Peter C Coyte
Datos Biográficos
| ID | 359619 |
|---|---|
| NOMBRE | Peter C Coyte |
| NOMBRES | Peter C |
| APELLIDO | Coyte |
| FIRMA | COYTE P C |
| AFILIACIONES | University of Toronto |
| ORCID | 0000-0002-2993-3491 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 58 |
| TOTAL DE CITAS | 124 |
| TOTAL COMO AUTOR | 58 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1999 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
The Deepest Well
This study underscores the lasting impact of ACEs on SLE in later life. The moderating effects of wealth and depressive symptoms highlight the role of adult socioeconomic and psychological conditions in shaping this association. Reducing ACEs and promoting financial security and mental health in later life may enhance positive expectations of aging and support healthier aging trajectories
Enrollment or dropout
Since children's participation in social health insurance (SHI) in China is voluntary, fluctuations in enrollment or dropout are inevitable. Using data from the two waves of the China Family Panel Study in 2020 and 2022, this study aims to examine these participation dynamics and their impact on children's health service utilization and medical expenses. Specifically, a balanced panel of 1958 children under the age of 15 was constructed, first-di…
Economic evaluation of a digital health intervention for preventing dementia in Canadians with mild cognitive impairment
Dementia poses an on-going Canadian challenge due to an aging population, with cases projected to rise significantly by 2050. This study evaluates the cost-effectiveness of a conceptual digital health intervention designed to prevent dementia in Canadians with mild cognitive impairment (MCI). The analysis is exploratory and conceptual, comparing different scenarios for the possible effectiveness of the digital intervention for dementia prevention…
The relationship between structural characteristics of long-term care institutions and their initial operating budgets
Purpose: In the context of a rapidly aging population, this study focuses on an important issue concerning long-term care institutions, attempting to explore the relationship between structural characteristics and initial operating budgets. Methods: Data analysis was performed based on 581 long-term care institutions collected from the Shanghai Municipal Civil Affairs Bureau. Statistical analyses were conducted using IBM SPSS Statistics 24.0 with…
Decomposing disparities in the utilization of basic public health services between locals and internal migrants in China
To reduce inequities in the utilization of basic public health services between locals and internal migrants, measures need to be taken to improve knowledge about the basic public health services and to help migrants integrate into the local community
The cream-skimming behaviors of tertiary hospitals under medical alliances
This study demonstrated that tertiary hospitals "siphoned-off" outpatients with public health insurance coverage from primary care facilities. Outpatients who were older, were male, with chronic diseases, and with public health insurance coverage were more likely to experience not only higher referral rates but poorer quality of outpatient care after being referred from tertiary hospitals to primary care facilities. Tailored policies are required…
The impact of ethnic status on the health of female migrants
Compared to Han migrant women in China, we found that ethnic minority migrant women were more likely to report being in poor health and having a health condition in the past year. In addition, interprovincial migrants and ethnic minority females who migrated more than 11 years ago were more likely to report poor health
The impact of China's low-carbon city pilot program on the health of children
Global climate change poses a significant threat to public health in general and to the health of children, in particular. In response to this threat, many countries have implemented a series of policies to mitigate climate change, among which China's low-carbon city pilot program has attracted widespread attention. This study used longitudinal data drawn from the China Family Panel Studies between 2012 and 2018 to evaluate the impact of China's …
The role of digital financial inclusion in China on urban—rural disparities in healthcare expenditures
Our research reveals that DFI plays an important role in bridging the urban-rural gap in healthcare expenditures. This finding provides new information for addressing the issue of urban-rural healthcare inequality in China. Chinese government needs to accelerate the construction of digital infrastructure and increase the penetration rate of digital tools in rural areas to promote the beneficial effects of DFI. Additionally, it is also necessary f…
The contribution of alternative types of care on life satisfaction among disabled older persons in China
Long-term care given to disabled older adults takes many forms, with each impacting life satisfaction through different ways. Drawing data from the 2011–2018 China Health and Retirement Longitudinal Survey, this article explores the effects of various care types on life satisfaction, with a particular focus on disabled older persons. Estimates derived from a fixed effects model with propensity score matching show that compared with formal care, i…
The impact of non-communicable chronic diseases on the earned income of working age Chinese residents
This paper used two waves (2016 and 2018) of longitudinal data from the China Families Panel Survey (CFPS) to analyze the economic impact of Non-communicable chronic diseases (NCDs) on individual earned income using propensity score matching and difference in difference (PSM-DID) methods to control for potential confounding. The occurrence of a NCDs was associated with a significant decrease in earned income by 19.2% ( P = 0.002, t = 3.75). The r…
The use of IVF/Icsi and risk of postpartum hemorrhage
Objective Postpartum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality. Identifying women who are at high risk of PPH is crucial for implementing early preventive and interventive strategies. This study aimed to examine whether there is an association between the use of in vitro fertilization (IVF) /intracytoplasmic sperm injection (ICSI) and increased risk of PPH. Method This retrospective cohort study was conducted using…
What motivates individuals to share information with governments when adopting health technologies during the Covid-19 pandemic
This study revealed the seemingly paradoxical behavior of individuals who perceived high risks of sharing information and a sense of fatigue toward privacy issues yet continued to be willing to share their information with their governments when adopting health technologies during the COVID-19 pandemic. This work highlighted significant differential motivations for sharing information with governments when using health technologies during a pande…
Impact of the Health Gym Program on hospital admissions for stroke in the state of Pernambuco, Brazil
This study aimed to evaluate the impact of the Health Gym Program (HGP) on hospital admissions for stroke in the state of Pernambuco, Brazil. This policy impact evaluation used a quasi-experimental approach consisting of a difference-in-differences estimator, weighted by propensity score matching to deal with potential confounding variables. The study comprised socioeconomic, demographic, and epidemiological data from official Brazilian databases…
The Relationship between the Unmet Needs of Chinese Family Caregivers and the Quality of Life of Childhood Cancer Patients Undergoing Inpatient Treatment
A large proportion of the global burden of childhood cancer arises in China. These patients have a poor quality of life (QoL) and their family caregivers have high unmet needs. This paper examined the association between the unmet needs of family caregivers and the care recipient’s QoL. A total of 286 childhood cancer caregivers were included in this cross-sectional study. Unmet needs and depression among caregivers were assessed by the Comprehen…
The Effect of China’s Two-Child Policy on the Child Sex Ratio
The results demonstrate that relaxation of the one-child policy reduced the imbalance in the male to female sex ratio at birth from 1.10 to 1.05 over the study period at one of the major obstetrics and gynecology hospitals in China
Unpaid Caregiving and Labor Force Participation among Chinese Middle-Aged Adults
Unpaid family caregivers must consider the economic trade-off between caregiving and paid employment. Prior literature has suggested that labor force participation (LFP) declines with caregiving intensity, but no study has evaluated this relationship by accounting for the presence of both kinks and discontinuities. Here we used respondents of the China Health and Retirement Longitudinal Study baseline survey who were nonfarming, of working age (a…
Measurement and determinants of catastrophic health expenditure among elderly households in China using longitudinal data from the CHARLS
Key policy recommendations include the gradual improvement of medical assistance and the expansion of the use of health insurance to reduce household liability for health expenditures
Determinants of primary and non‐primary informal care‐giving to home‐based palliative care cancer care‐recipients in Ontario, Canada
Informal care plays an important role in the care of care-recipients. Most of the previous studies focused on the primary caregivers and ignored the importance of non-primary caregivers. Moreover, little is known about the provision of informal care in the context of home-based palliative care. The purpose of this study was to examine the provision of primary and non-primary informal care-giving and their respective determinants. Primary caregive…
Does Unpaid Caregiving Erode Working Hours Among Middle-Aged Chinese Adults
Where Do Cancer Patients in Receipt of Home-Based Palliative Care Prefer to Die and What Are the Determinants of a Preference for a Home Death
Understanding the preferred place of death may assist to organize and deliver palliative health care services. The study aims to assess preference for place of death among cancer patients in receipt of home-based palliative care, and to determine the variables that affect their preference for a home death. A prospective cohort design was carried out from July 2010 to August 2012. Over the course of their palliative care trajectory, a total of 303…
What Are the Determinants of the Decision to Purchase Private Health Insurance in China
The objective of this study was to assess the determinants of the decision to purchase private health insurance (PHI) in China. Nationally representative data from the fourth wave of the China Household Finance Survey from 2017 were used, and the dataset comprised 105,691 individuals aged 18 years or older. The Andersen health services utilization model was used to inform the research. Chi-square tests and logistic regression analyses were used t…
Temporal trends in place of death for end‐of‐life patients
Understanding the temporal trends in the place of death among patients in receipt of home-based palliative care can help direct health policies and planning of health resources. This paper aims to assess the temporal trends in place of death and its determinants over the past decade for patients receiving home-based palliative care. This paper also examines the impact of early referral to home-based palliative care services on patient's place of …
Effects of Migration on Infant and Maternal Health in China
We assess the association between maternal migrant status and health outcomes in China, which has one of the world's largest migrant populations. Health records from the Shanghai First Maternity and Infant Hospital from January 1, 2013, to June 30, 2017, were used to analyze 104 681 live births for Shanghai native-born and migrant women based on International Classification of Diseases, Tenth Revision diagnosis codes and demographic data. Regress…
Does Public Health Insurance Coverage Lead to Better Health Outcomes? Evidence From Chinese Adults
This article examines the impacts of public health insurance on the health of adults through use of data from the China Health and Nutrition Survey. We use the endogenous treatment effects model to infer the causal effects of public health insurance on health. We find that public health insurance significantly improves the physical and mental health status of health insurance beneficiaries after controlling for other covariates. Among the 2 types…
Socio-economic status and the utilisation of physicians' services
Caregiving intensity and retirement status in Canada
Societal costs of home and hospital end-of-life care for palliative care patients in Ontario, Canada
In Canada, health system restructuring has led to a greater focus on home-based palliative care as an alternative to institutionalised palliative care. However, little is known about the effect of this change on end-of-life care costs and the extent to which the financial burden of care has shifted from the acute care public sector to families. The purpose of this study was to assess the societal costs of end-of-life care associated with two plac…
The Impact of Informal Caregiving Intensity on Women’s Retirement in the United States
The magnitude, share and determinants of unpaid care costs for home-based palliative care service provision in Toronto, Canada
With increasing emphasis on the provision of home-based palliative care in Canada, economic evaluation is warranted, given its tremendous demands on family caregivers. Despite this, very little is known about the economic outcomes associated with home-based unpaid care-giving at the end of life. The aims of this study were to (i) assess the magnitude and share of unpaid care costs in total healthcare costs for home-based palliative care patients,…
The fiscal impact of informal caregiving to home care recipients in Canada
Ocean waves and roadside spirits
A massive earthquake off the west coast of Sumatra in Indonesia triggered a tsunami on 26 December 2004. At least five million people around the world were affected, and the total number of deaths exceeded 280,000. In Thailand, the tsunami struck six southern provinces, where the disaster's immediate impact was catastrophic. Based on ethnographic fieldwork in Phang Nga Province (2007), this paper provides an overview of the disaster's psychosocia…
Recruitment issues in healthcare research
A global shift in the setting of healthcare from hospitals and long-term care institutions to homes and communities has been accompanied by the growth of interest in the home as a site of healthcare research. Home care researchers have identified the recruitment of research subjects as a significant concern. The present descriptive, exploratory study used qualitative, semi-structured interviews with home care researchers (n = 9) to illuminate the…
The 2004 tsunami and mental health in Thailand
Some 280,000 people died in the Indian Ocean tsunami on 26 December 2004. This cohort study examined its impact on mental health one and two years later. It did so by investigating the association between six consequent variables (personal injury, loss of home, loss of business, death of a family member, injury to a family member, or loss of a family member's business) and mental health, as measured by the 36-item Short Form Health Survey (SF-36)…
Costs and determinants of privately financed home-based health care in Ontario, Canada
The Canadian context in which home-based healthcare services are delivered is characterised by limited resources and escalating healthcare costs. As a result, a financing shift has occurred, whereby care recipients receive a mixture of publicly and privately financed home-based services. Although ensuring that care recipients receive efficient and equitable care is crucial, a limited understanding of the economic outcomes and determinants of priv…
Can a publicly funded home care system successfully allocate service based on perceived need rather than socioeconomic status? A Canadian experience
The present quantitative study evaluates the degree to which socioeconomic status (SES), as opposed to perceived need, determines utilisation of publicly funded home care in Ontario, Canada. The Registered Persons Data Base of the Ontario Health Insurance Plan was used to identify the age, sex and place of residence for all Ontarians who had coverage for the complete calendar year 1998. Utilisation was characterised in two dimensions: (1) propens…
Impact of the 2004 Tsunami on Self-Reported Physical Health in Thailand for the Subsequent 2 Years
Objectives. We examined self-reported physical health during the first 2 years following the 2004 tsunami in Thailand. Methods. We assessed physical health with the revised Short Form Health Survey. We evaluated 6 types of tsunami exposure: personal injury, personal loss of home, personal loss of business, loss of family member, family member’s injury, and family’s loss of business. We examined the relationship between tsunami exposure and physic…
The impact of China's low-carbon city pilot program on the health of children
Global climate change poses a significant threat to public health in general and to the health of children, in particular. In response to this threat, many countries have implemented a series of policies to mitigate climate change, among which China's low-carbon city pilot program has attracted widespread attention. This study used longitudinal data drawn from the China Family Panel Studies between 2012 and 2018 to evaluate the impact of China's …
The contribution of alternative types of care on life satisfaction among disabled older persons in China
Long-term care given to disabled older adults takes many forms, with each impacting life satisfaction through different ways. Drawing data from the 2011–2018 China Health and Retirement Longitudinal Survey, this article explores the effects of various care types on life satisfaction, with a particular focus on disabled older persons. Estimates derived from a fixed effects model with propensity score matching show that compared with formal care, i…
Determinants of primary and non‐primary informal care‐giving to home‐based palliative care cancer care‐recipients in Ontario, Canada
Informal care plays an important role in the care of care-recipients. Most of the previous studies focused on the primary caregivers and ignored the importance of non-primary caregivers. Moreover, little is known about the provision of informal care in the context of home-based palliative care. The purpose of this study was to examine the provision of primary and non-primary informal care-giving and their respective determinants. Primary caregive…
Does Unpaid Caregiving Erode Working Hours Among Middle-Aged Chinese Adults
Temporal trends in place of death for end‐of‐life patients
Understanding the temporal trends in the place of death among patients in receipt of home-based palliative care can help direct health policies and planning of health resources. This paper aims to assess the temporal trends in place of death and its determinants over the past decade for patients receiving home-based palliative care. This paper also examines the impact of early referral to home-based palliative care services on patient's place of …
Does informal care impact utilisation of home-based formal care services among end-of-life patients? A decade of evidence from Ontario, Canada
Understanding how informal care impacts formal care utilisation for home-based end-of-life patients is an important policy- and practice-relevant question. This paper aims to assess the relationship between informal and formal home care among home-based end-of-life patients and how this relationship has changed over the last decade and over the end-of-life trajectory. We focus on informal care provided by family members or friends, and three type…
Predictors of caregiver burden across the home-based palliative care trajectory in Ontario, Canada
Family caregivers of patients enrolled in home-based palliative care programmes provide unpaid care and assistance with daily activities to terminally ill family members. Caregivers often experience caregiver burden, which is an important predictor of anxiety and depression that can extend into bereavement. We conducted a longitudinal, prospective cohort study to comprehensively assess modifiable and non-modifiable patient and caregiver factors t…
Physician Enthusiasm As an Explanation for Area Variation in the Utilization of Knee Replacement Surgery
BACKGROUND: Explanations for regional variation in the use of many medical and surgical treatments is controversial. OBJECTIVES: To identify factors that might be amenable to intervention, we investigated the determinants of regional variation in the use of knee replacement surgery. RESEARCH DESIGN: We examined the effect of the following factors: characteristics and opinions of surgeons; family physicians and rheumatologists; patients' severity …
Socio-economic status and the utilisation of physicians' services
Determining the Need for Hip and Knee Arthroplasty
BACKGROUND: Area variation in the use of surgical interventions such as arthroplasty is viewed as concerning and inappropriate. OBJECTIVES: To determine whether area arthroplasty rates reflect patient-related demand factors, we estimated the need for and the willingness to undergo arthroplasty in a high- and a low-use area of Ontario, Canada. RESEARCH DESIGN: Population-based mail and telephone survey. SUBJECTS: All adults aged > or =55 years in …
Recruitment issues in healthcare research
A global shift in the setting of healthcare from hospitals and long-term care institutions to homes and communities has been accompanied by the growth of interest in the home as a site of healthcare research. Home care researchers have identified the recruitment of research subjects as a significant concern. The present descriptive, exploratory study used qualitative, semi-structured interviews with home care researchers (n = 9) to illuminate the…
Can a publicly funded home care system successfully allocate service based on perceived need rather than socioeconomic status? A Canadian experience
The present quantitative study evaluates the degree to which socioeconomic status (SES), as opposed to perceived need, determines utilisation of publicly funded home care in Ontario, Canada. The Registered Persons Data Base of the Ontario Health Insurance Plan was used to identify the age, sex and place of residence for all Ontarians who had coverage for the complete calendar year 1998. Utilisation was characterised in two dimensions: (1) propens…
Labor Market Work and Home Care's Unpaid Caregivers
As people continue to age and receive complex health care services at home, concern has arisen about the availability of family caregivers and their ability to combine employment with caregiving. This article evaluates the international research on unpaid caregivers and their labor market choices, highlighting three conclusions: first, caregivers in general are equally as likely to be in the labor force as noncaregivers; second, caregivers are mo…
M3S Squad
Amidst fiscal constraint and burgeoning health care demands, an innovative response to sexually transmitted infections was piloted in Quebec (Canada). This response arose out of the relationship of man and machine and resulted in the creation of cyborgs as a communication medium for the dissemination of safer sex messaging. These cyborgs physically carried the prevention message to a traditionally ‘at-risk’ audience, engaged their attention, and …
Costs and determinants of privately financed home-based health care in Ontario, Canada
The Canadian context in which home-based healthcare services are delivered is characterised by limited resources and escalating healthcare costs. As a result, a financing shift has occurred, whereby care recipients receive a mixture of publicly and privately financed home-based services. Although ensuring that care recipients receive efficient and equitable care is crucial, a limited understanding of the economic outcomes and determinants of priv…
Evolution of Wenger's concept of community of practice
BACKGROUND: In the experience of health professionals, it appears that interacting with peers in the workplace fosters learning and information sharing. Informal groups and networks present good opportunities for information exchange. Communities of practice (CoPs), which have been described by Wenger and others as a type of informal learning organization, have received increasing attention in the health care sector; however, the lack of uniform …
A Population-Based Nested Case-Control Study of the Costs of Hip and Knee Replacement Surgery
BACKGROUND: Studies of total joint arthroplasty (TJA) have not evaluated the costs and outcomes in the context of expected arthritis worsening. OBJECTIVES: Using a cost-consequence approach, to examine changes in direct health care costs and arthritis severity after TJA for hip/knee arthritis compared with contemporaneous changes in matched controls. RESEARCH DESIGN: Case control study nested in a population-based prospective cohort. SUBJECTS: In…
Referral Practices for Spinal Surgery are Poorly Predicted by Clinical Guidelines and Opinions of Primary Care Physicians
BACKGROUND: Degenerative disease of the lumbar spine is common. Although surgery can benefit selected patients, variation in surgical referrals reduces overall access to care. OBJECTIVES: To compare the actual referral practices for patients with degenerative disease of the lumbar spine with recommendations for surgical referral based on clinical practice guidelines (CPGs) and family physician (FP) opinions. RESEARCH DESIGN: An expert panel of pr…
Characteristics and quality of pediatric cost-utility analyses
Ocean waves and roadside spirits
A massive earthquake off the west coast of Sumatra in Indonesia triggered a tsunami on 26 December 2004. At least five million people around the world were affected, and the total number of deaths exceeded 280,000. In Thailand, the tsunami struck six southern provinces, where the disaster's immediate impact was catastrophic. Based on ethnographic fieldwork in Phang Nga Province (2007), this paper provides an overview of the disaster's psychosocia…
Cost of treatment for breast cancer in central Vietnam
BACKGROUND: In recent years, cases of breast cancer have been on the rise in Vietnam. To date, there has been no study on the financial burden of the disease. This study estimates the direct medical cost of a 5-year treatment course for women with primary breast cancer in central Vietnam. METHODS: Retrospective patient-level data from medical records at the Hue Central Hospital between 2001 and 2006 were analyzed. Cost analysis was conducted from…
The magnitude, share and determinants of unpaid care costs for home-based palliative care service provision in Toronto, Canada
With increasing emphasis on the provision of home-based palliative care in Canada, economic evaluation is warranted, given its tremendous demands on family caregivers. Despite this, very little is known about the economic outcomes associated with home-based unpaid care-giving at the end of life. The aims of this study were to (i) assess the magnitude and share of unpaid care costs in total healthcare costs for home-based palliative care patients,…
Impact of the 2004 Tsunami on Self-Reported Physical Health in Thailand for the Subsequent 2 Years
Objectives. We examined self-reported physical health during the first 2 years following the 2004 tsunami in Thailand. Methods. We assessed physical health with the revised Short Form Health Survey. We evaluated 6 types of tsunami exposure: personal injury, personal loss of home, personal loss of business, loss of family member, family member’s injury, and family’s loss of business. We examined the relationship between tsunami exposure and physic…
The fiscal impact of informal caregiving to home care recipients in Canada
Income-related children’s health inequality and health achievement in China
This study has provided evidence that average health status of Chinese children has improved, but inequality has widened. Widening inequality slowed the growth in health achievement for children over time. There were wide variations in health achievement throughout China
Societal costs of home and hospital end-of-life care for palliative care patients in Ontario, Canada
In Canada, health system restructuring has led to a greater focus on home-based palliative care as an alternative to institutionalised palliative care. However, little is known about the effect of this change on end-of-life care costs and the extent to which the financial burden of care has shifted from the acute care public sector to families. The purpose of this study was to assess the societal costs of end-of-life care associated with two plac…
Caregiving intensity and retirement status in Canada
Predictors of caregiver burden across the home-based palliative care trajectory in Ontario, Canada
Family caregivers of patients enrolled in home-based palliative care programmes provide unpaid care and assistance with daily activities to terminally ill family members. Caregivers often experience caregiver burden, which is an important predictor of anxiety and depression that can extend into bereavement. We conducted a longitudinal, prospective cohort study to comprehensively assess modifiable and non-modifiable patient and caregiver factors t…
The Impact of Informal Caregiving Intensity on Women’s Retirement in the United States
Utilisation of home-based physician, nurse and personal support worker services within a palliative care programme in Ontario, Canada
With health system restructuring in Canada and a general preference by care recipients and their families to receive palliative care at home, attention to home-based palliative care continues to increase. A multidisciplinary team of health professionals is the most common delivery model for home-based palliative care in Canada. However, little is known about the changing temporal trends in the propensity and intensity of home-based palliative car…
A study on satisfaction with publicly financed health services in China
BACKGROUND: With implementation of Chinese universal healthcare, the performance of urban and rural residents' healthcare and the degree of satisfaction with publicly financed health services have become a hot issue in assessing health reforms in China. An evaluation model of health services in community and evaluation indexes of health-system performance have been put forward in related researches. This study examines variation in satisfaction w…
Socioeconomic Differences and Trends in the Place of Death among Elderly People in China
China is facing a dramatic aging of its population. Little is known about the factors that influence the place of death and the trends in the place of death for elderly people in China. The purposes of this study were: (1) to examine the impact of the socioeconomic status (SES) on place of death for elderly Chinese residents; and (2) to assess temporal trends in the place of death over the last 15 years. Data were derived from the Chinese Longitu…
Medicine (48 obras) · Nursing (29 obras) · Environmental health (26 obras) · Economics (19 obras) · China (17 obras) · Public health (16 obras) · Gerontology (15 obras) · Population (15 obras) · Psychology (15 obras) · Business (14 obras)