Population-based longitudinal study of trajectories and predictors of health care utilization amongst the 50+ BC population, 1986-2003 (formerly: Health system change and cancer service utilization am

Project number: 
06-011
Approval date: 
Monday, April 30, 2007
Principal Investigator: 
Penning,Margaret
Institution: 
University of Victoria (UVIC)
Funding Agency: 
Canadian Institutes of Health Research(CIHR)
Datasets requested: 
Not available
Research objective: 

Through the 1990s, provincial and territorial governments across Canada shifted
health care funding and organizational foci toward community-based care. These
changes were premised in part on a population health model, where the foci of
health reform include enhancing preventive and community-based resources for
care, and ensuring equitable access to health and health care among groups
differentiated by such factors as age, gender, race/ethnicity, income, and ruralurban
residence. The extent to which structural changes directed towards
implementing a population health model lead to a shift of focus and resources
consistent with the objectives of health reform remains unclear; further, the
equity implications of health reform have seldom been evaluated. The proposed
research will address these issues by focusing on changes in access to cancerrelated
health services over time (1986-2003) and in association with health care
reform, among older adults within and across vulnerable subpopulations.

Publications: 

Journal Publication

  • Brackley M, Penning M (2009) "Home-care utilization within the year of death: trends, predictors and changes in access equity during a period of health policy reform in British Columbia, Canada" Health & social care in the community Volume 17, Issue 3, pp283-294

Conference abstract/presentation

  • Penning M, Brackley M (2010) "Studying Very, Very Large Populations Over a Long Time" University of Victoria Centre on Aging Community Forum on Healthy Aging February 18
  • Penning M (2008) "Socioeconomic inequities in health care utilization amongst adults aged 50 years of age and older in British Columbia. What happened during the 1990s?" The 43rd Annual Meeting of the Canadian Sociological Association, Vancouver, BC, June
  • Brackley M, Penning M (2007) "Residence, income and community-based health service  utilization within year of death amongst adults 50 years of age and older in British Columbia, 1991-2000" The Annual Meetings of the Gerontological Society of America, San Francisco, California, November 16-19
  • Votova K, Zheng C, Penning M (2007) "Older chiropractic patients in the context of decreasing supplementary health benefits: Analysis of the British Columbia Medical Services Plan Data, 1991-2000" The Annual Meetings of the Gerontological Society of America, San Francisco, California, November 16-19
  • Wu Z, Penning M, Zheng C, Schimmele C, Noh S (2007) "Marital Status and Mental Health Convalescence" The annual meetings of the American Sociological Association. New York, August 11 - 14
  • Wu Z, Penning M, Zheng C, Schimmele C, Noh S "Marital Status and Mental Health Convalescence" The XVI ISA World Congress of Sociology, Durban, South Africa, July 23 – 29
  • Penning M, Brackley M, Zheng C, Allan D (2007) "Geography, home care, and health care reform in British Columbia, 1991-2000" The 2007 Showcase of Research in Aging, University of Victoria, BC, June
  • Brackley M, Penning M (2007) "Residence, income and community-based health service  utilization within year of death amongst adults 50 years of age and older in British Columbia, 1991-2000" The 2007 Showcase of Research in Aging, University of Victoria, BC, June
  • Votova K, Zheng C, Penning M (2007) "Older chiropractic patients in the context of decreasing supplementary health benefits: Analysis of the British Columbia Medical Services Plan Data, 1991-2000" The 2007 Showcase of Research in Aging, University of Victoria, BC, June
  • Penning M (2007) "Using the BC Linked Health Data Resource: Experiences of One Health Resource Group" Presented at the Building Health research Capacity in BC: Utilization, Integration and Access to Health Data Conference, BC Network for Aging Research (BCNAR), February 1-2

Page last revised: December 5, 2017