While the research initiatives undertaken under
the auspices of the Chair in “Health Care Settings and Canadians”
are diverse, two broad lines of research have been defined.
Descriptive Research
and Theories of Explanation
This approach integrates perspectives from the health, clinical,
and social sciences in order to describe and explain variations
in health practices, health management decisions, and health policy
making. This approach to research is based on the premise that
to know what current practices are, to explore why they are what
they are, and to develop valid and reliable predictive estimates
of human and institutional behaviour are all of general and lasting
value, especially as precursors to theory and hypothesis generation.
Applied
Evaluative Research
This approach focuses on applied evaluative and policy research
pertaining to efficient, effective, and equitable health care
services in settings where health care is sought, delivered, and
received. This approach is based on the premise that the development
and application of theories of explanation and new methods of
analyses are essential to guide empirical research and to assist
in the informed interpretation of evaluative findings. Hence,
the evaluative research undertaken will be theory-based and will
include the development and application of new methods of inquiry.
2009 Funded Research Grants
Predictors of Place of Death and Family Caregiver Burden Across the Home-Based Palliative Care Trajectory
(funded Partnerships for Health Systems Improvement - CIHR)
Publicly-financed home-based palliative programs have been established to provide community multidisciplinary care, including practical and emotional support, to individuals at home. Despite patients' preferences for home death and the establishment of specialized, home-based programs, which aim to support death at home, many individuals with cancer continue to die in institutional settings. Understanding the determinants of place of death and the associated burden on families may inform the targeting of services to those patients for whom interventions to support home death may be more useful and effective. Moreover, acquiring economic evidence pertinent to place of death is critical to highlight differences in resource utilization between institutional deaths and home deaths. The purposes of this study are to:1)to assess the economic, demographic, clinical, and psychosocial factors that predict whether cancer patients who are referred to a home-based palliative care program die at home or in an institution; 2)to assess the economic, demographic, clinical, and psychosocial factors that predict caregivers' burden, across sites of death; and 3)to estimate the societal costs associated with the entire episode of palliative care, including resource costs incurred by patients & their family/friends during hospitalizations, until the time of death. Family Caregivers will be recruited from two programs: Temmy Latner Centre for Palliative Care in Toronto and the Hamilton Niagara Haldimand Brant LHIN Community Palliative Care Teams. Family caregivers will be asked to provide information on health services resource utilization, functional status, symptom severity & psychosocial burden. All other required data will be obtained from existing regional databases maintained by the palliative care programs. It is hoped that the study findings will assist in the formulation of health planning & resource allocation initiatives pertaining to palliative care.
Health Care, Technology and Place (HCTP) II : A CIHR Strategic Training Initiative
The Health Care, Technology & Place (HCTP) Program is the only graduate training program that tries to understand 21st century health care by examining the way that technologies, societies & space interact. HCTP provides an integrated, collaborative & interdisciplinary approach to research training. In its first 6 years, HCTP1 generated a group of scholars who built research capacity through scholarship that links many academic disciplines & examines the complex linkages between people, places, technologies & work in modern health care. While HCTP1 focused on the setting (or places) where health care is sought, delivered or received, HCTP2 looks also at technology since increasingly, people who participate in care (patients, providers) & the technologies they use can be separated in space or time. In looking at technologies, HCTP continues to examine the people, places & work practices through which technologies are produced, understood, & have their effects. Also, HCTP2 works to encourage a broader approach to the highly practical & policy relevant domain of health technology assessment (HTA) in order to capture the wide-ranging & context-specific features of technologies in health systems & everyday life. While funded in the first wave of CIHR training programs, HCTP has evolved. This application offers evidence of innovation & progress as: HCTP2 has the same name but an enhanced emphasis on the technological mediation of care; new mentors add disciplinary depth & complementary & distinguished records to the HCTP1 mentor team; the HCTP2 curriculum structure involves innovations in design & content to ensure greater integration & core shared content; knowledge translation across disciplines is augmented by knowledge transfer & exchange (KTE) with the fields of practice & policy; & research training has been transformed & supplemented through research placement opportunities with decision maker organizations at the local, national & international levels.
2008
- An Evaluation of the Nursing Research Fund: Lessons to date and Recommended Next Steps (PI)
- Guidelines for the Determination of Medical Inadmissibility for Canadian Immigration Applicants with HIV/AIDS (Co-PI)
- Health Care, Technology and Place: A Transdiciplinary Research Training Program (PI)
2006
- Re-injury after Traumatic Brain Injury (Co-investigator)
- Research into Home and Community Care (PI)
2005
- Development and Evaluation of an Assessment Tool for Estimating Dementia Caregiver Resources, Vulnerabilities and Homecare Service Needs (Co-Investigator)
- Cost and Quality of Variations in Ambulatory and Home-Based Palliative Care (Co-Investigator)
- Knowledge management in Health Care Communities (Co-Investigator)
- Research into Home and Community Care (PI)
Selected Publications
in Peer-Reviewed Journals
Bederman SS, Mahomed NN, Kreder HJ, McIsaac WJ, Coyte PC, Wright JG, “In the Eye of the Beholder: How do Preferences of Patients, Family Physicians and Surgeons Compare in Decision Making for Lumbar Spinal Surgery”. Spine 35:1, 108-115, 2010. Download PDF
Hawker GA, Guan J, Croxford R, Harvey BJ, Glazier RH, Coyte PC, Wright JG, Badley EM, Williams JI “A Population-Based Nested Case-Control Study of the Costs of Hip and Knee Replacement Surgery”. Medical Care, 47:7, 732-741, 2009. Download PDF
Li L, Grimshaw J, Nielsen C, Judd N, Coyte PC, Graham ID: “Use of communities of practice in business and health care sectors: A systematic Review”. Implementation Sciences, 4:27, 1-9, 2009. Download PDF
Payne, G, Laporte A, Foot DK, Coyte PC: “Temporal Trends in the Relative Cost of Dying: Evidence from Canada”. Health Policy, 90:2-3, 270-276, 2009. Download PDF
Li L, Grimshaw J, Nielsen C, Judd N, Coyte PC, Graham ID: “Evolution of Wenger’s Concept of Community of Practice”. Implementation Science, 4:11, 1-8, 2009. Download PDF
Zarnett D, Coyte PC, Nauenberg E, Doran D, Laporte AL, “The Effects of Competition on Community-based Nursing Wages”. Healthcare Policy, 4:3, 129-144, 2009. Download PDF
Colantonio A, Croxford R, Faroog S, Laporte A, Coyte PC. “Trends in Hospitalization Associated with Traumatic Brain Injury in a Publicly Insured Population, 1992-2001.” The Journal of Trauma, 66:1, 179-183, 2009. Download PDF
Wise LM, Motiwala S, Coyte PC, “Taking Stock: Ten Years After the Initiation of the Nursing Research Fund”. Canadian Journal of Nursing Research, 40:4, 151-163, 2008. Download PDF
Santaguida PL, Hawker G, Hudak P, Glazier R, Mohamed N, Kreder H, Coyte PC, Wright J, “Patient Characteristics Affecting the Prognosis of Total Hip and Knee Joint Arthroplasty: A Systematic Review”. Canadian Journal of Surgery, 51:6, 428-436, 2008. Download PDF
Mahomed NN, Davis EM, Hawker G, Badley E, Davey JR, Syed K, Coyte PC, Wright JW: “Inpatient Compared with Home-based Rehabilitation Following Primary Unilateral Total Hip and Knee Replacement: A Randomized Controlled Trial.” Journal of Bone and Joint Surgery, 90:8, 1673-1680, 2008. Download PDF
McGillion M, Croxford R, Watt-Watson J, LeFort S, Stevens B, Coyte PC, “Cost of Illness for Chronic Stable Angina Patients Enrolled in a Self-Management Education Trial.” Canadian Journal of Cardiology, 24:10, 759-764, 2008. Download PDF
Hudak PL, Grassau P, Glazier RH, Hawker G, Kreder H, Coyte PC, Mahomed N, Wright JG. “Not Everyone Who Needs One is Going to Get One”: The Influence of Medical Brokering on Patient Candidacy for Total Joint Arthroplasty”, Medical Decision Making, 28:5, 773-780, 2008. Download PDF
McGillion M, Watt-Watson J, Stevens B, LeFort S, Coyte PC, Graham A “Randomized Controlled Trial of a Psychoeducation Program for the Self-Management of Chronic Cardiac Pain. Journal of Pain and Symptom Management, 36:2, 126-140, 2008. Download PDF
Guerriere DN, Wong AYM, Croxford R, Leong VW, McKeever P, Coyte PC. “Costs and Determinants of Privately-Financed Home-Based Health Care in Ontario, Canada”. Journal of Health and Social Care in the Community, 16:2, 126-136, 2008. Download PDF
Cameron JI, Cheung AM, Streiner DL, Coyte PC, Singh MD, Stewart DE, “Factor Structure and Reliability of the Brain Impairment Behavior Inventory”. Journal of Neuroscience Nursing, 40:1, 40-47, 2008. Download PDF
Guerriere DN, Tranmer JE, Ungar WJ, Manoharan V, Coyte PC, “Valuing Care Recipient and Family Caregiver Time: A Comparison of Methods”. International Journal of Technology Assessment in Health Care, 24:1, 52-59, 2008. Download PDF
Polisena J, Tam S, Lodha A, Laporte A, Coyte PC, Ungar WJ, “An Economic Evaluation of Asthma Action Plans for Children with Asthma”. Journal of ASTHMA, 44:7, 501-508, 2007. Download PDF
Lilly MB, Laporte A, Coyte PC, “Labor Market Work and Home Care’s Unpaid Caregivers: An International Review of Labor Force Participation Rates, Predictors of Labor Market Withdrawal, and Hours of Work.” The Milbank Quarterly, 85:4, 641-690, 2007. Download PDF
Doran DM, Pickard J, Harris J, Coyte PC, MacRae AR, Laschinger H, Darlington G, Carryer J “The Relationship Between Managed Competition in Home Care Nursing Services and Nurse Outcomes”. Canadian Journal of Nursing Research, 39:3, 150-165, 2007. Download PDF
Holmes D, O’Byrne P, Coyte PC, “M3S Squad: Considering Cyborgs for Future Sexual Health Prevention Programs”. Body, Space and Technology, 8, 9-16, 2007. Download PDF
Leong VW, Guerriere DN, Croxford, R, Coyte PC. “The Magnitude, Share and Determinants of Private Costs Incurred by Clients (and their Caregivers) of In-home Publicly Financed Care”. Healthcare Policy, 3:1, 108 (full text online), 2007. Download PDF
Doran DM, Pickard J, Harris J, Coyte PC, MacRae AR, Laschinger H, Darlington G, Carryer J. “The Relationship between Characteristics of Home Care Nursing Service Contracts under Managed Competition in Ontario and Continuity of Care and Client Outcomes”. Healthcare Policy, 2:4, 97-113, 2007. Download PDF
Payne G, Laporte A, Deber R, Coyte PC, “Counting Backwards to Health Care’s Future: Using Time-to-Death Modelling to Identify Changes in End-of-Life Morbidity and the Impact of Aging on Health Care Expenditures”. The Milbank Quarterly, 85:2, 213-257, 2007. Download PDF
Coyte PC, Holmes D, “Health Technology Adoption and Diffusion in a Social Context”. Policy, Politics and Nursing Practice, 8:1, 47-54, 2007. Download PDF
Laporte A, Croxford R, Coyte PC, “Can a Publicly Funded Home Care System Successfully Allocate Services Based on Need Rather Than Socio-Economic Status?” Health and Social Care in the Community, 15:2, 108-119, 2007. Download PDF
Motiwala SS, Croxford R, Guerriere DN, Coyte PC, “Socio-Demographic Predictors of Place of Death for Seniors in Ontario”. Canadian Journal on Aging, 25:4, 363-371, 2007. Download PDF
Stabile M, Laporte A, Coyte PC, “Household Responses to Public Home Care Programs”. Journal of Health Economics, 25:4, 674-701, 2006. Download PDF
Hawker GA, Guan J, Croxford, R, Coyte PC, Glazier RH, Harvey BA, Wright JA, Williams JI, Badley EM, “A Prospective Population-Based Study of the Predictors of Undergoing Total Joint Arthroplasty”. Arthritis and Rheumatism, 54:10, 3212-20, 2006. Download PDF
Li L, Maetzel A, Davis AM, Lineker S, Bombardier C, Coyte PC, “Primary Therapist Model for Patients Referred for Rheumatoid Arthritis Rehabilitation: A Cost-Effectiveness Analysis". Arthritis Care and Research, 55:3, 402-410, 2006. Download PDF
Guerriere DN, Ungar WJ, Corey M, Croxford R, Tranmer JE, Tullis E, Coyte PC, “Evaluation of the Ambulatory and Home Care Record: Agreement Between Self-Reports and Administrative Data”. International Journal of Technology Assessment in Health Care, 22:2, 1-8, 2006. Download PDF
Young NL, Barden W, McKeever P, Dick P, and The Tele-Homecare Team. “Taking the Call-Bell Home: A Qualitative Evaluation of Tele-HomeCare for Children” Health and Social Care in the Community, 14:3, 231-241, 2006. Download PDF
Coyte PC, Holmes D, “Beyond the Art of Governmentality: Unmasking the Distributional Consequences of Health Policies”. Nursing Inquiry, 13:2, 154-160, 2006. Download PDF
Limacher JJ, Daniel I, Isaacksz S, Payne G, Dunn S, Coyte PC, Laporte A, “Early Abortion in Ontario: Options and Costs”. Journal of Obstetrics and Gynaecology Canada, 28:2, 142-148, 2006. Download PDF
Li L, Davis AM, Lineker S, Coyte PC, Bombardier C, “Effectiveness of the Primary Therapist Model for Rheumatoid Arthritis Rehabilitation: A Randomized Controlled Trial.” Arthritis and Rheumatism (Arthritis Care and Research), 55: 42-52, 2006.
Cameron JI, Cheung AM, Streiner DL, Coyte PC, Stewart DE, “Stroke Survivors’ Behavioural and Psychological Symptoms are Associated with Informal Caregivers’ Experiences of Depression”. Archives of Physical Medicine and Rehabilitation, 87:2, 177-183, 2006. Download PDF
Stevens B, Guerriere DN, McKeever P, Croxford R, Miller KL, MacDonnell J, Gibbons S, Dunn M, Ohlsson A, Ray K, Coyte PC, “Economics of Home vs. Hospital Breastfeeding Support for Newborns”. Journal of Advanced Nursing, 53:2, 233-243, 2006. Download PDF
Motiwala SS, Gupta S, Lilly M, Ungar WJ, Coyte PC, “The Cost-Effectiveness of Expanding Intensive Behavioural Intervention (IBI) to All Children with Autistic Children in Ontario”. Healthcare Policy, 1:2, 125-141, 2006. Download PDF
Li L, Davis AM, Lineker S, Coyte PC, Bombardier C, “The Outcome of Home-based Rehabilitation Provided by Primary Therapists for Patients with Rheumatoid Arthritis: A Pilot Study”. Physiotherapy Canada, 57: 255-264, 2005.
Doria AS, Amernic H, Dick P, Babyn P, Chait P, Langer J, Coyte PC, Ungar WJ, “Cost-Effectiveness Analysis of Weekday and Weeknight-or-Weekend Shifts for Assessment of Appendicitis, Pediatric Radiology, 35:12, 1186-1195, 2005.
Piwko C, Lasry A, Alanezik K, Coyte PC, Ungar WJ, “Economic Evaluation of Ondansetron Versus Dimenhydrinate for Prevention of Postoperative Vomiting in Children Undergoing Strabismus Surgery”. Pediatric Anesthesia, 15: 9, 755-761, 2005.
Gupta S, Hawker G, Laporte A, Croxford R, Coyte PC, “The Economic Burden of Disabling Hip and Knee Osteoarthritis (OA) from the Perspective of Individuals Living with this Condition”. Rheumatology, 44:12, 1531-1537, 2005.
Tranmer JE, Guerriere DN, Ungar WJ, Coyte PC, “Valuing Patient and Caregiver Time: A Review of the Literature”. PharmacoEconomics, 23:5, 449-459, 2005.
Wright JG, Wang EL, Owen JL, Stephens D, Graham HK, Hanlon M, Nattrass GR, Reynolds R, Coyte PC, “Treatments for Paediatric Femoral Fractures: A Randomized Trial”. The Lancet, 9465, 1153-58, 2005.
Motiwala SS, Flood CM, Coyte PC, Laporte A, “The First Ministers’ Accord on Health Renewal and the Future of Home Care in Canada”. Healthcare Quarterly, 8:1, 2-9, 2005.
Kopach R, Sadat S, Gallaway I, Geiger G, Ungar WJ, Coyte PC, “A Cost-Effectiveness Analysis of Medical Documentation Alternatives”. International Journal of Technology Assessment in Health Care, 21:1, 126-131, 2005.
Croxford R, Friedberg J, Coyte PC, “Socioeconomic Status and Surgery in Children: Myringotomies and Tonsillectomies in Ontario, 1996-2000”. Acta Paediatrica, 93:9, 1245-1250, 2004.
Dick PT, Bennie J, Barden W, Daniels C, Young NL, and The Tele-Homecare
Team, “Does Paediatric Tele-Homecare Support Transition Home? A Report on Preference and Satisfaction”. Telemedicine Journal and e-Health, 10, S45-S53, 2004.
Young NL, Barden W, Lefort S, Nijssen-Jordan C, Daniels C, Booth M, Dick P, and The Tele-Homecare Team, “Tele-Homecare: A Comparison of Three Canadian Models”. Telemedicine Journal and e-Health, 10:1, 45-52, 2004.
Hawker GA, Wright JG, Badley EM, Coyte PC for the Toronto Arthroplasty Health Services Research Consortium, “Perception of, and Willingness to Consider, Total Joint Arthroplastry in a Population-Based Cohort of Individuals with Disabling Hip and Knee Arthritis”. Arthritis and Rheumatism, 51:4, 635-641, 2004.
Clark JP, Hudak PL, Hawker G, Coyte PC, Mahomed N, Kreder HJ, Wright JG, “The Moving Target: A Qualitative Study of Elderly Patients’ Decision-Making Regarding Joint Surgery”. Journal of Bone and Joint Surgery, 86-A:7, 1366-1374, 2004.
Young W, Rewa G, Goodman S, Jaglal S, Cash L, Leftkowitz C, Coyte PC, “The Evaluation of a Community-based Inner-city Disease Management Program for Post-Myocardial Infarction Patients”. Canadian Medical Association Journal, 169:9, 905-910, 2003.
Harvey BJ, Wilkins AL, Hawker GA, Badley EM, Coyte PC, Glazier RH, Williams JI, Wright JG, “Using Publicly-Available Directories to Trace Survey Non-Responders and Calculate Adjusted Response Rates”. American Journal of Epidemiology, 158:10, 1007-1011, 2003.
Young W, Rewa G, Coyte PC, Jaglal SB, Goodman S, Bentley-Taylor M, Fountas P, Gupta A, Levinson A, O’Connor T, and Home Care after a Heart Attack Project Group, “The Development of Partners for Health’s Integrated Community Pathway for Postmyocardial Infarction Patients”. Canadian Journal of Cardiology, 19:3, 231-235, 2003.
Miller K-L, McKeever P, Coyte PC, “Recruitment Issues in Healthcare Research: The Situation in Home Care”. Health and Social Care in the Community, 11:2, 111-123, 2003.
Hawker GA, Wright JG, Glazier RH, Coyte PC, Harvey B, Williams JI, Badley EM, “The Effect of Education and Income on Need and Willingness to Undergo Total Joint Arthroplasty”. Arthritis and Rheumatism, 46:12, 3331-3339, 2002.
Ford-Jones EL, Friedberg J, McGeer A, Simpson K, Croxford R, Willey B, Coyte PC, Kellner JD, Daya H, and Members of the Toronto ARM Study Group, ‘Microbiologic Findings and Risk Factors for Antimicrobial Resistance at Myringotomy for Tympanostomy Tube Placement: A Prospective Study of 601 Children in Toronto’, J Pediatric Otorhinolaryngology, 66:3, 227-242, 2002.
McKeever P, Stevens B, Miller KL, MacDonnell J, Gibbons S, Guerriere DN, Dunn M, Coyte PC, “Home Versus Hospital Breastfeeding Support for Newborns: A Randomized Controlled Trial”. Birth, 29:4, 258-265, 2002.
Hudak PL, Clark JP, GA Hawker, Coyte PC, Mahomed NN, Kreder HJ, Wright JG, “”You’re Perfect for the Procedure! Why Don’t You Want it?” Elderly Arthritis Patients’ Unwillingness to Consider Total Joint Arthroplasty Surgery: A Qualitative Study”. Medical Decision Making, 22:3, 272-278, 2002.
Coyte PC, Croxford R, Asche CV, To T, Feldman W, Friedberg J, “Physician and Population Determinants of Rates of Middle Ear Surgery in Ontario, Canada”. Journal of the American Medical Association, 286:17, 2128-2135, 2001.
Coyte PC, McKeever P, “Home Care in Canada: Passing the Buck”. Canadian Journal of Nursing Research, 33:2, 11-25, 2001.
Levesque J, Bell RS, Coyte PC, Wright JG, “Changing Rates of Cancer: The Hazards of Using a Single Definition”. Journal of Clinical Epidemiology, 54:3, 225-231, 2001.
Coyte PC, “Current Trends and Future Directions for the Canadian Healthcare System”. Economic Affairs, 21:4, 26-30, 2001.
Coyte PC, Dobrow MJ. Broadfield L, "Incremental Cost Analysis of Ambulatory Clinic and Home-Based Intravenous Therapy for Patients with Multiple Myeloma”. PharmacoEconomics, 19:8, 795-890, 2001.
Ungar WJ, Coyte PC, Pharmacy Medication Monitoring Program Advisory Board, 'A Prospective Study of the Patient-Level Cost of Asthma in Children'. Pediatric Pulmonology, 32:2, 101-108, 2001.
Coyte PC, Croxford R, McIsaac W, Feldman W, Friedberg J, “Outcomes After Insertion of Tympanostomy Tubes: The Role of Adjuvant Adenoidectomy and Tonsillectomy”. New England Journal of Medicine April 19, 344:16, 1188-1195, 2001
Hawker GA, Wright JG, Coyte PC, Williams JI, Harvey B, Glazier R, Wilkins A, Badley EM, 'Determining the Need for Hip and Knee Arthroplasty: The Role of Clinical Severity and Patients' Preferences.' Medical Care, 39:3, 206-216, 2001
Coyte PC, Young W, Croxford R, 'Costs and Outcomes Associated with Alternative Discharge Strategies Following Joint Replacement Surgery: Analysis of an Observational Study Using a Propensity Score'. Journal of Health Economics, 19:6, 907-929, 2000.
McIsaac WJ, Coyte PC, Croxford R, Harji S, Feldman W, 'Referral of Children with Otitis Media: Do Family Physicians and Paediatricians Agree?' Canadian Family Physician, 46: 1780-1788, 2000.
Li L, Coyte PC, Lineker SC, Wood H, Renahan M, 'Ambulatory Care or Home-Based Treatment? An Economic Evaluation of Two Physiotherapy Delivery Options for People with Rheumatoid Arthritis'. Arthritis Care and Research, 13:4, 183-190, 2000.
McIsaac WJ, Coyte PC, Croxford R, Asche CV, Friedberg J, Feldman W, 'Otolaryngologists' Perceptions of the Indications for Tympanostomy Tube Insertion in Children'. Canadian Medical Association Journal, 162:9, 1285-1288, 2000.
Dunlop S, Coyte PC, McIsaac W, 'Socio-Economic Status and the Utilisation of Physicians' Services: Results from the Canadian National Population Health Survey'. Social Science and Medicine, 51:1, July, 123-133, 2000.
Hawker GA, Wright JG, Coyte PC, Williams JI, Harvey B, Glazier R, Badley EM, 'Differences Between Men and Women in the Use of Total Joint Arthroplastry'. New England Journal of Medicine, April 6, 342:14, 1016-1022, 2000.
Ungar WJ, Coyte PC, The Pharmacy Medication Monitoring Program Advisory Board. 'Measuring Productivity Loss Days in Asthma Patients'. Health Economics, 9:1, 37-46, 2000.
Coyte PC, Young W, 'Regional Variations in the Use of Home Care Services in Ontario, 1993/1995'. Canadian Medical Association Journal, 161:4, 376-380, 1999.
Wright J, Hawker G, Bombardier C, Croxford R, Dittus RS, Freund DA, Coyte PC, 'Physician Enthusiasm as an Explanations for Area Variation in the Utilization of Knee Replacement Surgery'. Medical Care, 37:9, 946-956, 1999.
Coyte PC, Asche CV, Elden LM, 'The Economic Cost of Otitis Media in Canada'. International Journal of Pediatric OtoRhinoLaryngology, 49:27-36, 1999.
Porter J, Coyte PC, Barnsley J, Croxford R, 'The Effects of Fee Bundling on Dental Utilization'. Health Services Research, 34:4, 899-919, October, 1999.
Coyte PC, Hawker GA, Croxford R, Wright JG, 'Knee Replacement Revision Rates in Ontario, Canada'. Journal of Bone and Joint Surgery, 81-A:6, 773-782, 1999
Ungar WJ, Coyte PC, Chapman KR, MacKeigan L and the Pharmacy Medication Monitoring Program Advisory Board. "The Patient Level Cost of Asthma in Adults in South Central Ontario". Canadian Respiratory Journal, 5:6, 463-471, 1998.
Ungar WJ, Coyte PC, Pharmacy Medication Monitoring Program Advisory Board., 'Health Services Utilization Reporting in Respiratory Patients'. Journal of Clinical Epidemiology, 51:12, 1335-1342, 1998.
Elden LM, Coyte PC, 'Socioeconomic Impact of Otitis Media in North America'. Journal of Otolaryngology, 27:2, 9-16, 1998.
Coyte PC, Asche CV, Croxford R, Chan B, 'The Economic Cost of Musculoskeletal Disorders in Canada'. Arthritis Care and Research, 11:5, October, 315-325, 1998.
Coyte PC, Asche CV, Brassard T, Ho E, Friedberg J, 'Comparative Cost Analysis of Myringotomy with Insertion of Ventilation Tubes in Ontario and British Columbia.' Journal of Otolaryngology, 27:2, 69-75, 1998.
Hawker GA, Wright JG, Coyte PC, Paul J, Dittus R, Croxford R, Katz B, Bombardier C, Heck D, Freund D, 'Health-Related Quality of Life After Knee Replacement: Results of the Knee Replacement Patient Outcome Research Team Study'. Journal of Bone and Joint Surgery, 80-A:2, 163-173, 1998.
Papadimitropoulos EA, Coyte PC, Josse RG, Greenwood CE, 'Current and Projected Rates of Hip Fracture in Canada'. Canadian Medical Association Journal, 157: 10, 1357-1363, 1997.
Asche CV, Ho E, Chan B, Coyte PC, 'Economic Consequences of Multiple Sclerosis for Canadians'. Acta Neurologica Scandinavica, 95:5, 268-274, 1997.
Coyte PC, Young W, 'Applied Home Care Research.' International Journal of Health Care Quality Assurance, 10:1, i-iv, 1997.
Coyte PC, Catz M, Stricker M, 'Distribution of Physicians in Ontario: Where Are There Too few or Too Many Family Physicians and General Practitioners?'. Canadian Family Physician, 43: April, 677-683, 733, 1997.
Hawker GA, Coyte PC, Paul JE, Wright JG, Bombardier C, 'Accuracy of Administrative Claims Data in Assessing Patient Characteristics and Course in Hospital for Knee Replacement Surgery'. Journal of Clinical Epidemiology, 50:3, 265-273, 1997.
Coyte PC, Bronskill SE, Hirji ZZ, Daigle-Takacs G, Trerise B, Wright JG, 'An Economic Evaluation of Two Treatments for Paediatric Femoral Shaft Fractures'. Clin. Orthopaedics & Related Research, Mar., 336, 205-215, 1997.
Chan B, Coyte PC, Heick C, 'Economic Impact of Cardiovascular Disease in Canada.' Canadian Journal of Cardiology, 12:10, 1000-1006, 1996.
Coyte PC, Young W, Williams JI, 'The Potential for Reallocation of Funds from Teaching Hospitals to Community Hospitals by Devolving Hip and Knee Replacements'. Canadian Journal of Surgery, 39:5, 373-378, 1996.
Katz BA, Freund DA, Heck DA, Dittus RS, Paul JE, Wright JG, Coyte PC, Holleman E, Hawker GA, 'Demographic Variation in the Rate of Knee Replacement: A Multi-Year Analysis'. Health Services Research, 31:2, 125-140, 1996.
Coyte PC, Young LG, Tipper BL, Mitchell VM, Stoffman PR, Willumsen J, Geary DF, 'An Economic Evaluation of Hospital-based Haemodialysis and Home-based Peritoneal Dialysis for Paediatric Patients'. American Journal of Kidney Disease, 27:4, 557-565, 1996.
Wright JG, Heck DA, Hawker G, Dittus R, Freund DA, Joyce D, Paul JE, Young W, Coyte PC, 'Rates of Tibial Osteotomies in Canada and United States'. Clinical Orthopaedics and Related Research, October, 319, 266-275, 1995.
Bombardier C, Melfi CA, Paul JE, Green R, Hawker G, Wright JG, Coyte PC, 'Comparison of a Generic and a Disease-Specific Measure of Pain and Physical Function after Knee Replacement Surgery'. Medical Care, 33:4, AS131-AS144, 1995.
Wright JG, Coyte PC, Hawker GA, Bombardier C, Cooke D, Heck D, Dittus RS, Freund D, 'Variations in Orthopaedic Surgeons' Perceptions of the Indications for and Outcomes of Knee Replacement'. Canadian Medical Association Journal, 152:5, 687-697, 1995.
Coyte PC, Wright JG, Hawker G, Bombardier C, Dittus RS, Paul JE, Freund DA, Ho E, 'Waiting Times for Knee Replacement Surgery in the United States and Ontario'. New England J of Medicine, October 20, 331:16, 1068-1071, 1994.
Coyte PC, Dewees DN, Trebilcock MJ, 'Canadian Medical Malpractice Liability: An Empirical Analysis of Recent Trends'. Journal of Health Economics, 10:2, 143-168, 1991.
Dewees DN, Trebilcock MJ, Coyte PC, 'The Medical Malpractice Crisis: A Comparative Empirical Perspective'. Law and Contemporary Problems, 54:1, 217-251, 1991.
Coyte PC, Ryan DL, 'Subscribe, Cancel or Renew: The Economics of Reading by Subscription'. Canadian Journal of Economics, 24:1, 101-123, 1991.
Coyte PC, Landon S, 'Cost-Sharing Versus Block-Funding in a Federal System: A Demand Systems Approach'. Canadian Journal of Economics, 23:4, 817-838, 1990.
Coyte PC, 'Current Trends in Canadian Health Care: Myths and Misconceptions in Health Economics'. Journal of Public Health Policy, 11:2, 169-188, 1990.
Coyte PC, Landon S, 'The Impact of Competition on Advertising: The Case of Political Campaign Expenditures'. Canadian Journal of Economics, 22:4, 795-818, 1989.
Coyte PC, Lindsey CR, 'Spatial Monopoly and Spatial Monopolistic Competition with Two‑Part Pricing'. Economica, 55:220, 461-478, 1988.
Coyte PC, 'Alternative Methods of Reimbursing Hospitals, and the Impact of Certificate‑of‑Need and Rate Regulation for the Hospital Sector'. Southern Economic Journal, 53:4, 858‑873, 1987.
Coyte PC, 'The Supply of Individual Hours and Labor Force Participation Under Uncertainty'. Economic Inquiry, 24:1, 155‑172, 1986.
Coyte PC, 'The Market for Medical Services and Physicians: An Application of Hedonic Price Theory'. Canadian Journal of Economics, 18:2, 377‑394, 1985.
Coyte PC, 'The Operation of the Hospital Sector: Towards a Diagnosis'. Southern Economic Journal, 51:3, 655‑671, 1985.
Coyte PC, 'Specific Human Capital and Sorting Mechanisms in Labor Markets'. Southern Economic Journal, 51:2, 469‑480, 1984.
Coyte PC, 'Optimal Job Assignment and Investment in Specific Human Capital: An Application to Professional Teachers'. Applied Economics, 16:5, 703‑715, 1984.
Coyte PC, 'The Economics of Medicare: Equilibrium Within the Medical Community'. Journal of Labor Economics, 1:3, 264‑285, 1983.
***If you are interested in one of the above articles, please contact Anne Louise Montgomery for a copy.
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Book
Chapters
Coyte PC, Holmes D, “(Un)masking Regional Variations in
Health Care Finance” in Troubled Times: Sustainable Development
and Governance in the Age of Extremes, Sustainable Development
and Policy Institute and Sama Editorial and Publishing Services:
Karachi, Pakistan, 2006.
Nauenberg E, Flood CM, Coyte PC, ‘A
Complex Taxonomy: Technology Assessment in Canadian Medicare’
in Health Care Coverage Determinations: An International Comparative
Study, edited by Jost TS, (Open University Press: Maidenhead,
England), 2005.
Coyte PC, Croxford R, Friedberg
J, Barr P, ‘Projected Effects of Protease Inhibitor Therapy
on the Cost of Middle Ear Surgery’ in Proceedings of the
Eighth International Symposium Recent Advances in Otitis Media, edited by Boiago L, (BC Decker Inc Publisher: Hamilton), 2004.
Coyte PC, Croxford R, McIsaac
W, Feldman W, ‘Outcomes Following a Myringotomy with Insertion
of Tympanostomy Tubes: The Role of Adjuvant Surgeries’ in Proceedings of the Seventh International
Symposium Recent Advances in Otitis Media, edited by Boiago
L, (BC Decker Inc Publisher: Hamilton), 2002.
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Conference
Proceedings
Coyte PC, Ferguson B, Laporte
A, "The Role of Target Incomes in Determining Expenditures
on Physicians Services in Canada, 1972-93", Exploring
the Health Frontiers: Proceedings of the Eight Canadian Conference
on Health Economics, edited by R. Plain and W.R. Swan,
(University of Alberta: Edmonton), forthcoming, 2002.
Coyte PC, Hall R, Croxford R, "Home Care Service Funding:
The Search for the Magic Formula", Exploring
the Health Frontiers: Proceedings of the Eight Canadian Conference
on Health Economics, edited by R. Plain and W.R. Swan,
(University of Alberta: Edmonton), forthcoming, 2002.
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Reports
Coyte PC: Health Care Financing Mechanisms in Thailand that Advance Health System Performance, December 4, 2006.
Coyte PC, McMahon M: Options for Health Care Finance: An Overview of Experience Among Countries that are Members of the OECD, July 12, 2006.
Coyte PC, McMahon M: Regulatory Frameworks to Safeguard Patient Access to Health Care in an Environment of Increased Private Finance for Health Care, April 17, 2006.
Young W, et al: Accountability,
Continuity and Effectiveness: health Networks in Ontario. The
Change Foundation: Toronto. November 2004.
Doran D, Pickard J, Harris J, Coyte PC, MacRae A, Laschinger H,
Darlington G, Carryer J: Management and Delivery of Community
Nursing Services in Ontario: Impact on the Quality of care and
the Qualty of Worklife of Community-Based Nurses. Report of Phase
2, Community Nursing Services Study, July, 2004.Download
PDF
Coyte PC, Nauenberg E, Zarnett D, Mitchell
A, “Development of a Taxonomy for Health Care Decision-Making”.
Report prepared under CHSRF Grant RC2-0861-06 for the project:
Defining the Medicare “Basket”, May 2004. Download
PDF
Coyte, PC, Wickremaarachi,
S: Blueprint for Comprehensive Primary Health Care Reform in Ontario.
Report prepared under CIHR Interdisciplinary Enhancement Grant
ICH-62329 and the Health Care, Technology and Place / The Change
Foundation Strategic Alliance. March 2004. Download
PDF
Coyte PC, Mitchell A, Zarnett
D: Development and Assissment of a Housing Adequacy Checklist
for Elderly Individuals in Receipt of Home Care. Hospital Management
Research Unit Report to the Ontario Ministry of Health and Long-Term
Care, July 2003. Download
PDF
Coyte PC: Expanding the Principle
of Comprehensiveness from Hospital to Home. Submission to the
Senate Committee on Social Affairs, Science and Technology: Study
on the State of the Health Care System of Canada. The Kirby Committee.
July, 2002. Download
PDF
Coyte PC, Laporte A, Baranek
P, Croson W, “Forecasting Facility and In-Home Long-Term
Care for the Elderly in Ontario: The Impact of Improving Health
and Changing Preference”. Hospital Management Research Unit
Report to the Ontario Ministry of Health and Long-Term Care, April
2002. Download
PDF
Coyte PC, McKeever P: Submission to the Senate Committee on Social
Affairs, Science and Technology: Study on the State of the Health
Care System of Canada. The Kirby Committee. October, 2001. Download
PDF
Stevens B, McKeever P, Coyte PC, Daub S, Dunn M, Gibbins S, Guerriere
D, MacDonell J, Ohlsson A, Ray K: Cost-Effectiveness of Home Versus
Hospital Support of Breast Feeding in Neonates. Sub-study #12
under the National Evaluation of the Cost-Effectiveness of Home
Care, Health Transitions Fund, Final Report, March 31, 2001.
Coyte PC, Baranek PM: Identifying
the Assumptions Used by Various Jusisdictions to Forecast Demands
for Home and Facility-Based Care for the Elderly. Report to the
Ontario Ministry of Health and Long-Term Care, perpared under
grant 02709 to the University of Toronto, March 2001. Download Full Document
(223KB); Short
Version (37KB); Executive
Summary (10KB)
Coyte PC, Baranek P, Daly
T: Identifying Outcome Indicators for Evaluating Services Provided
by Community Care Access Centres (CCACs). Report prepared under
grant 02709 from the Ministry of Health and Long-Term Care in
Ontario to the University of Toronto, December 2000. Download Full Document (502KB); Short
Version (67KB); Executive
Summary (5 pages)
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"Bringing International Experience Back Home"
- Aruna Dhara (India)
Aruna Dhara, MD, received funds to pursue a research project in India in the summer of 2006. The following is an outline of her project entitled "Evaluation of Health Insurance and Preventative Health Care in Rural India"
" I am very grateful for the CHSRF/CIHR Chair funding provided to me for my research in India. I am interested in understanding the effects of microhealth insurance and health education on health and economic outcomes through a randomized control trial in rural India. Dr. Coyte's assistance in setting up this project, which occured this past summer, has been invaluable to me. Without the financial support of the CHSRF/CIHR I would have been entirely unable to pursue this project, and I am incredibly grateful to him for his mentorship. His support of students interested in health services research is greatly appreciated."
We are conducting an "Evaluation of Health Insurance and Preventative Health Care in Rural India", which will take place in Karnataka, India. The intervention is expected to begin in March of 2007 and will be completed March 2008. We will offer low cost health insurance in 100 villages and free health education in 100 villages, cross overlapping them so that there will be four different study groups in total; two with either of health education or insurance, one with both interventions and a final control group with no intervention. To evaluate the effects of the interventions, we will conduct surveys of 30 households in each village. These interviews will have two parts: part one will inquire about economic and health status of household members. Part two involves taking simple anthropometric measures; height, weight, blood glucose, and hemoglobin. The surveys will be conducted at baseline, prior to intervention, and at 1 year after the intervention.
-Meghan McMahon (Paris)
As part of her MSc program, Meghan McMahon completed a 3-month internship in the Health Division at the Organization for Economic Co-operation and Development (OECD) in Paris, France, where she worked with a team examining pharmaceutical pricing policies and innovation. Meghan gained valuable insight into the importance of balancing competing (political and economic) priorities as well as practical experience in a non-academic research environment.
" I feel extremely fortunate to have had this opportunity to work with a fantastic team of researchers and policy experts in the Health Division at the OECD. This experience enriched my master's training as no other would, and I am sincerely grateful for the ongoing encouragement and support of my MSc supervisor, Dr. Peter Coyte, who made this internship opportunity a reality."
-Alexandra Mihailovic (Uganda)
Alexandra Mihailovic, MD, is pursuing a PhD in Clinical Epidemiology supervised by Dr. Peter Coyte and Dr. David Urbach. Her clinical interests are in the field of trauma and international surgery, which aligns with her thesis topic of access to care after pediatric injury in sub-Saharan Africa. This topic is in response to a growing concern of the enormous burden of disablity and early mortality caused by both intentional and unintentional injury in low income countries. This research has taken Alexandra to Uganda where she spent 2 years collecting data on child injuries and working clinically in the war ravaged northern regions of the country. In response to her research findings, she started a child injury prevention program that saw a 15 fold decrease in pedestrian injuries in the research population.
"My experience conducting this research in Uganda was invaluable to my future career in bringing epidemiological and public health methods addressing surgical and injury crises in the developing world. Having the opportunity to work first hand with local researchers and clinicians, to experience the challenges of conducting research and search for their solutions in collaboration with the research teams in these settings and to witness the obstacles to public health programs and policies and the actualy health priorities dictated by the public have allowed me to embark on my field of study and clinical interest with a solid understanding of the realities and needs."
