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Centre for Health Economics and Policy Analysis
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Centre for Health Economics and Policy Analysis

Welcome

CHEPA researchers have helped shape Canada’s health system for more than a quarter-century. They continue that tradition today, investigating pressing issues such as the relationship between doctors’ pay and health system costs; ethical concerns related to who gets what care and who has a say in it, and whether evidence supports the health decisions being made.

The centre was founded in 1988 by a group of health economics and health policy analysis pioneers -  Greg Stoddart, Jonathan Lomas, Roberta Labelle, David FeenyGeorge Torrance and Amiram Gafni - to be a multidisciplinary centre with research, teaching and service activities that provide timely and relevant evidence to inform policy-making at all levels of the health-care system.

It continues this tradition today, working at the intersection of the health and social sciences, evaluating how Ontario’s health system is performing and supporting the development of policies to enhance the system’s effectiveness and sustainability. Evidence about what works and what could be improved derives from the study of how well policies achieve their objectives and the consideration of values such as fairness and patient-centredness.

Using the tools of economics, sociology, political science and ethics, CHEPA researchers address issues such as:

  • Explaining and measuring the factors that cause social inequalities in health.
  • Finding the best ways to pay health-care providers and manage human resources to achieve higher quality and better outcomes for the money spent.
  • Researching the best methods for assessing new health technologies and treatments, as well as the social implications of these methods.
  • Assessing the roles of values and ethical considerations in health policy.
  • Using public and community engagement to learn about the health system.
  • Finding ways to support evidence-informed policymaking.

CHEPA’s knowledge exchange program, which uses multiple strategies for communicating and sharing information, ensures the knowledge generated through the work of its members is effectively communicated to health system decision-makers and other stakeholders. Collaboration with those who use the research ensures that CHEPA’s work meets the specific needs of these individuals and groups. Complementary initiatives, such as a rapid-response evidence service and training, enables health system leaders to identify and act on evidence and values in a timely way.

  • New book unravels Ontario’s health system

    Lavis book coverAre you puzzled about how the Ontario health system works? 

    You can find answers in a book edited by CHEPA associate director John Lavis, entitled Ontario’s Health System: Key Insights for Engaged Citizens, Professionals and Policymakers, which helps make the system more understandable to the citizens who pay for it and are served by it, the professionals who work in it (and future professionals who will one day work in it), and the policymakers who govern it. 

    The full book can be bought on Amazon.ca. (People outside Canada can find it at Amazon.com). If you are interested in particular topics (such as how money flows or how the primary care sector functions), individual book chapters are freely available by clicking here.  Adobe Reader is required to open the PDF pages.

    The book is divided into sections:

    Part 1 describes the ‘building blocks’ of the system, including who gets to make what decisions (governance arrangements), how money flows through the system (financial arrangements), and what and who make up the system’s infrastructure and workforce (delivery arrangements).

    Part 2 explains how these building blocks are used to provide:

    1. Care in each of six sectors – home and community care, primary care, specialty care, rehabilitation care, long-term care, and public health;
    2. Care for four conditions or groupings of conditions – mental health and addictions, work-related injuries and diseases, cancer, and end-of-life;
    3. Care using select treatments – prescription and over-the-counter drugs, complementary and alternative therapies, and dental services;
    4. Care for Indigenous peoples.
    Part 3 describes recent and planned reforms to the system and assesses how the health system is performing. 
    Full story

CHEPA Seminar Series

CHEPA sponsors a regular series of seminars during the academic year presented by invited speakers. For a schedule of future CHEPA seminars, click here.

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