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• 1. Modeling the burden of cancer in Canada Archived

  Articles and reports: 82-005-X20020016479

  Geography: Canada

  Description:

  The Population Health Model (POHEM) is a policy analysis tool that helps answer "what-if" questions about the health and economic burden of specific diseases and the cost-effectiveness of administering new diagnostic and therapeutic interventions. This simulation model is particularly pertinent in an era of fiscal restraint, when new therapies are generally expensive and difficult policy decisions are being made. More important, it provides a base for a broader framework to inform policy decisions using comprehensive disease data and risk factors. Our "base case" models comprehensively estimate the lifetime costs of treating breast, lung and colorectal cancer in Canada. Our cancer models have shown the large financial burden of diagnostic work-up and initial therapy, as well as the high costs of hospitalizing those dying of cancer. Our core cancer models (lung, breast and colorectal cancer) have been used to evaluate the impact of new practice patterns. We have used these models to evaluate new chemotherapy regimens as therapeutic options for advanced lung cancer; the health and financial impact of reducing the hospital length of stay for initial breast cancer surgery; and the potential impact of population-based screening for colorectal cancer. To date, the most interesting intervention we have studied has been the use of tamoxifen to prevent breast cancer among high risk women.

  Release date: 2002-10-08

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• 2. An information-rich environment: linked-record systems and data quality in Canada Archived

  Articles and reports: 11-522-X20010016238

  Description:

  This paper discusses in detail issues dealing with the technical aspects of designing and conducting surveys. It is intended for an audience of survey methodologists.

  Research programs building on population-based, longitudinal administrative data and record-linkage techniques are found in England, Scotland, the United States (the Mayo Clinic), Western Australia and Canada. These systems can markedly expand both the methodological and the substantive research in health and health care.

  This paper summarizes published, Canadian data quality studies regarding registries, hospital discharges, prescription drugs, and physician claims. It makes suggestions for improving registries, facilitating record linkage and expanding research into social epidemiology. New trends in case identification and health status measurement using administrative data have also been noted. And the differing needs for data quality research in each province have been highlighted.

  Release date: 2002-09-12

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• 1. Modeling the burden of cancer in Canada Archived

  Articles and reports: 82-005-X20020016479

  Geography: Canada

  Description:

  The Population Health Model (POHEM) is a policy analysis tool that helps answer "what-if" questions about the health and economic burden of specific diseases and the cost-effectiveness of administering new diagnostic and therapeutic interventions. This simulation model is particularly pertinent in an era of fiscal restraint, when new therapies are generally expensive and difficult policy decisions are being made. More important, it provides a base for a broader framework to inform policy decisions using comprehensive disease data and risk factors. Our "base case" models comprehensively estimate the lifetime costs of treating breast, lung and colorectal cancer in Canada. Our cancer models have shown the large financial burden of diagnostic work-up and initial therapy, as well as the high costs of hospitalizing those dying of cancer. Our core cancer models (lung, breast and colorectal cancer) have been used to evaluate the impact of new practice patterns. We have used these models to evaluate new chemotherapy regimens as therapeutic options for advanced lung cancer; the health and financial impact of reducing the hospital length of stay for initial breast cancer surgery; and the potential impact of population-based screening for colorectal cancer. To date, the most interesting intervention we have studied has been the use of tamoxifen to prevent breast cancer among high risk women.

  Release date: 2002-10-08

  ---

• 2. An information-rich environment: linked-record systems and data quality in Canada Archived

  Articles and reports: 11-522-X20010016238

  Description:

  This paper discusses in detail issues dealing with the technical aspects of designing and conducting surveys. It is intended for an audience of survey methodologists.

  Research programs building on population-based, longitudinal administrative data and record-linkage techniques are found in England, Scotland, the United States (the Mayo Clinic), Western Australia and Canada. These systems can markedly expand both the methodological and the substantive research in health and health care.

  This paper summarizes published, Canadian data quality studies regarding registries, hospital discharges, prescription drugs, and physician claims. It makes suggestions for improving registries, facilitating record linkage and expanding research into social epidemiology. New trends in case identification and health status measurement using administrative data have also been noted. And the differing needs for data quality research in each province have been highlighted.

  Release date: 2002-09-12

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