender differences in distress, by Teresa Mayer, February 23,2001

What’s happening with surgical waiting times in Manitoba? by Carolyn DeCoster, RN, MBA,December 15, 2000

The Income-Based Pharmacare Program: For those who need it most? By Anita Kozyrskyj,PhD, Assistant Professor, Dept. of Community Health Sciences, Faculty of Pharmacy,Researcher, Manitoba Centre for Health Policy and Evaluation, November 3, 2000

Born too early, born too small, what can administrative data tell us about the modifiable riskfactors, by Christine Newburn-Cook, PhD, Alberta Heritage Foundation Medical ResearchPostdoctoral Fellow, Researcher, Manitoba Centre for Health Policy and Evaluation, October 27,2000

Being born in Manitoba – an eclectic look at mothers’ and infants’ patterns of health and healthcare utilization, by Patricia J Martens, BSc, Cert Ed, MSc, IBCLC, PhD, Researcher and AssistantProfessor, Manitoba Centre for Health Policy and Evaluation, September 29, 2000

Canada’ burning! Media myths about universal health coverage, by Ted Marmor, PhD,Professor, Yale School of Management, September 15, 2000

Patterns of referral and invasive prenatal diagnosis in Manitoban women of advanced maternalage, by Leonie Stranc, PhD, Research Associate, Manitoba Centre for Health Policy andEvaluation, Dept of Human Genetics, May 26, 2000

How mind becomes body: Musings and an attempted integration of the literature on psychosocialinfluences on health, by Douglas Tataryn, BA (Hons), MA, PhD, Clinical Psychologist,Assiniboine Psychological Group, Assistant Professor, Manitoba Centre for Health Policy andEvaluation, May 5, 2000


COMMITTEES

Charlyn Black• Department of Community Health Sciences, Faculty of Medicine Executive Council, Faculty

of Medicine• Faculty of Medicine Research Committee (Appointed by the Dean)• Executive Committee, Department of Community Health Sciences• Basic Science Department Representative, Faculty of Medicine Recruitment Priorities

Committee• Continuing Medical Education Faculty Executive Committee• Graduate Studies Committee, Department of Community Health Sciences• Canadian Population Health Initiative Council• External Representative, Federal/Provincial/Territorial Committee on Health Services,

Advisory to Deputy Minister of Health• Steering Committee, Western Canada Waiting List Project• Leaders’ Roundtable on Health and Wellness Issues, Conference Board of Canada• Health Information Privacy Committee (HIPC) of the Province of Manitoba• CIHI National Health Reports Expert Group

• Sharon Bruce• Graduate Studies Committee, Department of Community Health Sciences

• Carolyn DeCoster• Hospital Abstract Users Committee• Health Information Technologist Advisory Committee, Red River College• Joint WRHA/Manitoba Health Bed Inventory Advisory Group• Supplementary Abstract Working Group• Manitoba Health Hospital Abstracting Advisory Group

• Norm Frohlich• Warren Chair Search Committee, I. H. Asper School of Management• Promotions Committee, I. H. Asper School of Management• Graduate Programs Committee, I. H. Asper School of Management

• Anita Kozyrskyj• Health Research Ethics Board, Faculty of Medicine, University of Manitoba• Chief Administrator, Pharmacy Examining Board of Canada-OSCE Exams• Canadian Association for Population Therapeutics• Canadian Pharmacists Association• Manitoba Pharmaceutical Association• Graduate Studies Committee, Department of Community Health Sciences

• Patricia Martens• Expert Review Panel for the Canadian Health Services Research Foundation (CHSRF) 2001

Open Grants Competition• Expert Review Panel for the Manitoba Health Research Council• Individual Expert Member on the Breastfeeding Committee for Canada• Expert Advisor to the Baby Friendly Coordinating Committee of Manitoba, Manitoba Health

and Regional Health Authorities


• Collaborative Perinatal Project Team, Manitoba Health• Advisory Committee for Rural and Remote Health Innovations Initiative, Health Promotions

and Programs Branch, Manitoba/Saskatchewan Region of Health Canada• Advisory Committee for the Canada Prenatal Nutrition Program (CPNP)• International Lactation Consultant Association (ILCA)• Providence Theological Seminary Doctoral Program Research Ethics Board• Editorial Board (research design/statistics advisor) of the journal, “Current issues in Clinical

Lactation”• Research and Evaluation Technical Advisory Group, Child and Youth Secretariat,

Government of Manitoba• Breastfeeding Promotion Steering Committee of Manitoba, Co-Chair

• Verena Menec• Executive Committee, Dept. of Community Health Sciences• Graduate Student Committee, Dept. of Community Health Sciences• Health Research Ethics Board, Faculty of Medicine, University of Manitoba• Centre on Aging Advisory Committee

• Colleen Metge• Chair, Osteoporosis Society of Canada, National• Chair, National Drug Scheduling Advisory Committee, Advisory to the Provinces• National Drug Utilization Advisory Group• Canadian Institute for Health Information Expert Advisor• Drug Effectiveness/Outcomes Research Workshop, Bureau of Licensed Product Assessment• Health Canada Member• International Society for Pharmaceutical Outcomes Research• Canadian Association for Population Therapeutics• Canadian Pharmacists Association

• Leslie Roos• Associate Emeritus, Population Health Program, Canadian Institute for Advanced Research

• Noralou Roos• Associate, Population Health Program, Canadian Institute for Advanced Research• Medical Research Council• Interim Governing Council, Canadian Institutes of Health Research• Health Research Ethics Board, Faculty of Medicine, University of Manitoba

• Evelyn Shapiro• Planning Committee for Workshop on Capitation, Montreal, Quebec• Expert Advisor, National Home Care Cost Effectiveness Project, Health Canada• National Council on Ethics in Human Research• Gerontological Advisory Committee, Dept. of Veterans Affairs

• Leonie Stranc• Manitoba Maternal Serum Screening Working Group


• André Wajda• Evaluation and Planning Committee of the Canadian Cancer Surveillance Website,

Laboratory Centre for Disease Control• Collaborative Diabetes Research Team• Collaborative Cancer Research Team

• Diane Watson• Chair, Scientific Committee, National Conference 2001 & 2002, Canadian Occupational

Therapy Association


RESEARCH

Personnel AwardsCharlyn Black: Medical Research Council of Canada, Scientist Award, 1998 - 2003, $157,745

Marni Brownell: CIHR New Investigator Award and Research Allowance, 3/01 – 2/06,$351,482.

Verena Menec: CIHR New Investigator Award and Research Allowance, 1/01 – 12/05,$275,000.

Colleen Metge: Bristol-Myers Squibb Chair of the Evaluation of Drug Therapy Effectiveness,1998 – 2003, $250,000.

Sandra Peterson: CIHR, Doctoral Research Award, 9/01 – 8/04, $58,590.

Noralou Roos: Canada Research Chair in Population Health, 1/01 – 12/07, $1,225,000.

MCHPE: Partnership Awards in Conjunction with Brownell and Menec New InvestigatorAwards, 1/01 – 12/06, $250,000.

Ongoing ResearchCommunity Alliances for Health Research, $2,257,396, 1/01 – 3/06. "The Need to Know:Collaborative Research by the CAHR, MCHPE, Rural and Northern Regional Health."C Black & P Martens.

Canada Foundation for Innovation, $2,700,000, 1999 – 2003. "A Data Infrastructure forImproving Health and Human Capital." NP Roos & C Black.

Canada Foundation for Innovation, $312,500, 2000 – 2007. “Canada Research Chair inPopulation Health.” NP Roos.

Canadian Health Services Research Foundation, $796,500, 1998 – 2001. "Health CareRestructuring and Community-Based Care: A Longitudinal Study." MJ Penning, NL Chappel,LL Roos, G Lin.

Canadian Population Health Initiative, $675,200, 2/01 – 1/04, "Population and communities:Understanding the Determinants of Health." LL Roos, NP Roos, AL Kozyrskyj, P Martens

Canadian Population Health Initiative, $94,400, 7/01 – 12/02 , “The Antibiotic Paradox:Identifying Communities at Risk”. AL Kozyrskyj.

Manitoba Health Research Council, $46,900, 7/00 – 6/02, "Breastfeeding Promotion."P Martens.


Manitoba Health, $9,250,000, 4/98 – 3/03, Manitoba Centre for Health Policy and EvaluationAgreement. C Black, NP Roos.

Social Sciences and Humanities Research Council of Canada, $357,000, 2000 – 2002."Determinants of Persistent Good Health and Chronic Ill-Health Based on the Aging in ManitobaStudy CoHort." B Havens, C Black, V Menec, NP Roos, J Chipperfield.


PUBLICATIONS

2001

Berg G, Delaive K, Pieta, J, Manfreda J, Walld R, Kryger M: The use of health care resources inobesity-hypoventilation syndrome. Chest; In press

Black C, Simons E: Epinephrine dispensing for the pre-hospital treatment of anaphylaxis ininfants and children: A population-based study. Ann Allergy Asthma Immunol; In press

Brownell M, Roos N, Roos L: Monitoring health reform: A report card approach. Soc Sci Med2001; 52(5):657-670

Brownell M, Yogendran M: Rate of medical diagnosis and psychostimulant treatment ofattention-deficit/hyperactivity disorder in Manitoba children. Can J Psychiatry; 2001;46(3):264-272

Carriere K, Roos L, Dover D. Across time and space: Variations in hospital use during healthreform. Health Serv Res; 2000;35(2):467-487

Cree M, Yang Q, Roos NP, Friesen D, Carriere KC. Hypertensive patients and their generalpractitioners. Healthcare Manage Forum; 2001 In press

DeCoster C. Calculating waiting times retrospectively. CMAJ 2001; 164(1):14

Einarson TR, Metge CJ, Iskedjian M, Mukherjee J. Impact of CYP-450 drug interactions onhealthcare utilization with HMG-CoA reductase inhibitors: A Canadian population-based study.Clin Pharm Ther; Forthcoming

Frohlich N, Carriere KC, Potvin L, Black C. Assessing socioeconomic effects on different sizedpopulations: To weight or not to weight? J Epidemiol Comm Health; In press

Frohlich N, Oppenheimer JA. Choosing from a moral point of view. J Int Econ; forthcoming.

Frohlich N, Oppenheimer JA, Moore B. On measuring self-interest using dictator experiments:Some more doubts. J Econ Behav Org; forthcoming.

Grymonpre RE, Charles JM, Metge CJ, Vercaigne LM. The development of a remunerationscheme for community-based geriatric pharmaceutical care. Research in PharmaceuticalEconomics 2001;11(1):51-61

Kozyrskyj AL. Small area variation in prescription drug use among Canadian children. Can J ClinPharmacol 2001;8:21

Kozyrskyj AL, Mustard CA, Simons FER. Socioeconomic status, drug insurance benefits andnew prescriptions for inhaled corticosteroids in schoolchildren with asthma. Arch Ped Med;2001; In press


Kozyrskyj AL, Mustard CA, Cheang M, Simons FER. Income-based drug benefit policy: Impacton inhaled corticosteroid use in Manitoba children with asthma. Can Med Assoc J; In press

Kraut A, Mustard C, Walld R, Tate B. Unemployment and health care utilization. Scand J WorkEnviron Health; 2000;26(2):169-177

Kraut A, Walld R, Tate R, Mustard C. Impact of diabetes on employment and income inManitoba, Canada. Diabetes Care 2001; 24(1):64-68

Leslie WD, Metge CJ, Salamon EA, Yuen CK. Bone mineral density testing in healthypostmenopausal women: The role of clnical risk factor assessment in determining fracture risk. JClin Densitometry; Forthcoming

Martens PJ. First, do no harm. Evaluating research for clinical practice. Curr Issues Clin Lact2001; In press

Menec VH, Black C, Roos NP, Bogdanovic B. What is the potential for formal patientregistration in Canadian primary care? The scale of “Informal Registration” in Manitoba. JHealth Res Policy; In press.

Menec V, Chipperfield J. A prospective analysis of the relation between self-rated health andhealth care utilization among elderly Canadians. Can J on Aging; In press

Menec V, Roos N, Black C, Bogdanovic B. Characteristics of patients with a regular source ofcare. Can J Public Health; In press

Metge CJ, Blanchard JF, Peterson S, Bernstein. Use of Pharmaceuticals by IBD Patients: Apopulation-based study. Am J Gastroenterol; In press

Reid R, MacWilliam L, Verhulst L, Roos N, Atkinson M. Performance of the ACG case-mixsystem in two Canadian provinces. Med Care 2001;39(1):86-99

Roberts J, Fransoo R, Black C, Roos L, Martens P. Research meets reality: Administrative datato guide planning for Canadian Regional Health Authorities. Healthcare Manage Forum; InPress

Robinson J, Carriere K, Young T, Roos L, Gelskey D. Health care seeking behaviour following aheart health survey: Impact on prevalence estimates of chronic diseases. J Clin Epidemiol; Inpress

Roos L, Roos N. Of space and time, of health care and health. J Health Serv Res Pol;2001;(6)2:119-122

Tomiak M, Berthelot J, Mustard C. Factors associated with nursing home entry for elders inManitoba, Canada. J of Gerontol: Medical Sciences In press

Tu J, Austin P, Walld R, Roos L, Agras J, McDonald K. Development and validation of theOntario acute myocardial infarction mortality prediction rules. J Am College Cardiol2001;37(4):998-1000


Vercaigne LM, Grymonpre RE, Sekyere J, Cooper R, Metge CJ et al. Manitoba PharmaceuticalCare Project: Interim report. Can Pharm J 2001; Jan.

2000

Banno K, Delaive K, Walld R, Kryger M. Restless legs syndrome in 218 patients: Associateddisorders. Sleep Med 2000;1(13):221-229

Bernstein CN, Metge CJ, Blanchard JF, Peterson S. A population-based study of the use ofsteroids and immunomodulatory therapy by IBD patients. Dig Dis Weekly; 2000; May

Brisson M, Edmunds W, Gay N, Law B, DeSerres G. Modelling the impact of immunisation onthe epidemiology of varicella zoster virus. Epidemiol Infect 2000;125(3):651-669

Bruce S. The impact of diabetes mellitus among the Métis of Western Canada. Ethn Health 20005(1) 47-58.

Bruce SG. The prevalence and determinants of diabetes mellitus among the Metis of WesternCanada. Am J of Hum Biol 2000;12:542-551

Burchill C, Roos L, Fergusson P, Jebamani L, Turner K, Dueck S. Organizing the present,looking to the future: An online knowledge repository to facilitate collaboration. JMIR2000;2(2):e10

Carrie AG, Metge CJ, Zhanel GG. Antibiotic use in a Canadian province, 1995-1998. AnnPharmacother 2000;34(Apr):459-464

DeCoster C, Currie RJ. Medical Savings Accounts prey on poor, sick in society [editorial].Winnipeg Free Press 2000 August 19: A19

DeCoster C, Black C, Roos NP. Time to tell real story behind health-care statistics [letter toeditor]. Winnipeg Free Press 2000 May 10

Ho V, Hamilton B, Roos L. Multiple approaches to assessing the effects of delays for hip fracturepatients in the U.S. and Canada. Health Serv Res 2000;34(7):1499-1518

Kozyrskyj A, Hildes-Ripstein G, Longstaffe S, Wincott J, Sitar D, Klassen T, et al. Short courseantibiotics for acute otitis media. Cochrane Database Syst Rev 2000;2CD001095

Kozyrskyj A, Mustard C. Income-base pharmaceutical benefit policy: impact on utilization ofinhaled corticosteroid drugs in children with asthma [abstract] Can Clin Pharmacol 2000;7:62

Martens P. Does breastfeeding education affect nursing staff beliefs, exclusive breastfeedingrates, and baby-friendly hospital initiative compliance? The experience of a small, rural Canadianhospital. J Hum Lact 2000;16(4):309-318


Martens PJ, Phillips SJ, Cheang MS. The Breastfeeding Promotion Steering Committee ofManitoba, Rosolowich V. How Baby-Friendly are Manitoba Hospitals? The Provincial InfantFeeding Study. Can J Public Health 2000;91(1):1-7

Martens P, Phillips S, Cheang M, Rosolowich V. How baby-friendly are Manitoba hospitals?The provincial infant feeding study. Breastfeeding Promotion Steering Committee of Manitoba.Can J Public Health 2000;91(1):51-57

Martens PJ. Real World Breastfeeding Definitions- where the clinician meets the surveyresearcher. Current Issues in Clinical Lactation. Curr Issues Clin Lact 2000:15-23

Martens PJ. A risk indicator for early cessation of breastfeeding: Postpartum measures ofsatisfaction and reported breastfeeding problems. Curr Issues Clin Lact 2000:37-41

Menec VH, Weiner B. Reactions to genetic testing: The role of hindsight bias and judgments ofresponsibility. J Appl Soc Psychol 2000;30:1670-1690

Roos L, Walld R, Soodeen R, Roos N. Health reform and technological change in Manitoba:Treatment of acute myocardial infarction. McClellan M, Kessler D (eds): A Global Analysis ofTechnological Change in Health Care: Heart Attacks. Ann Arbor, MI: University of MichiganPress; 2000

Roos NP: The disconnect between the data and the headlines. Can Med Assoc J 2000;163(4):411-412

Shapiro E. Community and long-term facility care in Canada. J Health Hum Serv Adm 22(4), 2000,436-451

Shapiro E. Bien vieillir en dépit de ses limitations. Gérontophile 2000;22(3):32-36

Shapiro E. Commentary: Reaching a federal/provinical consensus on home care. Health CarePapers 2000;1(4):85-90

Shapiro E, Havens B. Bridging the knowledge gap: From evidence to policy and practice thatfosters seniors’ independence. Can J Aging 2000;19 Suppl 1:176-190

Shapiro E, Tate R, Wright B, Plohman J. Changes in the perception of health care policy anddelivery among Manitoba elders during the downsizing of the hospital sector. Can J Aging2000;19(1):18-34

Soodeen R, Roos L, Peterson S. Health reform and technological change: Shifting hospitalizationpatterns for four procedures in Manitoba. Healthcare Manage Forum 2000; 13(1):15-21 [noabstract] (also published in French: Réforme de la santé et évolution technologique: Transition duprofil d'hospitalisation pour quatre interventions au Manitoba. Healthcare Manage Forum 2000;13(1):22-28


PRESENTATIONS

2001

Black C. Changes in Health and Health Care Use of Manitobans 1985–1998. Agenced’évaluation des technologies at des modes d’intervention en santé. Montreal QC, May 2001.

Black C. Research on health and health care: What’s relevant for Deputy Ministers of Health?Conference of Provincial and Territorial Deputy Ministers of Health. Calgary AB, March 2001.

Black C. Knowledge translation in the Canadian Institutes of Health Research. GoverningCouncil of CIHR. Ottawa ON, January 2001.

DeCoster C. Using Medians with Confidence. Statistics Association of Manitoba Workshop:2001, A Stats Odyssey. Winnipeg, February 2001

DeCoster C, Kozyrskyj A. Long Stay Patients in Winnipeg Acute Care Hospitals. ManitobaHealth, February and October, 2000; Winnipeg Regional Health Authority; February 2001

Frohlich N, Oppenheimer J, Kurki A. How Prevalent is Self-Interest and How Can we Tell?Presented at the Public Choice Society Meeting, San Antonio TX, March 2001

Kozyrskyj A. RevMan Practice Session. The Canadian Cochrane Network and Centre & TheUniversity of Manitoba Site Reviewer Training Workshop, Winnipeg, March 2001

Kozyrskyj A. Assessing Quality: Bias and Study Design. Cochrane Review Workshop,Winnipeg, February 2001

Kozyrskyj A. Using the Prescription Database to Measure Inhaled Corticosteroid Use in Childrenwith Asthma. 2001: A Stats Odyssey, Winnipeg, February 2001

Martens P. Assessing the Health of Manitoba Children: A Population-Based Study. HealthCanada Departmental Executive Committee. Winnipeg, March 2001

Martens P. Are Canadian Breastfeeding Duration Rates Underestimated? A Second Look at aNational Survey. Statistical Association of Manitoba, 2001: A Stats Odyssey. Winnipeg, Jan2001

Metge CJ. The Manitoba Pharmacy Conference: Feeling the Power…Everyone Else is.Winnipeg, May 2001

Peterson S. Are There Area or School Contextual Effects on Adolescent Smoking Behaviour? Amultilevel analysis. University of Manitoba, Department of Community Health Sciences,Winnipeg March 2001

Shapiro E. The Future of Continuing Care in Canada. Paper prepared as member of the ExpertPanel for the Vision Task Group of the Federal/Provincial/Territorial Working Group onContinuing Care, Toronto, Ontario February 2001.


Watson D. Economic Evaluation of Rehabilitation Services. Centre for Outcomes Research andEvaluation. Philidelphia, Pennsylvania

2000

Black C. A “blue sky” vision for the future of CIHI. CIHI Board.of Directors. Cambridge ON,November 2000

Black C. The Western Canada Waiting List Project. Joint Policy and Planning Committeesession, entitled “Waiting lists: Perspectives from Western Canada and Ontario”, convened at theOntario Hospital Association Annual Convention. Toronto ON, November 2000.

Bruce S. The Impact of Diabetes Among the Metis of Western Canada. First NationalConference on Diabetes and Aboriginal Peoples. Winnipeg, June 2000

DeCoster C, MacWilliam L, Walld R. Waiting Times for Surgery, 1997/98 and 1998/99 Update.(1) Manitoba Health, September 2000 (2) MCHPE Rural and Northern Health Care Day, October2000 (3) CHS Colloquium, December 2000

Kozyrskyj A. Income-Based Pharmaceutical Policy: Impact on Inhaled Corticosteroid Use inChildren with Asthma [poster presentation]. The Health Policy Research Nexus: A Conferencefor the NHRDP Personnel Award Holders, Kingston, ON, December 2000

Kozyrskyj A. Time-dependent Covariates in Proportional Hazards Regression to Assess theRelationship between Inhaled Corticosteroid Use and Risk of Asthma Hospitalization [posterpresentation]. Statistics and Health Edmonton Statistics Conference, Edmonton, AB, June 2000

Kozyrskyj A. Socioeconomic Status and Inhaled Corticosteroid Utilization in Children with Asthma.Pediatric Research Rounds, Dept Pediatrics and Child Health, Winnipeg, June 2000

Kozyrskyj A. Income-Based Pharmaceutical Policy: Impact on Inhaled Corticosteroid Use inChildren with Asthma [poster presentation]. Research Day 2000, Faculty of Medicine, University ofManitoba, Winnipeg, June 2000

Kozyrskyj A. Impact of Manitoba's Income-Based Pharmacare Policy on Inhaled CorticosteroidUtilization in Children. Pediatric Research Rounds, Dept Pediatrics and Child Health, Winnipeg,May 2000

Kozyrskyj A. Income-based Pharmaceutical Benefit Policy: Impact on Utilization of InhaledCorticosteroid Drugs in Children with Asthma. Canadian Association for PopulationTherapeutics Annual Conference 2000, Montreal, May 2000

Martens P. Breastfeeding – Nature’s Way: Making a difference. The Breastfeeding Committee ofSaskatchewan & Continuing Medical and Nursing Education, University of Saskatchewan.Saskatoon, SK, November 2000.

Martens P. When the Breastfed Baby Needs to be Supplemented: Alternative Methods andBreastfeeding Promotion Community Strategy: Evaluating the Effectiveness in Sagkeeng FirstNation. LLLC-Manitoba Area Conference. Winnipeg, June 2000


Martens P. The Health, Health Status and Health Care Utilization of Treaty First Nations Peopleof Manitoba: A POPULIS Project. 7thAnnual Rural and Northern Health Care Day. Winnipeg,Oct 2000

Metge CJ. The Canadian Pharmaceutical Industry Conference: The Population’s Use ofPharmaceuticals: Who Needs Them, Who Gets Them? Toronto, ON, Nov 2000

Metge CJ. Network Patient Databases and Confidentiality Legislation. NABP/AACP District FiveAnnual Meeting. Winnipeg, Aug 2000

Metge CJ. Martin BD. Influenza A Epidemic in a Remote Island Canadian Inuit Community:Evaluation of an Intervention Strategy. International Congress on Circumpolar Health. Harstad,Norway, June 2000

Metge CJ. Caetano PA. Use of Administrative Databases to Evaluate the Effectiveness ofCommunity Asthma Care Centres. Canadian Forum for Population Therapeutics. Montreal, May2000

Metge CJ. Methodologic Issues Unique to Provincial Database Research on Therapies. CanadianForum for Population Therapeutics, Montreal, April 2000

Shapiro E. Community Care and Caregivers. Public Symposium Connecting Caregivers,Veterans Affairs Canada, Mount Saint Vincent University, Halifax, Nova Scotia, May, 2000

Shapiro E. Aging Well Despite Infirmity. Keynote Address. Annual Meeting of the QuebecAssociation on Gerontology, Montreal, April 2000

Shapiro E. Sharing the Vision: Taking Care of me is not Enough. Keynote Address, Multi-Purpose Senior Centres' Workshop, Senior Centres – Share the Vision, Winnipeg, October 2000

Soodeen, R. The Meaning of Home Care to Older Clients & Their Spouses. Poster presentation atthe 17th Annual Centre on Aging Spring Research Symposium. May 2000

Stewart D. (Panel Participant) The Canadian Election Results: Causes & Consequences. PoliticalStudies Colloquium, University of Manitoba, December 2000

Stewart D. The Meaning of the 2000 Federal Election. CBC Radio 1 (Ontario), QuestionnaireNovember 2000

Stewart D. Revisiting Friends and Neighbours: Leadership Election Politics in New Brunswick. AConference on New Brunswick Politics, Mount Allison University, (with Ian Stewart) October 2000

Stewart D. Electoral Prospects of Conservatives and New Democrats. CBC Newsworld, NewslinkOctober 2000

Stewart D. Canada’s Election. Invited address to Carleton Breakfast Club, Manitoba Legislature,Winnipeg, October 2000


Stewart D. Rural Hospital Performance Indicators. Seventh Annual Rural and Northern Health CareMeeting,. Manitoba Centre for Health Policy and Evaluation, Winnipeg, October 2000

Stewart D. Has Performance Measurement Influenced Resource Allocation Decisions andQuality Improvement-or not? HEALNet’s 5th Annual Conference, Mariott Eaton Centre,Toronto, ON, April 2000

Watson D. Predictive Accuracy of Capitation Rate Adjusters for Primary Care. Toronto DistrictHealth Council, Ontario


BUDGET

In addition to the $1.85 million in funding received from Manitoba Health asdescribed below, MCHPE researchers continued to be successful in receiving career awardsand research grants in peer-reviewed competitions. MCHPE operating funds from theseother sources for 2000/01 totalled $907,569.

SalariesProfessional Staff $448,907.06Programming Staff 457,056.00Support Staff 323,706.28Staff Benefits 173,445.40Payroll Levy 25,865.78External Contracts 69,615.58

Salaries Subtotal $1,498,596.10

Other ExpendituresGeneral Office Expenses $176,358.80Equipment Purchase 110,336.68 Maintenance 3,440.09Travel 31,268.33Office Space 30,000.00

Other Expenditures Subtotal $351,403.90

TOTAL EXPENDITURES $1,850,000.00

annual report 2000/2001

Documents