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The Canadian Case Mix Groups or CMG(TM)* methodology groups acute care patients into clinically similar and resource homogenous groups, and further stratifies patients into three age categories (years): 0-17, 18-69 and 70+. Some healthcare practitioners believe that the 0-17 years CMG age group is too broad, and does not reflect age differences associated with hospital resources consumption. A methodological study was conducted, using linked Canadian inpatient activity and case cost data from 1997/98 to 2000/01, to examine whether or not the 0-17 years CMG age group can be further refined to better represent age differences in hospital resources consumption. The study utilized the Classification and Regression Tree (CART) algorithm and regression analyses to develop new age groups. Of the 123 CMG included in the study, CART recommended further age splits for at least 48% of the CMG. The study recommends that, subject to clinical validation, fixed age splits at 0.5 and 1.5 years of age could be applied across all CMG. *Registered Trade-mark of the Canadian Institute for Health Information.

The present study explores the discursive constructions of health, fitness and disability among eight 14-17 year old youth with variety of mobility impairments living in the Ottawa area. Located within a framework informed by feminist poststructuralist and disability theories, the study is based on a content analysis of guided conversations and individual journals in which participants were involved. Results indicate that participants discursively construct health and fitness in corporeal terms such as being active, eating right, and having a good body. Within their constructions, participants both resist and rearticulate dominant health, fitness and disability discourses. Results also highlight a variety of discursive strategies used by participants to both defy oppressive stereotypes related to gender and disability and to construct themselves as healthy and fit individuals. Insights gained from this study begin to fill an important gap in North American literature on the experiences of youth with disabilities. Such insights may be used to inform the development of programs aimed at improving the health, fitness and well-being of Canadian adolescents.

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