BACKGROUND Despite universal health care, there continues to be regional access disparities to coronary angiography in Canada. Our objective was to evaluate the extent to which demand-side factors such as clinical urgency/need, and supply-side factors, as reflected by differences in physician and procedural supply account for these inequalities. METHODS Our cohort consisted of 74,254 consecut...

Outcome of urgent reoperation for major regional complication after removal of intracranial tumor was evaluated retrospectively in 100 consecutive patients treated since 1983. Urgent reoperation was performed from 3 to 240 hours (mean 74 hours) after primary surgery for 32 meningiomas, 23 pituitary adenomas, 22 gliomas, 13 vestibular schwannomas, and 10 other intracranial neoplasms. Mean Glasgo...

AIMS AND OBJECTIVES To evaluate the quality of the emergency nurse practitioner service provided to people presenting to a rural urgent care centre with minor injuries. The three objectives that were focused were an evaluation of the safety and effectiveness of the emergency nurse practitioner service, an assessment of patients' satisfaction with the emergency nurse practitioner service and a d...

Methods The Hillerød Acute Process Triage (HAPT) is inspired by the Swedish Adaptive Process Triage (ADAPT) and ranks patients into 5 level colour-coded triage, ranging from red (most urgent) through orange, yellow, green and blue (least urgent). Patients are assigned a triage category for each of the to main descriptors 1) vital signs and 2) presenting complaint. The variable of the two associ...