The Space-Time Continuum: how regionalization changed the delivery of hospital services and its effects on British Columbians health

Project number: 
Approval date: 
Tuesday, December 9, 2014
Principal Investigator: 
University of British Columbia (UBC)
Funding Agency: 
not grant funded
Datasets requested: 
BC Ambulance Service
Hospital Separations (BC Ministry of Health)
Consolidation - demographic (Ministry of Health)
Deaths (BC Vital Statistics Agency)
Consolidation registry (Ministry of Health)
Medical Services Plan (BC Ministry of Health)
consolidation - census geocodes
Research objective: 

1. How have hospital service redistributions since 2001 and compensating mechanisms including inter-hospital transfers and telehealth affected BC residents' health outcomes?

2. Reductions in accessibility in acute care services must be compensated by proportional improvements in availability of care to yield the same health outcomes predating service distribution changes.

a) Compensating mechanisms can alter the relationship between the availability and accessibility of services such that access to care is not as strongly predictive of health outcomes.


Journal Publication

  • Panagiotoglou, D., et al. (2017). "Effect of hospital closures on acute care outcomes in British Columbia, Canada: An interrupted time series study." Med Care 55(1): 50-56.

Academic thesis or dissertation

  • Panagiotoglou, D. The effects of British Columbia hospital closures on delivery of health care services and the population's health

Presentation of research material (poster/seminar/lecture etc.)

  • Panagiotoglou, D (2016). "Assessing hospital quality of care in British Columbia". CAHSPR: Toronto, ON.
  • Panagiotoglou, D (2016). "Is time to care a critical determinant of patient 30-day mortality outcomes for medical emergencies in British Columbia?". CAHSPR: Toronto, ON.
  • Panagiotoglou, D (2016). "British Columbia Hospital Closures". CHSPR
    Conference: Vancouver, BC

Conference abstract/presentation

  • Panagiotoglou, D (2016). "Effects of British Columbia Hospital Closures on Delivery of Health Care Services and the Population's Health". CAHSPR: Toronto, ON.

Page last revised: September 2, 2019