Making Evidence Matter in Canadian Health Policy

291 Pages Posted: 11 Sep 2015

See all articles by Kathleen O'Grady

Kathleen O'Grady

Simone de Beauvoir Institute, Concordia University

Noralou Roos

University of Manitoba - Department of Community Health Sciences (CHS)

Robert L. Brown

EvidenceNetwork.ca

Gary Bloch

EvidenceNetwork.ca

Morris L. Barer

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Marni D. Brownell

University of Manitoba - Department of Community Health Sciences (CHS); University of Manitoba - Manitoba Centre for Health Policy

Alan Cassels

University of Victoria

Irfan Dhalla

Independent

Livio Di Matteo

Lakehead University

Lee Ford-Jones

University of Toronto - Department of Pediatrics

Cy Frank

University of Calgary

Marc-André Gagnon

Carleton University - School of Public Policy and Administration

Michael R. Law

University of British Columbia (UBC)

Rick Linden

University of Manitoba

Sharon Manson Singer

Simon Fraser University (SFU) - School of Public Policy

Gregory P. Marchildon

University of Regina

James McCormack

University of British Columbia - Faculty of Pharmaceutical Sciences

John Millar

University of British Columbia (UBC)

Steve Morgan

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Nadya Repin

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Therese Stukel

Institute for Clinical Evaluative Sciences; Dartmouth College - Dartmouth Institute for Health Policy and Clinical Practice; University of Toronto - Department of Health Policy, Management and Evaluation

Jason Sutherland

University of British Columbia - Centre for Health Services and Policy Research

Camilla Tapp

EvidenceNetwork.ca

Shannon Turczak

EvidenceNetwork.ca

Michael C. Wolfson

EvidenceNetwork.ca; University of Ottawa

Steven Morgan Friedman

Independent

David Henry

University of Toronto

Haizhen Mou

Johnson-Shoyama Graduate School of Public Policy

Maria Mathews

Memorial University of Newfoundland (MNU)

Michel Grignon

McMaster University - Department of Economics

Vicky Stergiopoulos

University of Toronto

Sam Tsemberis

Pathways to Housing

Erick Hellsten

University of Toronto

Ben Chan

University of Toronto

Ryan Meili

University of Saskatchewan

Jillian Kratzer

University of British Columbia (UBC) - Centre for Health Services and Policy Research

David Juurlink

Sunnybrook Health Sciences Centre

Mike Allan

University of Alberta

Arya Sharma

University of Alberta

Stephen Hwang

University of Toronto - Saint Michael's Hospital

Adrienne Shnier

New York University (NYU)

Joel Lexchin

York University

Paula Goering

University of Toronto

Patricia O'Campo

University of Toronto

Nicole Letourneau

University of Calgary

Justin Joschko

Freelance Writer

Jody Heymann

McGill University - Institute for Health and Social Policy

Trudy Lieberman

City University of New York - CUNY School of Public Health at Hunter College

Sharon Baxter

Canadian Hospice Palliative Care Association (CHPCA)

Daren Heyland

Queen's University

Arlene Groh

Independent

R. Crump

University of British Columbia (UBC) - Centre for Health Services and Policy Research

Jennifer L. Kuk

New York University (NYU)

Irfan Dhalla

University of Toronto - Saint Michael's Hospital

Date Written: January 1, 2014

Abstract

Navigating the Evidence: Communicating Canadian Health Policy in the Media is a compilation of the EvidenceNetwork commentaries published in major newspapers in 2014, written by experts in the health policy field. These Op-Eds highlight the most recent evidence on a wide range of topics, including our aging population, healthcare sustainability, costs and spending, and the impact of the social determinants of health. It also contains essays addressing key concerns around mental health, obesity and pharmaceutical policy, among other topics.

This is the third volume in the annual series of eBooks produced by EvidenceNetwork, the first being Canadian Health Policy in the News (2013), followed by Making Evidence Matter in Canadian Health Policy (2014).

In this volume, please find our second compendium of Op-Eds (materials published from October 2012 to October 2013). Like our first eBook, this second volume is a snapshot of a year in the health policy debates of our country. We’ve not altered the materials to reflect changes that may have taken place since the commentaries were written, but left them as they were published, to represent accurately the time in which they were written. Most Op-Eds were originally published in English, with some translated into French, where we had resources. A few were originally published in French, with English translations.

The book is organized into key themes that EvidenceNetwork experts have agreed to tackle —areas where we feel the evidence is not yet being fairly represented in media, policy and/or political circles, and where we feel we can make a contribution. Sustainability documents the challenges of affording the healthcare system Canadians want and need, and explores the way our health system gives us a competitive advantage internationally, and fleshes out optimized funding formulas that work for all regions of the country. Costs and Spending looks at remuneration systems and how they may differently incentivize those who work in the health domain in Canada, the relationship between health care dollars and healthcare quality, and how our health system contributes to a more equal society. This section highlights why healthcare costs so much and what parts of the system are eating up our healthcare dollars.

Pharmaceutical Policy looks at patent processes and access to affordable, quality medications, at the over-prescription of certain medications, and the relationship of pharmaceutical firms to health research, education and marketing. This section highlights the research suggesting why a national pharmacare program makes sense, and the health cost of affordable pharmaceutical drugs, as well as the variations of drug programs across the country — what’s working and what’s not. Private, For-Profit examines the evidence comparing private-for-profit delivery of healthcare with public delivery, and the problems which arise in those sectors that largely aren’t covered by our public healthcare system, such as prescription glasses or dental care.

Health is More than Healthcare details the important social determinants of health, such as the relationship between poverty and good health, home and food security, income distribution, chronic stress, discrimination in the health system and healthy parenting. Aging Population looks at the impact of our aging society on our health system, and does some myth busting on the so-called “aging tsunami,” as well examining the need for pension reform in Canada, and what path that might take. Mental Health, a new topic of focus for EvidenceNetwork this year, examines the relationship of chronic stress and health status. More will be done in this area by our experts in the coming months — stay tuned to our website. Also new is the section on Obesity, which looks at why traditional methods for combating the obesity epidemic have failed, and what works for those trying to change their lifestyle to healthier habits. We examine possible policy levers to help tackle obesity and look at weight-based discrimination and what can be done about it. Finally, in our Appendix A and B, we provide more details about the EvidenceNetwork project for those who wish to know more about us in detail.

Suggested Citation

O'Grady, Kathleen and Roos, Noralou and Brown, Robert L. and Bloch, Gary and Barer, Morris L. and Brownell, Marni D. and Cassels, Alan and Dhalla, Irfan and Di Matteo, Livio and Ford-Jones, Elizabeth and Frank, Cy and Gagnon, Marc-André and Law, Michael R. and Linden, Rick and Manson Singer, Sharon and Marchildon, Gregory P. and McCormack, James and Millar, John and Morgan, Steve and Repin, Nadya and Stukel, Therese and Sutherland, Jason and Tapp, Camilla and Turczak, Shannon and Wolfson, Michael C. and Friedman, Steven Morgan and Henry, David and Mou, Haizhen and Mathews, Maria and Grignon, Michel and Stergiopoulos, Vicky and Tsemberis, Sam and Hellsten, Erick and Chan, Ben and Meili, Ryan and Kratzer, Jillian and Juurlink, David and Allan, Mike and Sharma, Arya and Hwang, Stephen and Shnier, Adrienne and Lexchin, Joel and Goering, Paula and O'Campo, Patricia and Letourneau, Nicole and Joschko, Justin and Heymann, Jody and Lieberman, Trudy and Baxter, Sharon and Heyland, Daren and Groh, Arlene and Crump, R. and Kuk, Jennifer L. and Dhalla, Irfan, Making Evidence Matter in Canadian Health Policy (January 1, 2014). Available at SSRN: https://ssrn.com/abstract=2647050 or http://dx.doi.org/10.2139/ssrn.2647050

Kathleen O'Grady (Contact Author)

Simone de Beauvoir Institute, Concordia University ( email )

1455 de Maisonneuve Blvd. West
Montreal, Quebec H3G 1M8
Canada

HOME PAGE: http://www.kathleenogrady.com

Noralou Roos

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

Robert L. Brown

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Gary Bloch

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Morris L. Barer

University of British Columbia (UBC) - Centre for Health Services and Policy Research ( email )

#201-2206 Health Sciences Mall
Vancouver, V6T 1Z3
Canada
604-822-5690 (Fax)

Marni D. Brownell

University of Manitoba - Department of Community Health Sciences (CHS) ( email )

750 Bannatyne Ave
Winnipeg, R3E 0W3
Canada

University of Manitoba - Manitoba Centre for Health Policy ( email )

University of Manitoba Bannatyne Campus
Winnipeg
Canada

Alan Cassels

University of Victoria

3800 Finnerty Rd
Victoria, British Columbia V8P 5C2
Canada

Irfan Dhalla

Independent ( email )

No Address Available

Livio Di Matteo

Lakehead University ( email )

955 Oliver Road
Thunder Bay, Ontario P7B 5E1
Canada

Elizabeth Ford-Jones

University of Toronto - Department of Pediatrics

Toronto, Ontario M5S 3G8
Canada

Cy Frank

University of Calgary

University Drive
Calgary, Alberta T2N 1N4
Canada

Marc-André Gagnon

Carleton University - School of Public Policy and Administration

Ottawa, Ontario
Canada

Michael R. Law

University of British Columbia (UBC) ( email )

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

Rick Linden

University of Manitoba ( email )

501 F.A. Bldg
Winnipeg R3T 5V4, Manitoba R3T 5V5
Canada

Sharon Manson Singer

Simon Fraser University (SFU) - School of Public Policy ( email )

United States

Gregory P. Marchildon

University of Regina ( email )

3737 Wascana Parkway
Regina, Saskatchewan S4S OA2 S4S 0A1
Canada

James McCormack

University of British Columbia - Faculty of Pharmaceutical Sciences

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

John Millar

University of British Columbia (UBC)

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

Steve Morgan

University of British Columbia (UBC) - Centre for Health Services and Policy Research ( email )

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

Nadya Repin

University of British Columbia (UBC) - Centre for Health Services and Policy Research

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

Therese Stukel

Institute for Clinical Evaluative Sciences ( email )

Toronto, Ontario M4N M5
Canada

Dartmouth College - Dartmouth Institute for Health Policy and Clinical Practice ( email )

United States

University of Toronto - Department of Health Policy, Management and Evaluation ( email )

Toronto
Canada

Jason Sutherland

University of British Columbia - Centre for Health Services and Policy Research

2329 West Mall
Vancouver, British Columbia BC V6T 1Z4
Canada

Camilla Tapp

EvidenceNetwork.ca ( email )

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Shannon Turczak

EvidenceNetwork.ca ( email )

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

Michael C. Wolfson

EvidenceNetwork.ca

Dept. of Community Health Sciences
408-727 McDermot Avenue
Winnipeg, Manitoba R3E 3P5
Canada

University of Ottawa

65 Louise Pasteur Pvte
Ottawa, ON
Canada

Steven Morgan Friedman

Independent ( email )

No Address Available

David Henry

University of Toronto ( email )

Toronto, Ontario M5S 3G8
Canada

Haizhen Mou

Johnson-Shoyama Graduate School of Public Policy ( email )

College of Education
Saskatoon, Saskatchewan S7N 5A7
Canada

Maria Mathews

Memorial University of Newfoundland (MNU) ( email )

Faculty of Education
St. John's, Newfoundland A1B 3X5 A1C 5V3
Canada

Michel Grignon

McMaster University - Department of Economics ( email )

Hamilton, Ontario L8S 4M4
Canada

Vicky Stergiopoulos

University of Toronto ( email )

Toronto, Ontario M5S 3G8
Canada

Sam Tsemberis

Pathways to Housing ( email )

270 Broadway, Suite 301
New York, NY
United States

Erick Hellsten

University of Toronto ( email )

Toronto, Ontario M5S 3G8
Canada

Ben Chan

University of Toronto ( email )

Toronto, Ontario M5S 3G8
Canada

Ryan Meili

University of Saskatchewan ( email )

College of Education
Saskatoon, Saskatchewan S7N 5A7
Canada

Jillian Kratzer

University of British Columbia (UBC) - Centre for Health Services and Policy Research ( email )

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

David Juurlink

Sunnybrook Health Sciences Centre ( email )

2075 Bayview Ave
Toronto, OR
Canada

Mike Allan

University of Alberta ( email )

Edmonton, Alberta T6G 2R3
Canada

Arya Sharma

University of Alberta ( email )

Edmonton, Alberta T6G 2R3
Canada

Stephen Hwang

University of Toronto - Saint Michael's Hospital ( email )

30 Bond Street
30 Bond Street
Toronto, Ontario M5B 1W8
Canada

Adrienne Shnier

New York University (NYU) ( email )

Bobst Library, E-resource Acquisitions
20 Cooper Square 3rd Floor
New York, NY 10003-711
United States

Joel Lexchin

York University ( email )

4700 Keele Street
Toronto, Ontario M3J 1P3
Canada
+416-736-2100 x 22119 (Phone)
+416-736-5227 (Fax)

Paula Goering

University of Toronto ( email )

Toronto, Ontario M5S 3G8
Canada

Patricia O'Campo

University of Toronto ( email )

Toronto, Ontario M5S 3G8
Canada

Nicole Letourneau

University of Calgary ( email )

University Drive
Calgary, Alberta T2N 1N4
Canada

Justin Joschko

Freelance Writer ( email )

No Address Available

Jody Heymann

McGill University - Institute for Health and Social Policy ( email )

Charles Meredith House
1130 Pine Avenue West
Montreal, Quebec H3A1A3
Canada

Trudy Lieberman

City University of New York - CUNY School of Public Health at Hunter College ( email )

2180 Third Avenue
Room 524
New York, NY 10035
United States

Sharon Baxter

Canadian Hospice Palliative Care Association (CHPCA) ( email )

Annex D, Saint-Vincent Hospital
60 Cambridge Street North
Ottawa, ON K1R 7A5
Canada

Daren Heyland

Queen's University ( email )

Kingston, Ontario K7L 3N6
Canada

Arlene Groh

Independent ( email )

No Address Available

R. Crump

University of British Columbia (UBC) - Centre for Health Services and Policy Research

201-2206 East Mall
Vancouver, V6T 1Z3
Canada

Jennifer L. Kuk

New York University (NYU) ( email )

Bobst Library, E-resource Acquisitions
20 Cooper Square 3rd Floor
New York, NY 10003-711
United States

Irfan Dhalla

University of Toronto - Saint Michael's Hospital ( email )

30 Bond Street
30 Bond Street
Toronto, Ontario M5B 1W8
Canada

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