A5064485665- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Canadian Identity and History
- Canadian Policy and Governance
- Global Health Workforce Issues
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare innovation and challenges
- Global Health Care Issues
- Indigenous Studies and Ecology
- Geriatric Care and Nursing Homes
- Public Health Policies and Education
- Global Public Health Policies and Epidemiology
- Healthcare Systems and Practices
- Healthcare Quality and Management
- American Environmental and Regional History
- Employment and Welfare Studies
- Health Policy Implementation Science
- Health disparities and outcomes
- Pain Management and Opioid Use
- Indigenous Health, Education, and Rights
- Healthcare cost, quality, practices
- Political and Economic history of UK and US
- Healthcare Systems and Reforms
- Healthcare Systems and Technology
- Social Policy and Reform Studies
University of Toronto
2016-2025
Public Health Ontario
2017-2023
Canadian Institute for Health Information
2021
European Observatory on Health Systems and Policies
2021
Fielding Graduate University
2021
University of London
2021
London School of Hygiene & Tropical Medicine
2021
Kinokuniya
2021
Cambridge University Press
2021
New York University Press
2021
Current pressures on public health systems have led to increased emphasis restructuring, which is seen as a potential solution crises of accessibility, quality, and funding. Leadership an important factor in the success or failure these initiatives. Despite its importance, leadership evades easy articulation, study requires thoughtful methodological approach. We used modified Delphi method Participatory Action Research (PAR) project Canada. Little has been written about combination with PAR....
This article provides a review and synthesis of scholarly knowledge Depression-era droughts on the North American Great Plains, time place known colloquially as Dust Bowl era or Dirty Thirties. Recent events, including 2008 financial crisis, severe in US corn belt, release popular documentary film, have spawned resurgence public interest Bowl. Events also proven recent years to be considerable scholars researching phenomena related global environmental change, atmospheric circulation,...
Primary care has proven to be extremely difficult reform in Canada because of the original social compact between state and physicians that led introduction universal medical insurance 1960s. However, past decade, provincial government Ontario way funding a suite primary practice models, some which differ substantially from traditional solo group physician practices based on fee-for-service payment. Independent evaluations show positive improvements patient care. Nonetheless, government's...
Around the world, rising health care costs are claiming a larger share of national budgets. This article reviews strategies developed to contain in systems Canada, England, France, and Germany 2000-10. We used comprehensive analysis reforms each country, compiled by European Observatory on Health Systems Policies. These countries rely number budget price-setting mechanisms costs. Our review revealed trends all four toward more use technology assessments payment based diagnosis-related groups...
This article maps current approaches to public reporting on waiting times, patient experience and aggregate measures of quality safety in 11 high-income countries (Australia, Canada, England, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland the United States). Using a questionnaire-based survey key national informants, we found that data most commonly made available are times for hospital treatment, being reported major hospitals seven countries. Information at level is...
This dissemination study examined the effectiveness of therapist-assisted Internet-delivered Cognitive Behavior Therapy (ICBT) when offered in clinical practice. A centralized unit screened and coordinated ICBT delivered by newly trained therapists working six geographically dispersed settings. Using an open trial design, 221 patients were 12 modules for symptoms generalized anxiety (n=112), depression (n=83), or panic (n=26). At baseline, midpoint post-treatment, completed self-report...
Integrated care is a goal of many health systems. However, operationalizing and implementing integrated remains challenging especially in continuously evolving policy environments. We report on symposium held 2017 focused particular the context evolution Ontario, Canada.Forty-five participants attended including government employees, leaders, researchers, clinicians, patient representatives. The included presentations from representatives each group breakout sessions. Two trained observers...
Abstract Long before the COVID‐19 pandemic, health‐care spending became a key policy issue across OECD. Comparing recent institutional trends in public financing three federal countries—Canada, United States, and Mexico—this article explores political struggles over fiscal federalism health care related to both vertical horizontal imbalances that can generate regional tensions pit subnational governments against one another and, especially, national government. Grounded historical...
Frail patients with dementia most frequently present musculoskeletal pain and mobility concerns; therefore, physiotherapy interventions for this population are likely to be of great benefit. However, physiotherapists who work older adults confront a considerable challenge: the communication impairments that characterize make it difficult assess determine its source. For an effective programme implemented, valid assessment is necessary. This paper intended provide practice guidelines among...
National responses to COVID-19 depend in part on national health care financing arrangements. Yet the pandemic itself has not only strained system capacity, it – through subsequent economic shocks revenue sources that prop up these In federal countries, fiscal pressures are particularly pronounced. As this paper argues, however, regimes differ ways shaping agenda for post-pandemic reforms. The analysis, which focuses three countries (Canada, United States, and Mexico), explores current...
Since the mid-twentieth century, shared goal of healthcare systems Canada and Netherlands has been to achieve broad access coverage for citizens despite their health system differences. However, rhetoric “state” control in “market” belies very different realities both countries. A longer historical perspective uncovers discrepancies between reality solidarity that emerged – still exists In Canada, universal is historically seen as an important cultural cornerstone be facilitated by state a...
Although the Canada Health Act (CHA) (1985) has largely achieved its original purpose over past 40 years, challenges facing Canadian health system today call for substantive updating and strengthening. This CHA 2.0 would recognize a major shift in primary care include as insured services providers beyond physicians. Other areas that should be addressed ensuring timely access to (with proposed guarantee) provisions greater transparency accountability. These improvements better through more...
Depression and anxiety are prevalent yet undertreated conditions. Therapist-assisted Internet-delivered cognitive behaviour therapy (ICBT) is efficacious for these conditions can serve to overcome barriers accessing mental health care (e.g., distance, time). In therapist-assisted ICBT, patients review behavioural treatment materials over the Internet. addition, providers offer support direction most commonly through weekly emails or phone calls. Despite evidence advantages of very few have...
To date, determinants of respiratory health in First Nations people living on reserves and means addressing redressing those have not been well established. Hence the Saskatchewan Lung Health Project (FNLHP) is a new prospective cohort study aboriginal being conducted two to evaluate potential associated with outcomes. Using population framework (PHF) Canada, instruments designed communities, joint ownership data, based 4-phase concept Regional Longitudinal Survey, project aims individual...
Regionalization is arguably the most significant health reform in Canada since medicare. Yet, lack of research on regionalization has meant that provincial governments are working from an extremely limited evidence base which to make critical decisions structuring systems Canada.