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23 results

Page 1 of 2

Policy Analysis in South Korea
  • Edited by T. J. Lah, Thomas R. Klassen
  • Published by:
    Bristol University Press
    Published online:
    18 January 2024
    Print publication:
    14 February 2023
  • Bringing together outstanding researchers, this book is the first to examine the theory and practice of policy analysis in South Korea. Drawing on case studies, it explores the development of policy analysis and procedures for decision making at different levels of government.

  • The Heavy Hand of the Law: The Canadian Supreme Court and Mandatory Retirement*

  • Thomas R. Klassen, C. T. Gillin
  • Journal:
    Canadian Journal on Aging / La Revue canadienne du vieillissement / Volume 18 / Issue 2 / Été/Summer 1999
    Published online by Cambridge University Press:
    29 November 2010, pp. 259-276

  • In the past two decades the Supreme Court of Canada made apparently contradictory rulings on mandatory retirement. In 1982, the Court ruled that mandatory retirement for firefighters at age 60 violated provincial human rights laws; in 1990, it found that forced retirement for university faculty and others at age 65 was constitutional. An analysis of the decisions shows that the Court relied on the stereotype of older workers as being less competent than younger workers, and failed to provide older workers with protection against age-based discrimination. A number of the key mandatory retirement cases deal with university faculty and may yet have unanticipated consequences, such as strengthening the role of academic tenure. The unwillingness of the Supreme Court to eliminate mandatory retirement means that ad hoc arrangements driven by changing life cycles, employer needs, demographic changes and legislative actions will continue to arise.

  • Presentations to emergency departments for chronic obstructive pulmonary disease in Alberta: a population-based study

  • Rhonda J. Rosychuk, Donald C. Voaklander, Ambikaipakan Senthilselvan, Terry P. Klassen, Thomas J. Marrie, Brian H. Rowe
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 12 / Issue 6 / September 2010
    Published online by Cambridge University Press:
    21 May 2015, pp. 500-508
    Print publication:
    September 2010
    • Article
      • You have access
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  • Objective:

    Chronic obstructive pulmonary disease (COPD) is a widespread illness with an increasing prevalence in older adults; exacerbations resulting in visits to the emergency department (ED) are common. We sought to determine the epidemiology of COPD presentations to EDs by older adults in Alberta.

    Methods:

    Administrative databases were used to examine all ED encounters for COPD from April 1999 to March 2005 in Alberta. Data included demographics of patients and timing of ED visits. Data analysis included descriptive summaries and age–sex directly standardized visit rates (DSVRs).

    Results:

    There were 85 330 ED visits for acute COPD made by 38 638 patients 55 years of age or older during the study period. More men (53.2%) presented, and the mean age at presentation was 72 years. The age–sex DSVRs remained stable from 2000/01 (24.4/1000) to 2004/05 (25.6/1000). Presentation rates differed among population subgroups. Overall, 67% of visits resulted in discharge from the ED.

    Conclusion:

    Chronic obstructive pulmonary disease is a common presentation in Alberta EDs; however, the rates of presentation were stable during the study period, and monthly and hourly trends exhibited similar patterns for each year. Disparities based on age, sex, and socio-economic and cultural statuses were identified. Targeted interventions could be implemented to reduce future ED visits for COPD.

  • A population-based study of emergency department presentations for asthma in regions of Alberta

  • Rhonda J. Rosychuk, Donald C. Voaklander, Terry P. Klassen, Ambikaipakan Senthilselvan, Thomas J. Marrie, Brian H. Rowe
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 12 / Issue 4 / July 2010
    Published online by Cambridge University Press:
    21 May 2015, pp. 339-346
    Print publication:
    July 2010
    • Article
      • You have access
    • PDF
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  • Objective:

    We describe the epidemiology of asthma presentations to emergency departments (EDs) for 3 main regions in the province of Alberta.

    Methods:

    We used a comprehensive ED database to identify ED visits in Alberta from April 1999 to March 2005. We linked the visits to other provincial administrative databases to obtain all data on follow-up encounters for asthma during that period. Information extracted included demographics, regions of residence (Edmonton, Calgary or non–major urban [NMU]), timing of ED visits, and subsequent visits to non-ED settings. Data analysis included descriptive summaries and directly standardized visit rates.

    Results:

    During the 6-year study period, 93 146 patients made 199 991 ED visits for asthma. Crude rates in 2004/05 were 7.9/1000, 6.5/1000 and 15.4/1000 in the Edmonton, Calgary and NMU regions, respectively. The Edmonton and Calgary regions had consistently lower visit rates than the NMU regions. The ED visits were followed by low rates of follow-up visits in a variety of non-ED settings, at different intervals.

    Conclusion:

    Asthma is a relatively common presenting problem in Alberta EDs. This study identified relatively stable rates of presentation during the study period, and variation among regions in terms of age and sex. This study provides further understanding of the variation associated with ED presentation and indicates possible targets for specific interventions to reduce asthma-related ED visits.

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