Max Rady College of Medicine

Deliverables: Program Evaluation

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Gastrointestinal Endoscopy (GIE) Utilization in Manitoba
Lix LM, Singh H, Derksen S, Sirski M, McCulloch S
Gastrointestinal endoscopy (GIE) procedures are used to examine a person’s digestive tract. They are common procedures; more than 1 in 4 Manitobans will have a GIE procedure in a 10-year period. They are used to learn about the causes of symptoms, such as stomach pain or diarrhea, to diagnosis conditions of the digestive tract such as inflammatory bowel disease, and to screen people who are at risk for some cancers such as colorectal cancer. In this study, we looked at changes in procedure rates across health regions and population groups, described wait times in the Winnipeg and Southern Health-Santé Sud regions, and described outcomes after a GIE procedure, such as emergency department use and complications. We found an increase in procedure rates over time that was greatest in those 50 years and older. Wait times for GIE procedures were similar for urgent procedures in both health regions, but less similar for non-urgent procedures. Adverse outcomes are rare, but because many GIE procedures are performed each year, a large number of people can still be affected. Standardized tools and methods to collect and report on wait times and reasons for having a GIE procedure can help to reduce variations in rates and outcomes for Manitobans.
Report (PDF)
Additional Materials


Long-Term Outcomes Of Manitoba's Insight Mentoring Program: A Comparative Statistical Analysis
Ruth C, Brownell M, Isbister J, MacWilliam L, Gammon H, Singal D, Soodeen R, McGowan K, Kulbaba C, Boriskewich E
The objective of this report is to examine the outcomes of women and their children who have been involved in the Manitoba InSight program, an intensive mentoring program for women at high risk of having children with Fetal Alcohol Spectrum Disorder (FASD). By linking the clinical data within the InSight program database to the MCHP Repository we examined outcomes both during and after the program, with over 10 years of outcomes for earlier participants. We evaluated the impact on the mental, physical and perinatal health of the women and their children and their involvement with services such as social housing, Families First, prenatal care and Child and Family Services. This report will allow for planning and support of ongoing services to this at risk population and act as a baseline for further studies into FASD and its prevention and management.
Report (PDF)
Summary (PDF)
Additional Materials


Manitoba Immunization Study
Hilderman T, Katz A, Derksen S, McGowan K, Chateau D, Kurbis C, Allison S, Reimer JN
Researchers from MCHP completed The Manitoba Immunization Study, the most comprehensive analysis of Manitoba's immunization programs ever performed. They looked at childhood and adult immunization rates in the province from April 1, 2000 to March 31, 2008, the impact of immunizations and the safety of vaccines. Overall, immunization rates for two-year-old children in Manitoba were stable over the eight years studied. The study looked at shots for flu and pneumonia in adults with a specific focus on three groups: pregnant women and women with a newborn, people older than 64, and people with chronic illness like diabetes. Manitobans 65 and over have the highest rate of immunizations and people with chronic illness have higher immunization rates than those without illness. Flu immunization reduced hospitalization and mortality in those over 65. The researchers also noted that nothing in the report was found to link vaccinations with rare disorders like Guillain-Barre Syndrome, a concern that prevents some people from getting vaccinations.
Report (PDF)
Summary (PDF)


Evaluation of the Healthy Baby Program
Brownell M, Chartier M, Au W, Schultz J
In 2001 the Healthy Baby Program was introduced in Manitoba by the Healthy Child Manitoba Office. The goal of this program was to increase the health of Manitoba's most vulnerable babies with an income supplement and/or community support programs targeted towards low income mothers and families. This report evaluates the impact the program had on prenatal and perinatal health, as well as health outcomes of children in the program up to their first birthday.
Report (PDF)
Summary (PDF)


What Works? A First Look at Evaluating Manitoba's Regional Health Programs and Policies at the Population Level
Martens P, Fransoo R, The Need to Know Team, Burland E, Prior H, Burchill C, Romphf L, Chateau D, Bailly A, Ouelette C
Decision-makers and planners in Manitoba have access to plenty of research describing the health of the population. What has been missing until now is information that starts to connect the dots between the health of residents and the programs and policies that may be contributing to good health outcomes.
Report (PDF)
Summary (PDF)
Additional Materials

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Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada