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Integrated Community Program

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Astrid Guttmann

Associate scientist

Sunnybrook Health Sciences Centre
2075 Bayview Ave., Room G1 06
Toronto, ON
M4N 3M5

Phone: 416-480-4055, ext. 3783
Fax: 416-480-6048

Research Administrative Coordinator: Danielle Vassallo
Email: Danielle.Vassallo@ices.on.ca

Education:

  • AB, 1987, history and literature, Harvard University, U.S.
  • BA, 1989, philosophy and theology, Oxford University, U.K.
  • M.Sc., 1990, forestry and land management, Oxford University, U.K.
  • MDCM, 1994, McGill University, Canada
  • M.Sc., 2001, clinical epidemiology, McMaster University, Canada.

Appointments and Affiliations:

  • Associate scientist, Evaluative Clinical Sciences, Integrated Community Research Program, Sunnybrook Research Institute
  • Chief science officer, Institute for Clinical Evaluative Sciences
  • Senior scientist, health system planning & evaluation program, ICES
  • Senior associate scientist, child health evaluative sciences program, SickKids Research Institute
  • Staff physician, division of paediatric medicine, Hospital for Sick Children
  • Professor, department of paediatrics, U of T
  • Professor, Institute of Health Policy, Management and Evaluation, U of T

Research Foci:

  • Research
  • Science
  • Research and science

Research Summary:

The focus of Dr Guttmann’s research is health system performance and policy evaluation related to the care of children and youth, in particular those with higher health care needs.

Dr Guttmann’s earlier research focused on quality of care measurements for children within discrete parts of the health care system, such as emergency departments. Her research used variation in clinical tool use and policy instruments, such as pay-for-performance, to examine health system factors associated with improved outcomes.

More recently Dr Guttmann’s research has focused on elucidating care and outcomes of children and youth around transition points across the health care system, such as during the transition to adult care and around integration with other services like mental health services. Her research uses routinely collected health and administrative data, and her work has validated the use of these data for research. She has been a member of the international steering group that led the development of reporting guidelines for research using health and administrative data.

Dr Guttmann’s current work includes ongoing mixed-methods approaches to examine the role of primary care in supporting transitions from youth to adult care, a pragmatic randomized controlled trial of care coordination for medically complex children, and an evaluation of a system-wide government strategy focused on improving mental health outcomes for children and youth.

Selected Publications:

See current publications list at PubMed.

  1. Nelson K, Rosella L, Mahant S, Guttmann A. Survival and surgical interventions for children with trisomy 13 and 18. JAMA. 2016 Jul 26;316(4):420–8.
  2. Cohen EC, Gandhi S, Toulany A, Hepburn Moore C, Fu L, Orkin J, Levy D, Stephenson A, Guttmann A. Health care use during transfer to adult care among youth with chronic conditions. Pediatrics. 2016 Mar;137(3):e20152734.
  3. Cohen E, Berry JG, Camacho X, Anderson G, Wodchis W, Guttmann A. Patterns and costs of health care use of children with medical complexity. Pediatrics. 2012 Dec;130(6):e1463–70.
  4. Benchimol E, Manuel D, To T, Griffiths A, Rabeneck L, Guttmann A. Development and use of reporting guidelines for assessing the quality of validation studies of health administrative data. J Clin Epidemiol. 2011 Aug;64(8):821–9.
  5. Guttmann A, Schull MJ, Vermeulen MJ, Stukel TA. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ. 2011 Jun 1;342:d2983.

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