Kimberlyn Mcgrail
Biographic Data
| ID | 1742949 |
|---|---|
| NAME | Kimberlyn Mcgrail |
| GIVEN NAMES | Kimberlyn |
| FAMILY NAME | Mcgrail |
| SIGNATURE | MCGRAIL K |
| AFFILIATIONS | University of British Columbia |
| ORCID | 0000-0002-9349-1915 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 14 |
| WORKS AS AUTHOR | 20 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1998 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Eating disorders, depression, and anxiety among East Asian American young adults in the United States
OBJECTIVE: This study (1) examined associations between probable anxiety and depression with probable eating disorders (ED) among East Asian American young adults ages 18-25 years; and (2) assessed mental health service use patterns among East Asian American young adults with probable EDs and probable depression and/or anxiety. METHODS: Multivariable logistic models were employed to estimate the association between the outcome of a probable ED an…
The effect of enrolment policies on patient affiliation to a family physician
Patient enrolment with a source of primary care should support continuity of care. • The impact of enrolment policies on affiliation is an important intermediate outcome. • Our Reporting a Regular Medical Doctor index adds the patient view on affiliation. • Quebec enrolment policies did not improve three measures of affiliation. • Enrolment alone is insufficient to increase affiliation, a key input to continuity. Affiliation, defined as having a …
The impact of eliminating out-of-pocket payments for medicines on low-income households
BACKGROUND: There is interest in reducing out-of-pocket payments for prescription medicines, but the effects of such interventions remain unclear. OBJECTIVE: To study the impact of changes to the public prescription drug insurance program in British Columbia (BC), Canada that eliminated copayments for low-income households. METHODS: We used administrative data from 2017 to 2021 from Population Data BC and a controlled interrupted time-series desi…
Assessing the impact of day programs on individuals living with dementia and their family/friend caregivers (Aida-DemCare)
ClinicalTrials.gov: NCT06496945
Can patient-reported data improve predictions about who will be a high-need, high-cost patient in British Columbia
The Impact of reference pricing on prescribing patterns, costs, and health services utilization of proton pump inhibitors
INTRODUCTION: The Reference Drug Program (RDP) was established to steer patients toward equally safe and cost-effective medication under British Columbia's public drug coverage. Each RDP class covers at least one reference drug, and non-reference drugs are reimbursed up to the cost of the reference drug. In 2016, the RDP updated to include proton pump inhibitors (PPIs). This study evaluated the impact on drug expenditures, prescription patterns, …
Government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces
Primary care is the foundation of health care systems around the world. Physician autonomy means that governments rely on a limited selection of levers to implement reforms in primary care delivery, and these policies may impact the practice choices, intentions, and patterns of primary care physicians. Using a systematic search strategy to capture publicly available policy documents, we conducted a scan of such policies from 1998 to 2018 in three…
Stage-Specific Risk of Breast Cancer among Canadian Immigrant and Non-Immigrant Women
Policy programs and service delivery models for older adults and their caregivers
Despite an increase in prevalence of complex chronic conditions and dementia, long-term care services are being continuously pushed out of institutional settings and into the home and community. The majority of people living with dementia in Canada and the United States (U.S.) live at home with support provided by family, friends or other unpaid caregivers. Ten dementia care policy programs and service delivery models across five different North …
Contact-Tracing Apps
Contact-Tracing Apps: Time to Confront Broader Societal Change Kimberlyn Marie McGrail PhD Affiliation Kimberlyn Marie McGrail is with the Centre for Health Services and Policy Research, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.CopyRightCorrespondence should be sent to Kimberlyn McGrail, 201-2206 East Mall, Vancouver, BC V6T 1Z3, Canada (e-mail: [email protected]). Reprints can be ordered at http://www.ajph.org …
What happens to drug use and expenditure when cost sharing is completely removed? Evidence from a Canadian provincial public drug plan
Mental health of parents of children with a developmental disability in British Columbia, Canada
BACKGROUND: There is evidence in the literature that parents of children who have a developmental disability experience an increased risk of mental health problems. METHODS: This study used population-level administrative data from the Ministry of Health, British Columbia, Canada, to assess the mental health of parents of children who have a developmental disability compared with the mental health of parents of children who do not have a developm…
Predicting the Cost of Health Care Services
BACKGROUND: Case-mix systems and comorbidity indices aggregate clinical information about patients over time and are used to characterize need for health care services. These tools were validated for their original purpose, but those purposes are varied, and they have not been compared directly in the context of predicting costs of health care services. OBJECTIVE: To compare predictions of next-year health care service costs across 4 tools, inclu…
A population-level study of the mental health of siblings of children who have a developmental disability
This study used population level administrative data for health service utilization from the Ministry of Health, British Columbia, Canada to assess the mental health of siblings of children who have a developmental disability. At a population level, the study found strong evidence that siblings of children who have a developmental disability experience higher odds of a depression or other mental health diagnosis compared to siblings of children w…
Changes in Caregiver Health in the Years Surrounding the Birth of a Child With Health Problems
BACKGROUND: Caregivers of children with health problems (CHPs; usually mothers) experience more physical and psychological health problems than those of children without health problems (non-CHPs). Primarily cross-sectional and survey-driven, this literature has not yet explored whether these health differences existed before the birth of the CHPs, or are exacerbated postbirth. METHODS: Using linked administrative health data on all mother-child …
Effect of Hospital Closures on Acute Care Outcomes in British Columbia, Canada
BACKGROUND: In 2002 British Columbia, Canada began redistributing its hospital services. OBJECTIVE AND DESIGN: We used administrative data and interrupted time series analyses to determine how recent hospital closures affected patient outcomes. SUBJECTS: All adult acute myocardial infarction (AMI), stroke, and trauma events in British Columbia between fiscal years 1999 and 2013. Cases were patients whose closest hospital closed. Controls were mat…
Classifying Physician Practice Style
BACKGROUND: Primary medical care is changing-more female providers, desire for better work-life balance, and increasing availability of walk-in clinics have altered service delivery. There is no uniform physician practice style, and understanding service availability and delivery requires analysis of family physicians' practice patterns, rather than just physician counts. METHODS: This paper offers a new approach for describing the practice habit…
Income-Related Health Inequalities in Canada and the United States
Objectives. We examined income-related inequalities in self-reported health in the United States and Canada and the extent to which they are associated with individual-level risk factors and health care system characteristics. Methods. We estimated income inequalities with concentration indexes and curves derived from comparable survey data from the 2002 to 2003 Joint Canada–US Survey of Health. Inequalities were then decomposed by regression and…
Care Outcomes in Long-Term Care Facilities in British Columbia, Canada
OBJECTIVES: This study investigated whether for-profit (FP) versus not-for-profit (NP) ownership of long-term care facilities resulted in a difference in hospital admission and mortality rates among facility residents in British Columbia, Canada. RESEARCH DESIGN: This retrospective cohort study used administrative data on all residents of British Columbia long-term care facilities between April 1, 1996, and August 1, 1999 (n = 43,065). Hospitaliz…
Socioeconomic status, mortality, and the development of cataract at a young age
Income-Related Health Inequalities in Canada and the United States
Objectives. We examined income-related inequalities in self-reported health in the United States and Canada and the extent to which they are associated with individual-level risk factors and health care system characteristics. Methods. We estimated income inequalities with concentration indexes and curves derived from comparable survey data from the 2002 to 2003 Joint Canada–US Survey of Health. Inequalities were then decomposed by regression and…
Socioeconomic status, mortality, and the development of cataract at a young age
Policy programs and service delivery models for older adults and their caregivers
Despite an increase in prevalence of complex chronic conditions and dementia, long-term care services are being continuously pushed out of institutional settings and into the home and community. The majority of people living with dementia in Canada and the United States (U.S.) live at home with support provided by family, friends or other unpaid caregivers. Ten dementia care policy programs and service delivery models across five different North …
Mental health of parents of children with a developmental disability in British Columbia, Canada
BACKGROUND: There is evidence in the literature that parents of children who have a developmental disability experience an increased risk of mental health problems. METHODS: This study used population-level administrative data from the Ministry of Health, British Columbia, Canada, to assess the mental health of parents of children who have a developmental disability compared with the mental health of parents of children who do not have a developm…
Socioeconomic status, mortality, and the development of cataract at a young age
Care Outcomes in Long-Term Care Facilities in British Columbia, Canada
OBJECTIVES: This study investigated whether for-profit (FP) versus not-for-profit (NP) ownership of long-term care facilities resulted in a difference in hospital admission and mortality rates among facility residents in British Columbia, Canada. RESEARCH DESIGN: This retrospective cohort study used administrative data on all residents of British Columbia long-term care facilities between April 1, 1996, and August 1, 1999 (n = 43,065). Hospitaliz…
Income-Related Health Inequalities in Canada and the United States
Objectives. We examined income-related inequalities in self-reported health in the United States and Canada and the extent to which they are associated with individual-level risk factors and health care system characteristics. Methods. We estimated income inequalities with concentration indexes and curves derived from comparable survey data from the 2002 to 2003 Joint Canada–US Survey of Health. Inequalities were then decomposed by regression and…
Classifying Physician Practice Style
BACKGROUND: Primary medical care is changing-more female providers, desire for better work-life balance, and increasing availability of walk-in clinics have altered service delivery. There is no uniform physician practice style, and understanding service availability and delivery requires analysis of family physicians' practice patterns, rather than just physician counts. METHODS: This paper offers a new approach for describing the practice habit…
Effect of Hospital Closures on Acute Care Outcomes in British Columbia, Canada
BACKGROUND: In 2002 British Columbia, Canada began redistributing its hospital services. OBJECTIVE AND DESIGN: We used administrative data and interrupted time series analyses to determine how recent hospital closures affected patient outcomes. SUBJECTS: All adult acute myocardial infarction (AMI), stroke, and trauma events in British Columbia between fiscal years 1999 and 2013. Cases were patients whose closest hospital closed. Controls were mat…
A population-level study of the mental health of siblings of children who have a developmental disability
This study used population level administrative data for health service utilization from the Ministry of Health, British Columbia, Canada to assess the mental health of siblings of children who have a developmental disability. At a population level, the study found strong evidence that siblings of children who have a developmental disability experience higher odds of a depression or other mental health diagnosis compared to siblings of children w…
Changes in Caregiver Health in the Years Surrounding the Birth of a Child With Health Problems
BACKGROUND: Caregivers of children with health problems (CHPs; usually mothers) experience more physical and psychological health problems than those of children without health problems (non-CHPs). Primarily cross-sectional and survey-driven, this literature has not yet explored whether these health differences existed before the birth of the CHPs, or are exacerbated postbirth. METHODS: Using linked administrative health data on all mother-child …
What happens to drug use and expenditure when cost sharing is completely removed? Evidence from a Canadian provincial public drug plan
Mental health of parents of children with a developmental disability in British Columbia, Canada
BACKGROUND: There is evidence in the literature that parents of children who have a developmental disability experience an increased risk of mental health problems. METHODS: This study used population-level administrative data from the Ministry of Health, British Columbia, Canada, to assess the mental health of parents of children who have a developmental disability compared with the mental health of parents of children who do not have a developm…
Predicting the Cost of Health Care Services
BACKGROUND: Case-mix systems and comorbidity indices aggregate clinical information about patients over time and are used to characterize need for health care services. These tools were validated for their original purpose, but those purposes are varied, and they have not been compared directly in the context of predicting costs of health care services. OBJECTIVE: To compare predictions of next-year health care service costs across 4 tools, inclu…
Contact-Tracing Apps
Contact-Tracing Apps: Time to Confront Broader Societal Change Kimberlyn Marie McGrail PhD Affiliation Kimberlyn Marie McGrail is with the Centre for Health Services and Policy Research, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.CopyRightCorrespondence should be sent to Kimberlyn McGrail, 201-2206 East Mall, Vancouver, BC V6T 1Z3, Canada (e-mail: [email protected]). Reprints can be ordered at http://www.ajph.org …
Government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces
Primary care is the foundation of health care systems around the world. Physician autonomy means that governments rely on a limited selection of levers to implement reforms in primary care delivery, and these policies may impact the practice choices, intentions, and patterns of primary care physicians. Using a systematic search strategy to capture publicly available policy documents, we conducted a scan of such policies from 1998 to 2018 in three…
Stage-Specific Risk of Breast Cancer among Canadian Immigrant and Non-Immigrant Women
Policy programs and service delivery models for older adults and their caregivers
Despite an increase in prevalence of complex chronic conditions and dementia, long-term care services are being continuously pushed out of institutional settings and into the home and community. The majority of people living with dementia in Canada and the United States (U.S.) live at home with support provided by family, friends or other unpaid caregivers. Ten dementia care policy programs and service delivery models across five different North …
The Impact of reference pricing on prescribing patterns, costs, and health services utilization of proton pump inhibitors
INTRODUCTION: The Reference Drug Program (RDP) was established to steer patients toward equally safe and cost-effective medication under British Columbia's public drug coverage. Each RDP class covers at least one reference drug, and non-reference drugs are reimbursed up to the cost of the reference drug. In 2016, the RDP updated to include proton pump inhibitors (PPIs). This study evaluated the impact on drug expenditures, prescription patterns, …
The effect of enrolment policies on patient affiliation to a family physician
Patient enrolment with a source of primary care should support continuity of care. • The impact of enrolment policies on affiliation is an important intermediate outcome. • Our Reporting a Regular Medical Doctor index adds the patient view on affiliation. • Quebec enrolment policies did not improve three measures of affiliation. • Enrolment alone is insufficient to increase affiliation, a key input to continuity. Affiliation, defined as having a …
The impact of eliminating out-of-pocket payments for medicines on low-income households
BACKGROUND: There is interest in reducing out-of-pocket payments for prescription medicines, but the effects of such interventions remain unclear. OBJECTIVE: To study the impact of changes to the public prescription drug insurance program in British Columbia (BC), Canada that eliminated copayments for low-income households. METHODS: We used administrative data from 2017 to 2021 from Population Data BC and a controlled interrupted time-series desi…
Assessing the impact of day programs on individuals living with dementia and their family/friend caregivers (Aida-DemCare)
ClinicalTrials.gov: NCT06496945
Can patient-reported data improve predictions about who will be a high-need, high-cost patient in British Columbia
Eating disorders, depression, and anxiety among East Asian American young adults in the United States
OBJECTIVE: This study (1) examined associations between probable anxiety and depression with probable eating disorders (ED) among East Asian American young adults ages 18-25 years; and (2) assessed mental health service use patterns among East Asian American young adults with probable EDs and probable depression and/or anxiety. METHODS: Multivariable logistic models were employed to estimate the association between the outcome of a probable ED an…
Medicine (19 works) · Environmental health (9 works) · Nursing (8 works) · Business (6 works) · Economics (6 works) · Population (6 works) · Family medicine (5 works) · Gerontology (5 works) · Psychiatry (5 works) · Health care (4 works)