Ontario has both a health system and a research system that are increasingly aiming to support rapid learning and improvement. Yet, Ontario's health system still faces complex challenges, such as reducing emergency-room wait times, ending hallway medicine, improving support for people with mental health ...
The 14 jurisdictions include one federal/national/panCanadian jurisdiction, 10 provincial jurisdictions, and three
territorial jurisdictions. The first of these jurisdictions
includes both areas of federal government responsibility for
providing healthcare – most notably for Indigenous peoples,
militar...
Optimizing clinical practice based on data, evidence and
guidelines is a challenge faced in every health system
around the world. The way the challenge manifests
itself at the level of the patient has been remarkably
consistent over time: tough decisions made at the
intersection of clinical expertise, pa...
A gap exists in efforts to support the use of research
evidence between ‘self-serve’ approaches such as ‘one-stop
shops’ for research evidence (e.g., Health Systems
Evidence – www.healthsystemsevidence.org) and ‘fullserve’ approaches such as convening stakeholder dialogues
with health-syste...
This evidence brief and the stakeholder dialogue it was
prepared to inform were designed to guide the actions of
those involved in strengthening public and patient
engagement in HTA in Ontario. In this section of the
brief, we propose key definitions to ensure a common
conceptual understanding. We also h...
This evidence brief mobilizes both global and local
research evidence about a problem, three elements of a
comprehensive approach for addressing the problem,
and key implementation considerations. Whenever
possible, the evidence brief summarizes research
evidence drawn from systematic reviews of the rese...
Managing multiple medical conditions is part of the daily
life of a growing number of Ontarians. As Fortin et al.
observed, “patients with multiple conditions are the rule
rather than the exception in primary care.”(2)
Multimorbidity (living with three or more medical
conditions) has attracted signif...
Over the past three decades, Canada has made
substantial progress in reducing the national rate of
avoidable mortality (deaths that could potentially have
been avoided through disease prevention or
healthcare services). In fact, the national avoidable
mortality rate has decreased by half – from 373 per...
Effective pandemic governance is more important now than
ever as pandemic risk factors like urbanization, the
hypermobility of persons, trans-border trade, rapid
population growth and changes to the environment and
food systems all increase in tandem with the demands of
globalization.(1) These transforma...