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Research Details


Foundational Studies

Understanding the Gap: A Pan-Canadian Analysis of Prescription Drug Insurance Coverage, December 2017
The comprehensive analysis in this report describes the design of public programs for prescription drug coverage in Canada, and how their design in each province leads to widely varying out-of-pocket spending.

A Road Map to Health System Sustainability: CASHC Compendium Report, 2011–16, May 2017
This report summarizes the activities and contributions of the Canadian Alliance for Sustainable Health Care (CASHC) in its first mandate, and sets a framework within which CASHC will function in coming years. 

Inclusive Growth: A New Approach to Economic Evaluation of Health Policy, March 2016
This report discusses the OECD’s “inclusive growth” methodology, developed to evaluate policies based on their effects on aggregate living standards. This entails constructing an index of living standards that incorporates income, life expectancy, unemployment rates, and inequality. Unlike many indexes of well-being, the weighting between factors is based on willingness to sacrifice income to achieve a benchmark life expectancy and unemployment rate.

Defining Health and Health Care Sustainability, July 2014
Canadian health care costs are soaring and major reforms are needed to preserve and improve the quality of health care. This report develops a sustainability framework with guiding principles and key factors deemed essential to support sustainable health care.

Health Care in Canada: An Economic Growth Engine
This series looks at health care as an important driver of economic growth—a perspective that is often overlooked. It conducts economic impact analyses measuring health care spending’s contribution to economic growth, employment, and government revenues in Canada. It also sheds some light on an emerging area in international health trade—medical tourism—and looks at how this might contribute to sustaining Canada's health care systems.

Canadian Views on the Health and Health Care System: Results of an EKOS Survey

The Inconvenient Truths About Canadian Health Care, November 2012

The Canadian Health Care Debate: A Survey and Assessment of Key Studies, May 2012
A review of the 18 major Canadian studies on how to reform health care identifies 432 recommendations that fall into seven broad themes—with more than half dealing with system management processes, and funding and financing.

Who’s Doing What in the Canadian Health System: A Selected List of Research Organizations, January 2012


Population Health

Community Wellbeing: A Framework for the Design Professions, July 2018
A literature review, interviews, and case studies inform the development of the new Framework for Community Wellbeing, a collaborative research project between DIALOG and The Conference Board of Canada.

In Brief: Community Wellbeing for Design Professionals, July 2018
A literature review, interviews, and case studies inform the development of the new Framework for Community Wellbeing, a collaborative research project between DIALOG and The Conference Board of Canada.

Absent Without Leaving: The Economic Impact of Early, Optimized Treatment for Depression, January 2018
This briefing examines the health care and economic impact of early, optimized treatment for patients with depression using specific ways to increase access to optimal treatment.

Managing Mobility: Transportation in an Aging Society, October, 2016
Canada's population is aging rapidly, creating more pressing transportation challenges and risks. This briefing discusses some key challenges and opportunities for improving transportation policy for seniors.;

Moving Ahead: Reducing Inactive and Sedentary Behaviour 
The majority of Canadians are inactive and sedentary most of the time. This series of three briefings identifies cost-effective, scalable, and sustainable interventions to promote and improve healthy active living among Canadians. It emphasizes the importance of limiting the number of waking hours spent in a sedentary state and outlines the criteria that decision-makers can use when planning strategies and programs to promote physical activity and deter excessive sedentary behaviour.

Améliorer les habitudes de vie : des retombées importantes pour la santé et l’économie du Québec, November 2014
Cette étude évalue l’impact économique et sanitaire d’une réduction de la prévalence au Québec des maladies chroniques et des facteurs de risque qui leur sont associés.

Reducing the Health Care and Societal Costs of Disease: The Role of Pharmaceuticals, July 2013
This report uses the experience of Ontario to better understand the impact of pharmaceutical innovation on health care costs and on other costs of disease borne by society such as productivity losses due to disease.

Health Matters: An Economic Perspective, February 2013
The collective health of Canadians impacts the sustainability of the health care system as well as the country’s economic performance. Measures must be taken to mitigate the potentially negative effects of an aging Canadian population


The Functioning of the Health Care System

Organization Design, Alignment, and Performance

Health Technology Assessment in Canada: Opportunities for Optimization and Redesign, July 2017
This report shines light on the contemporary health technology assessment (HTA) landscape in Canada and documents the challenge of HTA functions. Comparison with the U.K. and Germany reveals potential lessons for Canada.

“Lean” in Canadian Health Care
This series introduces “Lean,” a relatively new approach that focuses on maximizing customer value by eliminating “waste” from workflow. Lean empowers employees to redesign their own work processes and create a culture of everyday problem solving. A review of Lean in Canadian health care shows that—although Lean is effective in addressing clinical, operational, and experiential value—its application to date is limited with modest investment by health regions.

Family Doctor Incentives: Getting Closer to the Sweet Spot, April 2014
This briefing addresses the question: What is the best way to pay family doctors to get the best patient outcomes? It offers a number of guiding principles that should help policy-makers move closer to achieving the right incentive blend that will improve the quality of health care.

Future Care for Canadian Seniors
To provide for the future care needs of today’s and tomorrow’s seniors, we must invest our increasingly scarce health dollars in the right type and mix of services. This primer provides information on numbers, health conditions, and care for seniors. It also highlights the pressing implications a rising number of Canadian seniors who need continuing care supports will have on public spending, the labour market, and institutional infrastructure.

Improving Value in Hospitals Through Process Management, March 2013
Using five case studies, the report demonstrates how process management techniques, which have been used successfully in other sectors, can improve health care outcomes and reduce costs in Canada.

Home and Community Care in Canada: An Economic Footprint, May 2012
This report estimates the economic footprint of home and community care in Canada, highlighting the implications of caregiving employees for businesses, and shedding light on the potential spending implications of shifting some care from institutions to homes.

Health Care Service Delivery and Spectrum of Care

Palliative Care Matters: Fostering Change in Canadian Health Care, May 2017
This report synthesizes the key themes of the recommendations developed through the Palliative Care Matters initiative, provides insights on the strategies that could be adopted, and identifies next steps.

Reducing Cardiovascular Disease in Canada: The Impact of PCSK9 Inhibitors in High-Risk Populations, April 2017
This report examines the savings generated by increasing access to a new medication category—proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i)—which effectively manages dyslipidemia (high cholesterol) in two populations at high risk for cardiovascular disease.

Getting the Most Out of Community Pharmacy: Recommendations for Action, April 2017

This briefing focuses on the policy and practice implications for getting the most out of community pharmacy and elaborates on the guiding principles from a research, program, and policy perspective. 

The Value of Expanded Pharmacy Services in Canada, April 2017
The scope of pharmacy services has expanded in many Canadian jurisdictions in recent years. This report estimates the health and economic impact of three community pharmacy services that have the potential to be expanded. The Economic Burden of Pneumonia in Canada: A Status Quo Forecast, April 2017
This briefing estimates the future economic burden of pneumonia in Canada up to 2025 for the population aged 65 and over. The Market Profile of Physiotherapists in Canada, March 2017
This briefing—the second in a series of three that explores the role, value, and potential of physiotherapy services—aims to present a profile of the physiotherapy market in Canada and quantify the demand and supply of physiotherapy services. The Role of Physiotherapy in Canada: Contributing to a Stronger Health Care System, March 2017
This report—the first in a series of three that explores the role, value, and potential of physiotherapy services—aims to provide an understanding of the role of physiotherapy in the health care system and provides a review of various areas of practice. Value of Consumer Health Products: The Impact of Switching Prescription Medications to Over-the-Counter, March 2017
This report examines the economic impact of switching three categories of drugs from prescription to over the counter, and the impact on stakeholders including private insurers, individuals, employers, and the health care system. The Value of Radiology in Canada, January 2017
Radiology is an integral component of the health system. This report presents a framework for better establishing the value of radiology in improving population health and the health care system. Paving the Road to Higher Performance: Benchmarking Provincial Health Systems, May 2013
The results are in. See what the Conference Board’s benchmarking report reveals about the overall health of Canadians and the state of provincial health systems.

Improving Primary Health Care Through Collaboration
This series of four aims to provide an analysis of the impact of inter-professional teams on the Canadian primary health care system.

Measuring Success: A Framework for Benchmarking Health Care System Performance, September 2012
This report discusses the benefits, process, and methods of benchmarking, and offers sample benchmarking frameworks.

Financing

The Implications of Taxing Employer-Paid Health and Dental Benefits, February 2017
This report summarizes the presentations and discussion from the first Healthy Canada conference—Financial Models and Fiscal Incentives in Health and Health Care—organized by the Canadian Alliance for Sustainable Health Care. 

Financial Models and Fiscal Incentives: Proceedings From the Healthy Canada Conference, June 2016
This report summarizes the presentations and discussion from the first Healthy Canada conference—Financial Models and Fiscal Incentives in Health and Health Care—organized by the Canadian Alliance for Sustainable Health Care. 

Improving Access to Canadian Health Care: The Role of Tax Policies, May 2016
This research assesses several Canadian fiscal and tax policies related to health care. It examines their role in providing access to uninsured or underinsured health care services, and their costs in terms of foregone federal revenues.  

Funding Canadian Health Care in 2035: Strategic Foresight Scenarios, March 2016
Based on two key drivers—technology uptake and funding expectations—this briefing lays out four divergent funding scenarios for 2035 and considers how a Canadian health care strategy might be shaped within the context of each of these futures.

Ontario's Economic and Fiscal Prospects: Challenging Times Ahead, February 2012
This report looks at Ontario’s fiscal challenges—in particular, the challenges to maintaining a public health care system at a time of deficits and growing demand


Workplace Health and Wellness

Absent Without Leaving: The Economic Impact of Early, Optimized Treatment for Depression, January 2018
This briefing examines the health care and economic impact of early, optimized treatment for patients with depression using specific ways to increase access to optimal treatment.

Multiple Sclerosis in the Workplace: Supporting Successful Employment Experiences, May 2016
This report provides a high-level understanding of the MS experience in Canada as it pertains to employment issues, and describes the relative success of treatments and strategies to mitigate the impacts of the disease in the workplace.

Healthy Brains at Work

This four part research series explores the importance of addressing mental health and mental illness in Canadian workplaces. The first briefing synthesizes what we know about mental illness in the workplace, and why employers should address this burden through evidence-based programs and treatments. The second briefing explores the extent to which employers are leveraging resources and tools and providing appropriate supports. 

Disability Management in Practice—Case Studies
This series of case studies features organizations and their absence and disability management practices.

Disability Managment: Opportunities for Employer Action, October 2013
This report offers the perspectives of employees and supervisors on their organizations’ disability management programs, and provides employers with advice and guidance on how to manage absenteeism more effectively.

Creating an Effective Workplace Disability Management Program, October 2013
Effective and comprehensive workplace disability management programs can help employers control health-related costs. This briefing provides a framework that employers can use to design an effective disability management program.

Missing in Action: Absenteeism Trends in Canadian Organizations, September 2013
What is the cost of absenteeism in Canadian organizations? This briefing discusses the topic in detail, and notes that less than half of Canadian organizations currently track employee absences.

Smoking Cessation and the Workplace
This series focuses on smoking in the workplace. It discusses why employers have a role in an integrated approach to smoking cessation programs.

Making the Business Case for Investments in Workplace Health and Wellness, June 2012
This report provides organizations of all sizes with guidance on how to demonstrate the positive impacts of their investments in health and wellness initiatives.


Other CBoC Health Research

Absent Without Leaving: The Economic Impact of Early, Optimized Treatment for Depression, January 2018
This briefing examines the health care and economic impact of early, optimized treatment for patients with depression using specific ways to increase access to optimal treatment.

Value of Physician Assistants
This series aims to better understand the rule and impact of Physician Assistants (PAs) in various health care settings across Canada, as well as to review funding and payment models that have enabled the successful and sustainable integration of PAs into health systems.

Health Technology Assessment in Canada: Opportunities for Optimization and Redesign, July 2017
This report shines light on the contemporary health technology assessment (HTA) landscape in Canada and documents the challenge of HTA functions. Comparison with the U.K. and Germany reveals potential lessons for Canada.

The Transformation of the Health System: The Critical Role of Boards of Directors, March 2017
This briefing examines the important role that governance plays in health care transformation by researching the governance systems in three provinces (Alberta, British Columbia, and Ontario) that have taken distinct approaches to health care governance.

Adopting Health Care Innovations in Quebec: Suggested Alternative Models, March 2017
This report surveys the existing supply arrangements for Quebec's health care delivery system, and recommends a shift from the current cost-based system to one that is value-based.

City Health Monitor, December 2016
Find out which cities place well in the latest City Health Monitor. This briefing discusses the key findings for 10 Canadian metropolitan areas.

Is the Budget Balance Fragile or Robust? Quebec Faces Health Funding Challenges, July 2016
The Government of Quebec is currently enjoying a balanced budget, but is it sustainable? To access the strength of the current budget balance, the IdQ analyzed various forward-looking budget scenarios. This publication includes an English Executive Summary, followed by a French version of the full report.

Specialty Medications: Background Information for Employers, July 2016
The first in a research series to provide insight into the impact of specialty medications on private drug plan management, this briefing defines what is meant by a specialty medication, explains the significance of these medications for employees and employers, highlights barriers that can prevent employees from accessing specialty medications, and provides high-level strategies that employers can use to manage the impact of specialty medications on benefit plans.

A Review of Pharmacy Services in Canada and the Health and Economic Evidence, February 2016
The first in a three-part research series, this report examines expanded scope of pharmacy services in within a community pharmacy setting, as well as the impact of these services on the health and well-being of Canadians and the sustainability of our health care system. It highlights both current evidence and potential opportunities to increase health and sustainability outcomes. 

A Difficult Road Ahead: Canada's Economic and Fiscal Prospects, August 2014
The provinces will have to make substantial cuts to spending outside of health and education in order to balance their books. Even after the provinces return to balance, they will have to retain tight control on spending growth, the result of slower expected revenue growth due to an aging population.

The View: Perspectives on Chronic Disease Prevention and Management
This inaugural issue of The View features four articles that spotlight individual and population initiatives focused on self-management of chronic disease prevention and management.

CASHC Brochure

CASHC Brochure Download the CASHC brochure (PDF)

Recent Events and Meetings

November 21, 2018
Sheraton Toronto Centre Hotel, 123 Queen Street West, Toronto, Ontario

National Pharmacare Initiative Summit

November 22, 2018
Sheraton Toronto Centre Hotel, 123 Queen Street West, Toronto, Ontario

Integrating for Outcomes: Scaling Digital Solutions Across the Health and Health Care System

March 26, 2018
MaRS Discovery District, CR3 Room, 101 College Street, Toronto, Ontario

Spring 2018 Conference

Healthy Canada Conference 2018: Personalized Health and Wellness
March 27 and 28, 2018 | Toronto, Ontario

Previous Healthy Canada conferences:

Infographic

Canada’s Seniors Population Projection Data Visualization