Variations in the quality and cost of colorectal cancer care in Manitoba

dc.contributor.authorDelisle, Megan
dc.contributor.examiningcommitteeHelewa, Ramzi (Surgery) Hochman, David (Surgery) Nashed, Maged (Radiology)en_US
dc.contributor.supervisorMcKay, Andrew (Surgery)en_US
dc.date.accessioned2019-09-03T18:02:44Z
dc.date.available2019-09-03T18:02:44Z
dc.date.issued2019en_US
dc.date.submitted2019-06-22T18:45:59Zen
dc.date.submitted2019-07-02T01:13:08Zen
dc.degree.disciplineSurgeryen_US
dc.degree.levelMaster of Science (M.Sc.)en_US
dc.description.abstractIntroduction: This thesis examines the quality of colorectal care and its association with healthcare costs. Methods: Quality of colorectal cancer care was assessed based on geography and hospital volume in patients diagnosed with colorectal cancer in Manitoba between 2004-2014. The associations between healthcare costs and longer wait times, higher postoperative morbidity and mortality and palliative care utilization were evaluated. Results: There were improvements in the quality of colorectal cancer care between 2004-2014, but disparities by geography and hospital volume existed. Increasing healthcare costs were associated with longer wait times, higher rates of morbidity and mortality and underutilization of palliative care. Conclusion: The quality of colorectal cancer care in Manitoba is improving but highly variable. This variability is an economic burden on the healthcare system and a cause of preventable patient morbidity and mortality. Strategies to improve the quality and reduce the costs of colorectal cancer care in Manitoba are needed.en_US
dc.description.noteOctober 2019en_US
dc.identifier.urihttp://hdl.handle.net/1993/34132
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectColorectal canceren_US
dc.titleVariations in the quality and cost of colorectal cancer care in Manitobaen_US
dc.typemaster thesisen_US
local.subject.manitobayesen_US
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