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Volume 24 - Spring/Printemps 2005

Contents

Page 4 of 5

Articles

  • Exploring Reasons for Bed Pressures in Winnipeg Acute Care Hospitals*

  • Verena H. Menec, Sharon Bruce, Leonard MacWilliam
  • Published online by Cambridge University Press:
    31 March 2010, pp. 121-131

  • Hospital overcrowding has plagued Winnipeg and other Canadian cities for years. This study explored factors related to overcrowding. Hospital files were used to examine patterns of hospital use from fiscal years 1996/1997 to 1999/2000. Chart reviews were conducted to examine appropriateness of admissions and hospital stays during one pressure week. Results indicate that pressure periods in the hospital system were driven by an influx of older adults with influenza-associated respiratory illnesses. Moreover, examination of one specific pressure week showed that at least 100 beds were occupied by patients who likely did not require acute care. The chart review revealed that a substantial proportion of non-acute patient-days were spent awaiting home care, long-term care, or diagnostic testing services. These findings suggest future bed pressures might be prevented through influenza vaccination and an increase in the availability of – and timely transfer to – alternative levels of care.

Book Reviews/Comptes rendus

In Memoriam

  • À la mémoire de Betty Havens: 9 octobre 1936 au 1er mars 2005

  • Marcia Finlayson, Neena Chappell, Lynn McDonald
  • Published online by Cambridge University Press:
    31 March 2010, pp. 207-210
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Front matter

  • CJG volume 24 issue 3 Cover and Front matter

  • Published online by Cambridge University Press:
    31 March 2010, pp. f1-f4
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Book Reviews/Comptes rendus

Articles

  • Anticipating Change: How Many Acute Care Hospital Beds Will Manitoba Regions Need in 2020?

  • Gregory S. Finlayson, David Stewart, Robert B. Tate, Leonard MacWilliam, Noralou Roos
  • Published online by Cambridge University Press:
    31 March 2010, pp. 133-140

  • Being able to anticipate future needs for health services presents a challenge for health planners. Using existing population projections, two models are presented to estimate the demand for hospital beds in regions of Manitoba in 2020. The first, a current-use projection model, simply projects the average use for a recent three-year period into the future. The second, a 10-year trend analysis, uses Poisson regression to project future demand. The current-use projection suggests a substantial increase in the demand for hospital beds, while the trend analysis projects a decline. The last projections are consistent with ongoing increases in rates of day surgeries and declines in lengths of stay. The current-use projections need to be considered in the context of relatively low occupancy rates in rural hospitals and previous research on appropriateness of stays in acute care hospitals. If measures are taken to ensure more appropriate use of acute care hospital beds in the future, then the current-use projections of bed shortages are not a cause for concern.

Book Reviews/Comptes rendus

  • Barry D. McPherson. Aging as a Social Process: Canadian Perspectives (4th ed.). Don Mills, ON: Oxford University Press, 2004.

  • Andrew V. Wister
  • Published online by Cambridge University Press:
    31 March 2010, pp. 454-455

  • This book by Barry McPherson is the fourth edition of Canada's first textbook on aging. Aging as a Social Process is a comprehensive text that elucidates and links the physiological, psychological, and social domains of aging within the context of what are known as individual and population aging. As the title implies, the book focuses primarily on the social processes of aging embedded in the micro-, meso-, and macro-level environments. It therefore balances individual-level experiences and social-structural forces connected to the causes and consequences of aging. It has been updated and expanded to reflect the increasing diversity in aging and the aged and the concomitant growth in research. This is captured through the integration of theory, research, and policy, from multiple perspectives and methodologies, applied to a wider range of substantive issues than in previous editions of the text. For instance, Aboriginal people and aging, homelessness, dating and sexuality, gay and lesbian relationships, end-of-life care, home care, and older drivers are but a few of the topics added or significantly supplemented in this new edition. In particular, I found the inclusion of a chapter dealing with individual and population health a needed and welcome addition. A life-course perspective on these topics that embraces the multiplicity of experience as individuals move through life stages, exposed to different historical and cultural contexts and facing and creating different life choices and chances, connects the material presented in this text.

Front matter

  • CJG volume 24 issue 2 Cover and Front matter

  • Published online by Cambridge University Press:
    31 March 2010, pp. f1-f5
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Back matter

  • CJG volume 24 issue 3 Cover and Back matter

  • Published online by Cambridge University Press:
    31 March 2010, pp. b1-b5
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Reviewers List/Liste des arbitres 2004

Back matter

  • CJG volume 24 issue 2 Cover and Back matter

  • Published online by Cambridge University Press:
    31 March 2010, pp. b1-b3
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Front matter

  • CJG volume 24 issue 1 and Front matter

  • Published online by Cambridge University Press:
    31 March 2010, pp. f1-f3
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Books Received/Documents reçus

Articles

  • A Methodology for Estimating Hospital Bed Need in Manitoba in 2020

  • Robert B. Tate, Leonard MacWilliam, Gregory S. Finlayson
  • Published online by Cambridge University Press:
    31 March 2010, pp. 141-151

  • A team of health researchers of the Manitoba Centre for Health Policy at the University of Manitoba was asked to forecast the number of acute care hospital beds that will be required to meet the needs of residents of the province of Manitoba by the year 2020. Methodological considerations for this request included identification of factors expected to affect bed use in the future, and how to account for these factors. The objective of this paper is to describe these methodological considerations, how decisions were made, and steps taken in our approach to this problem. The actual projections and their implications are the subject of another contribution in this issue of the journal (Finlayson, Stewart, Tate, MacWilliam & Roos, 2005).

Back matter

  • CJG volume 24 issue 1 and Back matter

  • Published online by Cambridge University Press:
    31 March 2010, pp. b1-b6
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Articles

  • Data Quality in an Information-Rich Environment: Canada as an Example

  • Leslie L. Roos, Sumit Gupta, Ruth-Ann Soodeen, Laurel Jebamani
  • Published online by Cambridge University Press:
    31 March 2010, pp. 153-170

  • This review evaluates the quality of available administrative data in the Canadian provinces, emphasizing the information needed to create integrated systems. We explicitly compare approaches to quality measurement, indicating where record linkage can and cannot substitute for more expensive record re-abstraction. Forty-nine original studies evaluating Canadian administrative data (registries, hospital abstracts, physician claims, and prescription drugs) are summarized in a structured manner. Registries, hospital abstracts, and physician files appear to be generally of satisfactory quality, though much work remains to be done. Data quality did not vary systematically among provinces. Primary data collection to check place of residence and longitudinal follow-up in provincial registries is needed. Promising initial checks of pharmaceutical data should be expanded. Because record linkage studies were “conservative” in reporting reliability, the reduction of time-consuming record re-abstraction appears feasible in many cases. Finally, expanding the scope of administrative data to study health, as well as health care, seems possible for some chronic conditions. The research potential of the information-rich environments being created highlights the importance of data quality.

Contents of Volume 24/Contenu du volume 24

Index/Indexe

Commentary

Front matter

  • CJG volume 24 issue 4 Cover and Front matter

  • Published online by Cambridge University Press:
    31 March 2010, pp. f1-f4
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Page 4 of 5