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In RA, national wait time data are lacking [ 13]; however, provincial studies suggest that access to rheumatologic care may be problematic because of workforce shortages [ 14– 16].
A deprivation index for 1996 Census enumeration areas (N = 9058) is available as quintiles [ 23] and has been widely used in provincial studies [ 5, 24- 28].
However, DAs are the smallest unit for which census data are collected (2,100 DAs in Manitoba with ~700 persons per DA), are more homogeneous than other units, and prior provincial studies have shown a substantial correlation between a person's neighborhood (DA) average income and a self-reported household income (32, 33, 34, 35).
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A recent provincial study by the Higher Education Quality Council of Ontario found that a key determinant of students' decision to stay on the STEM pathway was achievement in science and math courses at the compulsory level (Dooley, Payne, Steffler, & Wagner, 2016).
This was a sub-study of the Alberta Continuing Care Epidemiological Studies (ACCES) cohort, a provincial study of the health and quality of care issues in AL and nursing home facilities.
However, the prevalence estimates of overweight and obesity in the current study were very similar to a larger provincial study [ 5], providing confidence that our study findings are representative of this provincial population.
During the final two months of Phase 1, we developed the processes for recruiting residents and their family caregivers into the study for each provincial study site, and for approaching the resident.
It is interesting to note that there was also a reduced incidence of digit bias in infants <1000 g in the Canadian provincial study from 1981 to 1991 compared with those ≥1000 g. 2 It was also considered that part of the reason for digit bias in the Canadian study was the use of analogue scales and that a move to digital scales would provide an automatic increase in accuracy.
This is the first major cross-provincial study on middle-aged and elderly access to health care, which needs to be repeated on larger data sets and data from other provinces.
Bartók spent his childhood and youth in various provincial towns, studying the piano with his mother and later with a succession of teachers.
Both were key features of the North West Provincial case study.
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