Health Research Methods, Evidence, and Impact


Andrew Costa

PhD (Waterloo), BSc (Waterloo)

Assistant Professor, Department of Health Research Methods, Evidence, and Impact

Schlegel Chair in Clinical Epidemiology & Aging

Associate Member, Department of Medicine

Research Lead, Michael G. DeGroote School of Medicine, Waterloo Regional Campus

Member, Centre for Health Economics and Policy Analysis (CHEPA)

905 525 9140 x 22067
acosta@mcmaster.ca

Department of Health Research Methods, Evidence, and Impact
1280 Main Street West, CRL-219
Hamilton, ON L8S 4K1 Canada

Twitter: @andrew_p_costa

Academic Interests

Dr. Costa’s research program promotes evidence-based care and policy in seniors and geriatric care. His program of research makes use of health information and technology to develop better models of care and decision support systems in home and community care, emergency departments, and acute care. His current work is focused on the development and evaluation of models of care for avoidable emergency department use and care of the elderly in emergency departments. He is an interRAI Fellow where he is engaged in the Network of Excellence in Acute Care (www.interRAI.org). Dr. Costa’s work makes use of large health care data repositories, multi-site prospective cohort studies, and pragmatic trial methods. He also has an active interest in the development and use of funding and performance systems in health care reform.

Interested graduate students for the Health Research Methodology (HRM) program or Health Policy PhD program are requested to forward their CV and a description of research interests by e-mail.

Selected Publications

  1. Costa, A.P; Hirdes, J.P.; Bell, C.; Bronskill, S.; Heckman, G; Mitchell, L.; Poss, J.W.; Sinha, S. The DIVERT Scale: A Method to Identify the Probability of Unplanned Emergency Department Use among Frail Community Dwelling Seniors. Journal of the American Geriatrics Society (In press).
  2. Costa, A.P; Harkness, K.; Haughton, D.; Heckman, G.A.; McKelvie, R.S. Risk of Emergency Department Use among Community-Dwelling Older Adults: A Review of Risk Factors and Screening Methods. Clinical Practice (In press).
  3. Costa, A.P; Poss, J.W., McKillop, I. Contemplating Case Mix: A primer on Case Mix Classification and Management. Healthcare Management Forum (In press).
  4. Heckman, G.A.; Tannenbaum, C.; Costa, A.P; Harkness, K.; McKelvie, R.S. The Journey of the Frail Older Adult with Heart Failure: Implications for Management and Health Care Systems. Reviews in Clinical Gerontology (In press).
  5. Costa, A.P; Hirdes, J.P.; Heckman, G.A.; Dey, A.B.; Jonsson, P.; Lakhan, P.; Ljunggren, G.; Singler, K; Sjostrand, F.; Swoboda, W.; Wellens, N; & Gray, L.C. (2014) Geriatric Syndromes Predict Post-Discharge Outcomes among Older Emergency Department Patients: Findings from the interRAI Multinational Emergency Department Study. Academic Emergency Medicine, 21(4): 422-433.
  6. Gray, L.C.; Peel, N.; Costa, A.P; Burkett, E; Dey, A.B.; Jonsson, P.; Lakhan, P.; Ljunggren, G.; Sjostrand, F.; Swoboda, W.; Wellens, N.; & Hirdes, J.P. (2013) Profiles of Older Patients in the Emergency Department: Findings from the interRAI Multinational Emergency Department Study. Annals of Emergency Medicine, 62(5): 467-74.
  7. Costa, A.P; Poss, J.W., Peirce, T.; & Hirdes, J.P. (2012) Acute Care Inpatients with Long-term Delayed-Discharge: Evidence from a Canadian Health Region. BMC Health Services Research 2012, 12:172.
  8. Costa, A.P; Hirdes, J.P. (2010) Clinical Characteristics and Service Needs of Alternate Level of Care Patients Waiting for Long-term Care in Ontario Hospitals. Healthcare Policy, 6(1): 32-46.

Search for citations for Dr. Costa on PubMed