Health and Social Service Utilization Research Unit

The System-Linked Research Unit publishes working papers to provide up-to-date information about recent studies. The abstract of a working paper can be seen by clicking on the Paper Series #. Full copies of the some of the Working Papers produced since 2000 are also available. If you wish to order a printed copy of a working paper, please email us at browneg@mcmaster.ca and remember to include your full mailing address.


S02-9		Browne G, Roberts J, Byrne C. "Examining the effects of integration on services to promote health and well-being among children" System-Linked Research Unit Working Paper, December, 2002. Available from Author only.

S02-8		Byrne C. "The meaning of depression: depressed and non-depressed partners' responses" System-Linked Research Unit Working Paper, December, 2002 Working Paper #S02-08 Abstract in pdf format.

S02-7		Bryant-Lukosius D, Browne G, DiCenso A, Whelan T, Gafni A, Neville A, Sathya J, Bosompra K. "Evaluating health related quality of life and priority health problems in patients with prostate cancer as the foundation for supportive care. System-Linked Research Unit Working Paper, December, 2002. Available from Author only.

S02-6		Browne G, Roberts J. "Scoring manual for the Integration of Human Services Measure". System-Linked Research Unit Working Paper, December, 2002 Working Paper #S02-06 in pdf format.

S02-5		Browne G, Roberts J, Byrne C, Gafni A, Weir R, Majumdar B. "Disseminating results of economic evaluations: �reducing inequities within vulnerable populations pays for itself�, lessons from 12 studies. "System-Linked Research Unit Working Paper, December, 2002 Working Paper #S02-05 in pdf format.


01-03		Browne G, Gafni A, Roberts J, Whittaker S, Wong M, Prica M, Approach to the measurement of costs (expenditures) when evaluating health and social programs. System-Linked Research Unit Working Paper Series #01-03 Abstract in pdf format.
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		Browne G, Gafni A, Roberts J, Whittaker S, Wong M, Prica M, The SLRU Costing Tool, 2001. System-Linked Research Unit Working Paper Series #01-03 Costing Tool and Costing Manual are available via phone call or email request.

01-02		Browne G, Byrne C, Roberts J, Gafni A, Majumdar B, Kertyzia J, Convergence - Why Ontario should develop community-based models of integrated service for school-aged children. System-Linked Research Unit Working Paper Series #01-02 Abstract and Paper in pdf format.

01-01		Browne G, Byrne C, Roberts J, Gafni A, Majumdar B, Kertyzia J, "Sewing the Seams": Effective and Efficient Human Services for School-Aged Children - For the Integrated Services For Children Division, Government Of Ontario " System-Linked Research Unit Working Paper Series #01-01 Abstractand Report in pdf format.


99-04		Weir R, Howe A, Ludwin D, Browne G, Roberts J, Gafni A, The Prevalence, Correlates and Comparative Costs of Depression in Patients with End Stage Renal Disease Undergoing Dialysis. Working Paper Series #99-4.

99-03		Markle-Reid M, Browne G, Roberts J, Gafni A, Byrne C, Underwood J, Flynn Kingston S, The Two-Year Effect and Expense of Provider-Initiated Public Health Nursing Case Management Versus Self-Directed Health Promotion and Social Assistance for Sole Support Parents on Social Assistance. Working Paper Series #99-3.

99-02		Browne G, Roulston J, Ewart B, Schuster M, Edwardh J, Boily L, Investments in comprehensive programming for families with children on welfare: Services for single parent mothers and children on welfare pays for itself within one year. System-Linked Research Unit Working Paper Series #99-2.

99-01		Markle-Reid M, Hall S, North J, Roberts J, Browne G, Flamborough health and support services community assessment study: 1999. System-Linked Research Unit Working Paper Series #99-01.


97-16		Bell B, Browne G, Dysthymia: The synthesis between psychotherapy and psychopharmacology. System-Linked Research Unit Working Paper Series #97-16.

97-15		Weir R, Stewart L, Roberts J, Browne G, Gafni A, LeGris J, The effects of practice conditions on health care workers' role activities: The missing link. System-Linked Research Unit Working Paper Series Series #97-15.

97-14		Browne G, Steiner M, Roberts J, Gafni A, Byrne C, Dunn E, Jamieson E, Webb M, Bell B, Mills M, Chalklin L, Wallik D, Kramer J. Zoloft, 6 month follow-up: A randomized trial of the effects and expense of zoloft (sertraline) vs interpersonal psychotherapy, alone or in combination for people with dysthymia in primary care. System-Linked Research Unit Working Paper Series #97-14.

97-13		Goosen K, Roberts J, Browne G, Gafni A, Informal caregiving and financial compensation: Synthesis of the literature and lessons to learn. System-Linked Research Unit Working Paper Series #97-13.

97-12		Bell B, Browne G, Steiner M, Roberts J, Gafni A, Byrne C, Chalklin L, Mills M, Webb M, Jamieson E, Dunn E, The prevalence, co-morbidity and costs of dysthymia in primary care: Under recognition of the mix of problems. System-Linked Research Unit Working Paper Series #97-12.

97-11		Browne G, Byrne C, Roberts J, Gafni A, Watt S, Ashford Y, Jamieson E, Wong M, Too early to tell? The effects and expense of provider-initiated vs self-directed health promotion, social assistance and recreation/child care interventions for parents and their children: Engagement rates, one year effects and expense. System-Linked Research Unit Working Paper Series #97-11

97-10		Byrne C, The effects of parental depression on children and families. A review of present knowledge: Areas for further study. System-Linked Research Unit Working Paper Series #97-10.

97-09		Roberts J, Bennett K, Evidence based nursing care: How to critically appraise a research article determining effectiveness of a health care intervention. System-Linked Research Unit Working Paper Series #97-9.

97-08		Willison D, Browne G. Evaluation of Hamilton-Wentworth quick response service. System-Linked Research Unit Working Paper Series #97-8.

97-07		Bolton C, Steinhauer P, Byrne C, Browne G, Jamieson E. The prevalence of childhood disorder in elementary school children 4-11: Implications for intersectoral school-based services. System-Linked Research Unit Working Paper Series #97-7.

97-06		Wishart L, Browne G, Macerollo J, King A, Loney P, Beaumont L, Moon A, Roberts,J. The effectiveness of "special steps": A walking/visiting program for persons with cognitive impairment. System-Linked Research Unit Working Paper Series #97-6.

97-05		Roberts J, Browne G, Gafni A, Varieur M, Loney P, de Ruijter M. Specialized continuing care models for persons with dementia: A systematic review of the research literature. System-Linked Research Unit Working Paper Series #97-5.

97-04		Browne G, Gafni A, Roberts J, Jamieson E. Approach to the measurement of expenditures for laboratory utilization by depressed and non-depressed persons in primary care: Age and group differences. System-Linked Research Unit Working Paper Series #97-4.

97-03		Schuster M. Surviving on social assistance in Canada: Single parents and their children. System-Linked Research Unit Working Paper Series #97-3.

97-02		Hoxby H, Roberts J, Browne G, Pallister R, Gafni A, Streiner D. Telephone nursing support: Let's talk. System-Linked Research Unit Working Paper Series #97-2.

97-01		Loney P, Chambers L, Bennett K, Roberts J, Stratford P. Critical appraisal of the health care literature. How to critically appraise an article about prevalence or incidence of a health problem. System-Linked Research Unit Working Paper Series #97-1.


96-15		Steiner M, Browne G, Roberts J, Byrne C, Gafni A, Dunn E, Bell B, Mills M, Jamieson E, Webb M. 12-month prevalence of current co-morbid axis I psychiatric disorders in primary care. System-Linked Research Unit Working Paper Series #96-15.

96-14		Weir R, Browne G, Byrne C, Roberts J, Gafni A, Thompson A, Walsh M, McColl L. A randomized controlled trial of the effectiveness and efficiency of the quick response program: community home health care vs standard emergency room care. System-Linked Research Unit Working Paper Series #96-14

96-13		Hay WI, van Ineveld C, Browne G, Roberts J, Bell B, Mills M, Chambers L, Gafni A, Macpherson S. Screening the elderly in primary care: More effective for whom? System-Linked Research Unit Working Paper Series #96-13.

96-12		Majumdar B, Roberts J. Culturally sensitive aids education for men with diverse ethnocultural origin. System-Linked Research Unit Working Paper Series #96-12.

96-11		Latimer E, Crabb M, Roberts JG, Ewen M, Roberts J. The patient-carried travelling record in palliative care: Effectiveness and efficiency. System-Linked Research Unit Working Paper Series #96-11.

96-10		Roberts JG, Browne G, Milne C, Spooner L, Gafni A, Watt S, Drummond-Young M, LeGris J, LeClair K, Wilson L, Burton S, Harman M, Beaumont L, Roberts J, Pallister R. A randomized controlled trial of the effectiveness and efficiency of problem solving counselling for caregivers of the cognitively impaired living at home. System-Linked Research Unit Working Paper Series #96-10.

96-09		Majumdar B, Ladak S, Roberts J. Management of family and workplace stress experienced by women of colour from various cultural backgrounds. System-Linked Research Unit Working Paper Series #96-9.

96-08		Majumdar B, Browne G, Roberts J, MacLean M, Carpio B. The effectiveness and efficiency of cultural sensitive training for providers of health care services, on provider attitudes, client use of health care services and their health outcomes: Part III of III - culture-sensitive training program. System-Linked Research Unit Working Paper Series #96-8.

96-07		Majumdar B, Browne G, Roberts J, Maclean M, Carpio B. The effectiveness and efficiency of cultural sensitive training for providers of health care services, on provider attitudes, client use of health care services and their health outcomes: Part II of III - Qualitative analysis. System-Linked Research Unit Working Paper Series #96-7.

96-06		LeGris J, Walters M, Browne G, Hicks RC. Early predictors of hospital length of stay and reduced pathology among psychotic in-patients. System-Linked Research Unit Working Paper Series #96-6.

96-05		Majumdar B, Browne G, Roberts J, Carpio, B. The effectiveness and efficiency of cultural sensitive training for providers of health care services, on provider attitudes, client use of health care services and their health outcomes: Part I of III - Quantitative analysis. System-Linked Research Unit Working Paper Series #96-5.

96-04		Pizzacalla AM. The prevalence, correlates and comparative expense of services for home-care clientele with and without co-morbid mental disorders - A pilot study. System-Linked Research Unit Working Paper Series #96-4.

96-03		Byrne C, Browne G, Roberts J, Ewart B, Schuster M, Underwood J, Flynn-Kingston S, Rennick K, Gafni A, Watt S, Ashford Y, Jamieson E. Interim report for when the bough breaks and benefitting the beneficiaries of social assistance. System-Linked Research Unit Working Paper Series #96-3.

96-02		Roberts J, Browne G, Watt S, Carson B, Greve M, Whittaker S. Evaluation of an aging in place program in a seniors supportive housing building. System-Linked Research Unit Working Paper Series #96-02.

96-01		Browne G, Watt S, Roberts J, Gafni A, Byrne C. Within our reach: Restructuring alliances in health and social services at the local level. System-Linked Research Unit Working Paper Series #96-1.


95-12		Browne G, Roberts J, Byrne C, Weir R, Majumdar B, Gafni A, Watt S, Willison D, Sivji Y. More effective and less expensive community approaches to care of chronically ill: lessons from nine studies. System-Linked Research Unit Working Paper Series #95-12

95-11		Browne G, Gafni A, Roberts J, Goldsmith A, Jamieson E. Approach to the measurement of costs (expenditures) when evaluating health and social programmes. System-Linked Research Unit Working Paper Series #95-11.

95-10		McAvella P, Hershey B. Not in vain: The value of a violence prevention programme in health care facility. System-Linked Research Unit Working Paper Series #95-10.

95-09		Whittaker S, Roberts J, Browne G, Watt S, Carson B, Greve M. A qualitative evaluation of an aging in place on-site coordinator for community linked team home care services in a Hamilton-Wentworth supportive housing unit. System-Linked Research Unit Working Paper Series #95-9.

95-08		Biehler L, Browne G, Jamieson E. Individual factors which distinguish retirees with high and low consumption of prescribed medication. System-Linked Research Unit Working Paper Series #95-8.

95-07		Goldsmith A, Browne G, Jamieson E. Prevalence of dysthymia in primary care and feasibility of primary care patient screening methods: speed and efficacy of subject recruitment. System-Linked Research Unit Working Paper Series #95-7.

95-06		Weir R, Stewart L, Browne G, Roberts J, Gafni A, Easton S, Seymour L. The role of leadership in staff morale and absenteeism: A randomized control trial - Part 1. System-Linked Research Unit Working Paper Series #95-6.

95-05		Majumdar B, Roberts J. Culturally sensitive AIDS education for Hamilton-Wentworth immigrant women. System-Linked Research Unit Working Paper Series #95-5.

95-04		Roberts J, Browne G, Denton M. Assessment of respite needs: Caregivers of cognitively impaired persons living in the Halton community. System-Linked Res. Unit Working Paper Series #95-4.

95-03		Weir R, Browne G, Tunks E, Gafni A, Roberts J. Gender differences in costs of psychosocial adjustment to pain. System-Linked Research Unit Working Paper Series #95-3.

95-02		Browne G, Byrne C, Roberts J, Schuster M, Ewart B, Gafni A, Watt S, Ashford Y. Resilience and vulnerability in mothers and children on social assistance: Prevalence, correlates and expenditures. System-Linked Research Unit Working Paper Series #95-2.

95-01		Dalton D, McDonald R, Filice U, Bradley C, Lyons L, Pallister R, Browne G, Roberts J, Byrne C, Gafni A. The potential for more effective, less expensive approaches to adolescent mental health: A description of Halton cooperative mental health programme strategies with "usual" care. System-Linked Research Unit Working Paper Series #95-1.


94-05		Krawiec F, Browne G, Jamieson E, Daniels C. Patient and treatment variables which predict post-op cardiac patients long term compliance and return to work. System-Linked Research Unit Working Paper Series #94-05.

94-04		Brown-Farrell D, Browne G. Cognitive appraisal and morale states among elderly residents of a long-term care facility. System-Linked Research Unit Working Paper Series #94-4.

94-03		Markle-Reid M, Worrall J, Campbell S, Muggah B, Browne G, Roberts J, Macpherson S. Characteristics of Hamilton-Wentworth home care clients are predictive of acute hospitalization within a year following referral to the home care program. System-Linked Research Unit Working Paper Series #94-3.

94-02		Roberts J, Browne G, Streiner D, Gafni A, Pallister R, Hoxby H, Jamieson E, Meichenbaum D. The effectiveness and efficiency of enhanced specialty clinic care for not well adjusted chronically ill outpatients. System-Linked Research Unit Working Paper Series #94-2.

94-01		Browne G, Watt S, Roberts J, Gafni A, Byrne C. Within our reach: Restructuring alliances in health and social services at the local level. System-Linked Research Unit Working Paper Series #94-1.


93-15		Shouldice P, Browne G, Jamieson E. Prevalence of functional incapacity: Rate and predictors of institutionalization of elderly clients. System-Linked Research Unit Working Paper Series #93-15.

93-14		Cox L, Browne G. The costs, effects and benefits of an interagency risk management team. System-Linked Research Unit Working Paper Series #93-14.

93-13		Roberts J, Browne G, Streiner D, Gafni A, Pallister R, Hoxby H, Meichenbaum D. Problem solving counselling or phone call support for outpatients with chronic illness: Effective for whom?" System-Linked Research Unit Working Paper Series #93-13.

93-12		Browne G, Watt S, Roberts J, Gafni A, Byrne C. Changing times in health: Research unit on alliances in community health and social services. System-Linked Research Unit Working Paper Series #93-12.

93-11		Browne G, Roberts J, Gafni A, Weir R, Watt S, Byrne C. More effective and less expensive: Lessons from 5 studies examining community approaches to care. System-Linked Research Unit Working Paper Series #93-11.

93-10		Browne G, Roberts J, Watt S, Gafni A, Stockwell M. Community rehabilitation: Strategies, outcomes, expenditures. System-Linked Research Unit Working Paper Series #93-10.

93-09		Hay I, Browne G, Roberts J, Jamieson E. Prospective care of elderly patients in family practice - Part 3: The prevalence of unrecognized treatable health concern among the elderly, by age, gender and user group. System-Linked Research Unit Working Paper Series #93-9.

93-08		Jamieson E, Roberts J, Browne G, Shannon H. The feasibility and accuracy of anonymized record linkage to estimate shared clientele among three health and social service agencies. System-Linked Research Unit Working Paper Series #93-8.

93-07		Browne G, Roberts J, Weir R, Gafni A, Watt S, Byrne C. The cost of poor adjustment to chronic illness: Lessons from 3 studies. System-Linked Research Unit Working Paper Series #93-7.

93-06		Stevens B, Stockwell M, Browne G, Dent P, Gafni A. Evaluation of home based traction programme for children with congenital dislocated hips and legg perthes disease. System-Linked Research Unit Working Paper Series #93-6.

93-05		Stockwell M, Stevens B, Browne G, Dent P, Gafni A, Anderson M, Martin R. An innovative model of system-linked community care: Home based traction as an alternative to institutionalized treatment. System-Linked Research Unit Working Paper Series #93-5.

93-04		Browne G, Roberts J, Underwood J, Scott F, Jamieson E, Schuster M, Cornish D. The prevalence and characteristics of public health clients who were shared and unshared with social services in Hamilton-Wentworth (1991): Part I and II. An anonymized record linkage. System-Linked Research Unit Working Paper Series #93-4.

93-03		Eyles P, Pierroz D, Kinnon K, Pomfret M, Browne G, Skelly J. A randomized control of the efficacy of a preoperative education program for patients undergoing total hip replacement surgery - Father Sean O'Sullivan research centre. System-Linked Research Unit Working Paper Series #93-3.

93-02		Johnston N, Longdon M, Browne G, Roberts J, Monrose K. The co-incidence of geography and the determinants of population health: Their relationship of hospital service consumption by Halton residents in 1990-91. System-Linked Research Unit Working Paper Series #93-2.

93-01		Bowers-Walsh H, Byrne C. Gender differences in referral pathways to an outpatient mental health clinic. System-Linked Research Unit Working Paper Series #93-1.


92-13		Browne G, Roberts J, Watt S, Gafni A, Stockwell M, Longdon M, Lyons L, Alcock S, Milne C, Shadwick S, Soluk R. Evaluation of the community health services centre (CHSC) of Halton compared to alternative community services in the context of Ontario's long term care reforms. System-Linked Research Unit Working Paper Series #92-13.

92-12		Browne G, Gafni A, Roberts J, Hoxby H. Approach to the measurement of costs, expenditures when evaluating health and social programmes. System-Linked Research Unit Working Paper Series #92-12.

92-11		Emond A, Browne G. Prognosis and costs of clients referred to a community mental health clinic. System-Linked Research Unit Working Paper Series #92-11.

92-10		Majumdar B, Browne G, Roberts J. Feasibility study on the prevalence of multicultural groups in three community services agencies in Hamilton-Wentworth region. System-Linked Research Unit Working Paper Series #92-10.

92-09		Browne G, Hay I, Roberts J, Gafni A, Jamieson E, Bland R. Approach to the measurement of costs of laboratory utilization by seniors in primary care: Age and gender differences. System-Linked Research Unit working Paper Series #92-9.

92-08		Browne G, Jamieson E, Hay I, Roberts J. Modifications and scoring of the OARS MFAQ measure of functional capacity: 1991 Canadian situation. System-Linked Research Unit Working Paper Series #92-8.

92-07		Kuntz D, Roberts J, Browne G, Charles C. Revisiting physician impact analyses: Predicted vs observed hospital resource use. System-Linked Research Unit Working Paper Series #92-7.

92-06		Weir R, Browne G, Tunks E, Gafni A, Roberts J. Predictors of utilization of specialty pain clinic services. System-Linked Research Unit Working Paper Series #92-6.

92-05		Ewart B, Schuster M, Browne G, Roberts J, Byrne C, Watt S, Jamieson E, Walsh C. A feasibility study by Halton and Hamilton-Wentworth regional departments of social services. System-Linked Research Unit Working Paper Series #92-5.

92-04		Browne G, Byrne C, Roberts J, Streiner D. Meaning of illness questionnaire: Part I: Reliability/validity.; Roberts J, Byrne C, Browne G. Part II: Questionnaire and scoring information (1992).; Weir R, Browne G, Roberts J, Gafni A. Part III: Factor structure revisited (1992). System-Linked Research Unit Working Paper Series #92-4.

92-03		Browne G, Roberts J, Gafni A. Health and social service utilization approach to the measurement of costs. System-Linked Research Unit Working Paper Series #92-3.

92-02		Forchuk C, Roberts J. How to critique qualitative health research articles. System-Linked Research Unit Working Paper Series #92-2.

92-01		Milne C, Sacco C, Cetinski G, Browne G, Roberts J. Correlates of caregiver well being, with and without the use of a day program for cognitively impaired elderly. System-Linked Research Unit Working Paper Series #92-1.

		Health and Social Service Utilization Research Unit

			Faculty of Health Sciences