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 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...
Rapid technological advances in genetics and genomics
hold promise for the diagnosis, treatment and even
prevention of common and rare diseases. Nevertheless,
they also raise concerns regarding their potential
impacts on health systems, which has led many
countries to reflect on the optimal models to coo...
An assessment of what is is known about problems related to expanding the uptake of hospital-based tobacco-use cessation supports, options for addressing these problems, and key implementation considerations. The evidence brief was an input to a stakeholder dialogue on the topic of expanding the uptake o...
The health of the aging population has been identified as a high priority for the province of Ontario and has become one of the province’s most pressing health and social policy issues.(1) In addition, healthcare expenditures in Ontario now exceed 46% of the provincial government’s annual budget.(2) ...
The lack of health system decision-maker engagement in
supporting comprehensive chronic pain management in
provincial and territorial healthcare systems in Canada
can be understood by considering four sets of
interrelated issues: 1) lack of awareness of chronic pain;
2) lack of awareness of limitations i...