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Documents

Documents

Equity in health, health care services use and health care financing in British Columbia, 1992 and 2002

Vancouver, BC, Canada: University of British Columbia (doctoral dissertation). University of British Columbia, Vancouver, BC, Canada The objectives of this thesis are to identify equity […]

Work limitations and their relationship with morbidity burden in employed persons with diabetes

Baltimore, MD, USA: Johns Hopkins University (doctoral dissertation). Johns Hopkins University, Baltimore, MD, USA BACKGROUND. Work limitations are functional limitations within the work context resulting […]

The application of Johns Hopkins Adjusted Clinical Group Case-mix System in AFMS

In: Cato W, Roberts WC, ed. Proceedings of the 2011 AFMS Medical Research Symposium, Volume 4. Healthcare Informatics Track. August 2-4, 2011, National Harbor, MD, […]

Morbi-mortality and use of recourses after acute coronary syndrome in a Spanish population

Revista Clinica Espanola 211:560-571. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Spain Morbi-mortality and use of recourses after acute coronary syndrome in a Spanish […]

A population-based study of healthcare resource utilization by metastatic gastric cancer patients in Ontario

Kingston, ON, Canada: Queens University (masters theseis). Queens University, Kingston, ON, Canada BACKGROUND: Gastric cancer is the fourth most common cancer in the world. Non-curative, […]

Association between use of a specialized diagnostic assessment unit and the diagnostic interval in Ontario breast cancer patients

Kingston, ON, Canada: Queen’s University (masters thesis). Queen’s University, Kingston, ON, Canada BACKGROUND: The amount of time that it takes to get a breast cancer […]

Comorbidity and healthcare expenditure in women with osteoporosis living in the Basque Country (Spain)

J Osteoporosis Basque Institute for Healthcare Innovation, Barakaldo, Spain BACKGROUND: The aim of the study was to estimate the prevalence of depression in the population […]

The Value of Patient Identification

Johns Hopkins Bloomberg School of Public Health The Value of Patient Identification Karen Kinder, PhD., MBA

One way of measuring morbidity of HA Patients

Hospital Authority One Way of Measuring Morbidity of HA Patients: from Research to Lessons Learnt Dr. Deacons Yeung Chief Manager

ACG 101

DST Health Solutions ACG 10 Lisa Kabasakalian

Applying the ACG System to support case management for the population of Eastern Cheshire

Integral Health Solutions Applying ACGs to care co-ordination, planning and commissioning Bernadette Bailey, Transformation Programme Manager, Eastern Cheshire CCG Jayne Molyneux, Care Co-ordination Advisor, Integral […]

Monday(C1)-Concurrent Resource Use and All Age Modeling – Abrams

Concurrent Resource Use and All Age Modeling – Chad Abrams

Monday(P5)-Understanding Transitions in Morbidity Burden: an Exploratory Analysis

David Linz, MA Robert Reid, MD, PhD  Paul Fishman, PhD 

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A Health Plan and the ACG System

At an event celebrating the ACG System receiving the 2015 Health Services Research (HSR) Award from AcademyHealth, Patricia M. C. Brown, Esq., President, Johns Hopkins […]

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Data Visualization and Patient Identification – Military

The Defense Health Agency (DHA) supports the delivery of integrated, affordable, and high-quality health services to Military Health System (MHS) beneficiaries and is responsible for […]

Predictors of hospital stay and home care services use: A population-based, retrospective cohort study in stage IV gastric cancer

Background: Home care services use has been proposed as a means of reducing costs in palliative care by decreasing hospital stay without impacting quality of […]

Albuminuria, Reduced Kidney Function, and the Risk of ST‐ and non–ST‐segment–elevation myocardial infarction

Abstract Background Chronic kidney disease is a recognized independent risk factor for cardiovascular disease, but whether the risks of ST‐segment–elevation myocardial infarction (STEMI) and non–ST‐segment–elevation […]

Correlation between Potentially Inappropriate Medication and Alzheimer’s Disease among the Elderly

Abstract   Purpose This study is conducted to explore the association between potentially inappropriate medication (PIM) and Alzheimer’s disease (AD) among the elderly. Methods We […]

Variation in the health outcomes associated with frailty among home care clients: relevance of caregiver distress and client sex

Abstract Background The identification of contextual factors that modify associations between client frailty and their health and service use outcomes is essential for informed home […]

The Incremental Health Care Costs of Frailty Among Home Care Recipients With and Without Dementia in Ontario, Canada: A Cohort Study

Abstract Objective In this study, we investigated the incremental 1-year direct costs of health care associated with frailty among home care recipients in Ontario with and without […]

Do Incentive Payments Reward The Wrong Providers? A Study Of Primary Care Reform In Ontario, Canada

ABSTRACT Primary care payment reform in the US and elsewhere usually involves capitation, often combined with bonuses and incentives. In capitation systems, providing care within […]

Economic Analysis of Adjuvant Chemoradiotherapy Compared with Chemotherapy in Resected Pancreas Cancer

Abstract Background Population-based survival and costs of pancreas adenocarcinoma patients receiving adjuvant chemoradiation and chemotherapy following pancreaticoduodenectomy are poorly understood. Methods This retrospective cohort study used […]

Incremental healthcare utilisation and costs among new senior high-cost users in Ontario, Canada: a retrospective matched cohort study

Abstract Objectives To describe healthcare use and spending before and on becoming a new (incident) senior high-cost user (HCU) compared with senior non-HCUs; to estimate […]

Diagnostic accuracy of administrative codes for autosomal dominant polycystic kidney disease in clinic patients with cystic kidney disease

Abstract Background The ability to identify patients with autosomal dominant polycystic kidney disease (ADPKD) and distinguish them from patients with similar conditions in healthcare administrative […]

Correlates of non-adherence to breast, cervical, and colorectal cancer screening among screen-eligible women: a population-based cohort study in Ontario, Canada

Abstract Purpose Breast, cervical, and colorectal cancers are cancers that can be detected early through screening. Despite organized cancer screening programs in Ontario, Canada participation […]

Comparing the Predictive Effects of Patient Medication Adherence Indices in Electronic Health Record and Claims-Based Risk Stratification Models

Abstract Multiple indices are available to measure medication adherence behaviors. Medication adherence measures, however, have rarely been extracted from electronic health records (EHRs) for population-level […]

In-Person and Telehealth Ambulatory Contacts and Costs in a Large US Insured Cohort Before and During the COVID-19 Pandemic

Abstract Importance This study assesses the role of telehealth in the delivery of care at the start of the COVID-19 pandemic. Objectives To document patterns […]

Class III Obesity and Other Factors Associated with Longer Wait Times for Endometrial Cancer Surgery: A Population-Based Study

Abstract Objective To evaluate the impact of class III obesity (body mass index >40 kg/m2) on wait times for endometrial cancer surgery in Ontario, as […]

Evaluating the performance of a predictive modeling approach to identifying members at high-risk of hospitalization

Abstract Aims To evaluate the risk-of-hospitalization (ROH) models developed at Blue Cross Blue Shield of Louisiana (BCBSLA) and compare this approach to the DxCG risk-score […]

Impact of Area Deprivation Index on the Performance of Claims-Based Risk-Adjustment Models in Predicting Health Care Costs and Utilization

Abstract Objective Traditionally, risk-adjustment models do not address the characteristics of minority populations, such as race or socioeconomic status. This study aimed to evaluate the […]

Long-term risk of subsequent major osteoporotic fracture and hip fracture in men and women: a population-based observational study with a 25-year follow-up

Abstract Summary The risk of subsequent major osteoporotic and hip fracture following an initial fracture was increased in both sexes over 25 years, with modest […]

Association of Surgical Experience With Risk of Complication in Total Hip Arthroplasty Among Patients With Severe Obesity

Abstract Importance Severe obesity is a risk factor for major early complications after total hip arthroplasty (THA). Objective To determine the association between surgeon experience […]

Outpatient Physical Therapy Use Following Tibial Fractures: A Retrospective Commercial Claims Analysis

Abstract Objective The purpose of this study was to characterize outpatient physical therapy (OPT) use following tibial fractures and examine the variability of OPT attendance, […]

Time since prior fracture affects mortality at the time of clinical assessment: a registry‑based cohort study

Abstract Summary Fractures are associated with increased long-term mortality in patients surviving to undergo baseline DXA. Notably, excess mortality risk does not decline with increasing […]

Impact of Frailty on Hospital Outcomes Among Patients with Lymphoid Malignancies Receiving Autologous Hematopoietic Stem Cell Transplantation in the United States

Abstract Background Frailty could affect outcomes of autologous hematopoietic stem cell transplantation (aHSCT). This study sought to examine the effects of frailty on hospital outcomes […]

Relationship of frailty with excess mortality during the COVID-19 pandemic: a population-level study in Ontario, Canada

Abstract Background There is a paucity of the literature on the relationship between frailty and excess mortality due to the COVID-19 pandemic. Methods The entire […]

Combining Patient Survey Data With Diagnosis Codes Improved Medicare Advantage Risk-Adjustment Accuracy

Abstract Under the current Medicare Advantage (MA) risk-adjustment system, plans are incentivized to report diagnosis codes on enrollees’ medical claims reflecting additional and more severe […]

Primary Care Unattachment; Impact on Mortality, Hospitalizations and Costs

Abstract Background: Primary care attachment, defined as a patient’s formal or informal affiliation with a regular primary care provider, is a cornerstone of many healthcare […]

Trends in Insulin Out-of-Pocket Costs and Use Disparities, 2008-2021

Abstract OBJECTIVE: To assess trends in insulin out-of-pocket (OOP) costs, use, and disparities among commercially insured patients from 2008 to 2021. STUDY DESIGN: Retrospective time […]

Refocusing Algorithmic Fairness on Feature-Level Bias: A Diagnostic Approach Using Dutch EHR Data

Abstract While algorithmic fairness research in healthcare has predominantly focused on disparities in model performance, less attention has been given to the underlying data structures […]

Association between Johns Hopkins Adjusted Clinical Groups risk scores and self-reported outcome measures: an observational study among individuals with complex or long-term conditions in Norway

Abstract Objective:  Investigate the association between Johns Hopkins Adjusted Clinical Groups (ACG) risk scores and low scores in self-reported outcome measures (SROMs) among individuals with […]

Association Between Adoption of Robotic Total Knee Arthroplasty in Canada and Major Surgical Complications

Abstract Background Robotic-assisted total knee arthroplasty (rTKA) is being adopted rapidly, but data on its real-world safety compared with conventional TKA (cTKA) outside specialized centers […]

Bridging the gap: health equity in women’s urologic care across rural settings

Purpose of review Health equity has emerged as a priority in urology, as disparities in access to care and health outcomes are driven by social, […]

Improving Prediction of Risk of Admission to Long-Term Care or Mortality Among Home Care Users With IDD

ABSTRACT Background Frailty is an established predictor of admission into long-term care (LTC) and mortality in the elderly population. Assessment of frailty among adults with […]

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Case Finding and Population Profiling

This webinar focuses on a project undertaken in Slough Clinical Commissioning Group where information from the ACG System was used to profile the population of […]

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Leveraging Prescription Data to Derive Future Costs and Predictors Regarding Opioid Abuse Patients

Presented by: David Bodycombe, ScD, MSc

Director ACG System Research

This Webinar describes his study, which created and assessed three measures of high-risk opioid use, presents results supporting the utility of these measures, and describes how the resulting measures are being deployed within the ACG System. Learn More.

Risk prediction models to predict emergency hospital admission in community-dwelling adults: a systematic review

Med Care 52:751-756. Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin, Ireland BACKGROUND: Risk prediction models have been developed to identify […]

Frequent attenders in general practice and immigrant status in Norway: A nationwide cross-sectional study

Scand J Prim Health Care 32:232-240. Department of Global Public Health and Primary Care, University of Bergen, Norway OBJECTIVE: To compare the likelihood of being […]

Drugs prescribed by general practitioners according to age, gender and socioeconomic status after adjustment for multimorbidity level

BMC Fam Pract 15:183. Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden BACKGROUND: Age, gender and socioeconomic […]

Direct medical costs attributable to venous thromboembolism among persons hospitalized for major operation: a population-based longitudinal study

Surgery 157:423-451. Mayo Clinic, Rochester, MN, USA; K Long Health Economics Consulting LLC, St. Paul, MN, USA BACKGROUND: We estimated medical costs attributable to venous […]

Preventive counseling services during primary care visits: a comparison of health centers versus other physician offices

J Health Care Poor Underserved 26:519-535. Johns Hopkins University, Baltimore, MD, USA We compared preventive counseling services provided by health centers versus other physician offices. […]

A comprehensive assessment of family physician gender and quality of care: a cross-sectional analysis in Ontario, Canada

Med Care 54:277-286. University of Ottawa, Ottawa, ON, Canada; Institute of Clinical Evaluative Sciences, Ottawa, ON, Canada; Queen’s University, Kingston, ON, Canada; Monash University, Clayton, […]

Prescription stimulant use and hospitalization for psychosis or mania: a population-based study

J Clin Psychopharmacol 35:667-671. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada; St Michael’s Hospital, Toronto, ON, Canada Small […]

Risk of cardiovascular events and mortality among a population-based cohort of immigrants and long-term residents with diabetes: Are all immigrants healthier and if so, for how long?

Am Heart J 170:123-132. University Health Network, Toronto, ON, Canada; Mount Sinai Hospital, Toronto, ON, Canada; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; University […]

Pain among older adults from a gender perspective: findings from the Swedish National Study on Aging and Care (SNAC-Blekinge)

Scand J Public Health Blekinge Institute of Technology, Karlskrona, Sweden; Lund University, Lund, Sweden; Linnaeus University, Växjö, Sweden BACKGROUND AND AIMS: Pain is common in […]

Ethnic disparities in care following acute coronary syndromes among Asian Americans and Pacific Islanders during the initial hospitalization

Cell Mol Biol 47:1209-1215. Hawaii Medical Service Association, Care Management, Honolulu, HI, USA Despite the fact that Asian Americans and Pacific Islanders are the fastest […]

Changes in health care costs over time following the cessation of intimate partner violence

J Gen Intern Med 25:920-925. Group Health Research Institute, Seattle, WA, USA BACKGROUND: Research has documented greater health care costs attributable to intimate partner violence […]

Universal health insurance and equity in primary care and specialist office visits: a population-based study

Ann Fam Med 7:396-405. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada PURPOSE: Universal coverage of physician services should serve to reduce socioeconomic disparities in […]

Geographic variation in primary care visits in Iowa.

Health Serv Res 30:657-671. Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, IA, USA. OBJECTIVE: This study investigates the determinants of […]

Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data

Med Care 43:1130-1139. Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada OBJECTIVES: Implementation of the International Statistical Classification of Disease and Related […]

Epidemiology and impact of multimorbidity in primary care: a retrospective cohort study

Br J Gen Pract 61:e12-e21. Department of Community Medicine, University of Bristol, Bristol, UK BACKGROUND: In developed countries, primary health care increasingly involves the care […]

Predictive modeling in practice: improving the participant identification process for care management programs using condition-specific cut points

Popul Health Manag 14:205-210. Research and Development Unit, Johns Hopkins HealthCare LLC, Glen Burnie, MD, USA The objective of this study was to optimize predictive […]

Fracture risk from psychotropic medications: a population-based analysis

J Clin Psychopharmacol 28:384-391. Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada BACKGROUND: Selective serotonin reuptake inhibitors (SSRIs), benzodiazepines, and antipsychotics have each been […]

Ankle fractures do not predict osteoporotic fractures in women with or without diabetes

Osteoporos Int 23:957-962. Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada It is not clear whether ankle fractures predict future osteoporotic fractures in women, […]

The role of provider continuity in preventing hospitalizations

Arch Fam Med 7:352-357. Department of Family and Community Medicine, Christiana Care Health System, Wilmington, DE, USA OBJECTIVES: To examine the association between provider continuity […]

The effect of distance to primary care physician on health care utilization and disease burden

Health Care Manage Rev 32:22-29. University of Michigan Medical School, Ann Arbor, USA. BACKGROUND: The relationship of distance to care with total health care utilization […]

Case mix measures for ambulatory care

J Public Health Med 13:189-197. University of Newcastle upon Tyne, School of Health Care Sciences, Medical School, Newcastle, UK Resource management in Ambulatory Care is […]

Performance of diagnosis-based risk adjustment measures in a population of sick Australians

Aust N Z J Public Health 26:500-507. Faculty of Health Sciences, School of Public Health, La Trobe University, Victoria, Australia OBJECTIVE: Australia is beginning to […]

Morbidity profiles at three primary care clinics in Perlis, Malaysia

Med J Malaysia 67:363-368. Ministry of Health, Kangar Health Clinic, Jalan Kolam, Kangar, Perlis, Malaysia Allocation of funding within the Ministry of Health of Malaysia […]

Healthcare utilization in patients with Parkinson’s disease: a population-based analysis

Parkinsonism Relat Disord 18:930-935. Movement Disorder Clinic, 200 Woodlawn Street, Winnipeg, MB, Canada PURPOSE: To investigate factors associated with healthcare utilization and prescription drug use […]

Referral of children to specialists in the United States and the United Kingdom

Arch Pediatr Adolesc Med 157:279-285. Department of Health Policy and Management, Health Services Research and Development Center, Bloomberg School of Public Health, Johns Hopkins University, […]

Is quality free? The relationship between cost and quality across 18 provider groups

Am J Manag Care 8:413-422. HealthPartners Research Foundation, Minneapolis, MN, USA OBJECTIVE: To learn whether the healthcare costs for patients of various care delivery systems […]

A patient classification system for our primary care: the Ambulatory Care Groups (ACGs)

Gac Sanit 11:83-94. Published in Spanish. Unitat d’Investigació Centre del Institut Catalá de la Salut, Barcelona, Spain OBJECTIVES: The ambulatory care groups (ACGs) were developed […]

Influence of morbidity, metabolic control, and use of resources in subjects with cardiovascular risk in the primary care setting

Aten Primaria 40:447-454. Published in Spanish. Dirección de Planificación y Desarrollo Organizativo. Badalona Serveis Assistencials S.A. Badalona. Barcelona. España OBJECTIVE: To determine the comorbidity, the […]

Complexity and continuity of treatments among privately insured youth diagnosed with bipolar disorder

Front Psychiatry 1:144. Health Services and Population Research Department, Institute of Psychiatry, King’s College London, London, UK OBJECTIVES: To examine longitudinal patterns of complexity, continuity, […]

Cognitive and behavioral outcomes after early exposure to anesthesia and surgery

Pediatrics 128:e1053-e1061. Erratum in: Pediatrics. 2012 Mar;129(3):595. Department of Anesthesiology, College of Medicine, Mayo Clinic, Rochester, MN, USA BACKGROUND: Annually, millions of children are exposed […]

Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder

JAMA 285:60-66. Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA CONTEXT: A shortage of data exists on medical care use by persons with […]

Use of other opioids during methadone therapy: a population-based study

Addiction 107:776-780. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada AIMS: To determine the extent to which other opioids are prescribed to patients receiving methadone […]

Adaptive capacity of the Adjusted Clinical Groups Case-Mix System to the cost of primary healthcare in Catalonia (Spain): a observational study

BMJ Open 2:2012-000941. Directorate of Planning, Badalona Serveis Assistencials SA, Badalona, Barcelona, Spain OBJECTIVES: To describe the adaptive capacity of the Adjusted Clinical Groups (ACG) […]

Estimating diabetes prevalence in the Military Health System population from 2006 to 2010

Mil Med 178:986-993. Healthcare Informatics Division, United States Air Force Medical Support Agency, San Antonio, TX, USA Evidence-based articles have demonstrated an increase in diabetes […]

Glycemic control associated with secure patient-provider messaging within a shared electronic medical record: a longitudinal analysis

Diabetes Care 36:2726-2733. University of Washington School of Public Health, Seattle, WA, USA; Harvard School of Public Health, Boston, MA, USA; Group Health Research Institute, […]

Direct health-care costs attributed to hip fractures among seniors: a matched cohort study

Osteoporos Int 24:659-669. Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada SUMMARY: Using a matched cohort design, we estimated the mean direct […]

Predictors of dislocation and revision after shoulder stabilization in Ontario, Canada, from 2003 to 2008

Am J Sports Med 41:2034-2040. University of Toronto Orthopaedic Sports Medicine, Women’s College Hospital, Toronto, ON, Canada BACKGROUND: Factors contributing to recurrent dislocation, revision stabilization, […]

Estimating Demand for Care After a Medicaid Expansion: Lessons From Oregon

J Ambul Care Manage. Kaiser Permanente Northwest Center for Health Research, Portland, OR; Oregon Health and Science University, Portland, OR, USA To estimate how the […]

Characteristics of adult primary care patients as predictors of future health services charges

Med Care 39:1170-1181. Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA BACKGROUND: Utilization risk assessment is potentially useful for allocation […]

The patient-centered medical home, electronic health records, and quality of care

Ann Intern Med 160:741-749. Weill Cornell Medical College, New York, NY, USA BACKGROUND: The patient-centered medical home (PCMH) model of primary care is being implemented […]

Relationship between pain and quality of life – findings from the Swedish National Study on Aging and Care – Blekinge study

Scand J Pain 5:270-275. Blekinge Institute of Technology, Karlskrona, Sweden; Lund University, Lund, Sweden; Linnaeus University, Växjö, Sweden BACKGROUND AND AIMS: The influence of pain […]

MEDS-AD Waiver (MTM) Program final report

Prepared for Florida Medicaid. Tallahassee, FL, USA: College of Medicine, Florida State University. Florida State University, Tallahassee, FL, USA This report summarizes the final findings […]

Change in functional outcomes during inpatient rehabilitation for patients with hypoxic-ischemic brain injury

Arch Phys Med Rehabil 96:e18. Toronto Rehabilitation Institute, Toronto, ON, Canada Objective(s): To investigate determinants of change in functional outcomes during inpatient rehabilitation (IR) among […]

Performance of an ambulatory case-mix measurement in primary care in Spain: Ambulatory Care Groups (ACGs)

Eur J Public Health 9:27-35. Unitat d’Investigació Centre del Institut Catalá de la Salut, Barcelona, Spain BACKGROUND: Patient classification systems based on the defining of […]

ACG use in Veterans Administration in Taiwan: final report

Taipei, Taiwan: Veterans General Hospital Taipei. Published in Chinese. Department of Medical Affairs and Planning, Taipei Veterans General Hospital, Taipei City, Taiwan, ROC The goal […]

Sex differences in health status, health care use and quality of care: a population-based analysis for Manitoba’s regional health authorities

Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, […]

A comparison of alternative approaches to risk measurement

Final report, grant number 93-G07, Physician Payment Review Commission. Minneapolis, MN, USA: Park Nicollet Medical Foundation. Park Nicollet Medical Foundation, Minneapolis, MN, USA Under health […]

ACGs: ambulatory care groupings for case-mix categorization

Final report for grant #HS05505, National Center for Health Care Research/Health Care Technology Assessment. Baltimore, MD, USA: Johns Hopkins University. Johns Hopkins University, Baltimore, MD, […]

CYDL Project One summary report: experiences of Albertan youth 2008/2009

Child and Youth Data Laboratory. Edmonton, AB, Canada: Centre for Child, Family and Community Research. Site also has videos of presentations of report data. Centre […]