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Advancing Public Health Services Research in Canada: A National Research Agenda

This project aims to identify and prioritize research in public health services in Canada, establishing a national network of researchers, practitioners, and decision-makers to enhance the public health sector. The study involves a comprehensive literature review and a brainstorming survey to compare research priorities across five countries. Findings from the project will be presented at a national think tank and further disseminated to engage the Canadian public health community.

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Advancing Public Health Services Research in Canada: A National Research Agenda

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  1. Developing a Research Agenda for Public Health Services in Canada Marjorie MacDonald, Trevor Hancock, Gilles Paradis, Anita Kothari

  2. Funders • Canadian Institutes of Health Research • Ontario Agency for Health Promotion and Protection • BC Centre for Disease Control • Public Health Agency of Canada • CIHR Applied Public Health Chair Awards to MacDonald and Paradis • University of Western Ontario

  3. Background • A series of PH Emergencies in Canada (SARS, tainted blood scandal, Walkerton water contamination) • Dessimated Public Health Infrastructure • Need identified to define Core Functions of PH • Need to renew and reform PH Systems • Renewal process initiated across the country

  4. Background • Core Functions Framework developed in BC • Interdisciplinary team of researchers and decision makers created with infrastructure funding • Think Tank held to develop PHSR priorities • Leveraged $3M for research 2006-2011 • Challenges in convincing funders to support PHSR – falls through funding agency cracks

  5. System Capacity/Infrastructure Legislation, funding, education and training, information systems, research, planning, performance management etc

  6. Purpose of Project • To expand PHSR agenda to national level • To identify PHSR research priorities in Canada • Establish consensus on agenda • Develop a strategic plan to advance the agenda • Develop a national network of PHSR researchers, practitioners and decision makers

  7. Plan • National Think Tank in May 2011 • Funded by CIHR • Broad range of Canadian participants • International experts in PHSR – US and UK • Preparatory work – a comprehensive literature review and “brainstorming survey”

  8. Purpose of Presentation • To present preliminary findings of literature search and survey • To compare PHSR priorities across 5 countries based on literature

  9. Literature Review Purpose • Identify work being done to define PHSR, scope, potential, benefits • Nature of PHSR being done in Canada • Identify PHSR priorities in the 5 countries under review (Can, US, UK, NZ, Aus)

  10. Review Methods • Comprehensive search strategy using keyword searches in major databases, hand searching relevant journals, gray literature internet searches, key website searchers, reference lists of key articles • 1000 articles identified, coded, and abstracted

  11. Article Types TYPE Empirical Theoretical Review Opinion/Editorial Report TOTAL Can US UK NZ Aus • 201 15 2 11 • 230 23 5 12 • 101 19 3 9 • 107 13 9 14 8 54 2 1 0 88 593 72 20 46

  12. PHSR Priorities Priority Partnerships PH Infrastructure EB Practice Policy/Legislation Health Disparities Ph Workforce PH Performance Core Functions Can US UK NZ Aus 2616919 3 8 24122 10 59 21 82 21 3 13 21 121 24514 19 95 20715 15 14715 4 8 • 155 10 7 4 9 124 9 2 8

  13. Brainstorming Survey • Developed brief 10 minute online survey based on priorities identified in preliminary literature review • Not intended to be a population-based representative sample • Distributed widely through a variety of public health listserves across the country • N=338

  14. Respondent Position

  15. Work Level

  16. Familiarity with Concept PH Systems/services PH Research PH Systems/services research Mean Min Max St. Dev 7.8 1 10 1.95 6.7 1 10 2.10 5.8 1 10 2.32

  17. Familiarity with PHSSRby Employment Category Academics Practitioners Managers/Admin Policy Makers Policy Analysts Consultant Other Mean Min Max St. Dev 7.0 2 20 1.96 5.3 1 10 2.27 5.4 1 10 2.38 6.2 2 10 1.95 6.1 2 10 2.06 6.1 1 10 2.08 5.9 1 10 2.08

  18. PHSR Priorities

  19. Priorities by Job Category Academics Priority % EB Practice 30.7 PH Performance 30.7 Health Disparities 30.7 PH Infrastructure 24.9 Partnerships 20.5 Practitioners Priority % EB practice 35.5 PH Performance 28.3 PH Infrastructure 27.5 Core Functions 21.7 PH Workforce 16.7

  20. Priorities by Job Category Managers/Admin Priority % PH Performance 35.7 PH Infrastructure 29.6 Core Functions 24.5 EB Practice 22.4 Health Disparities 19.4 Policy Makers Priority % EB practice 35.3 PH Performance 31.4 PH Infrastructure 23.5 Core Functions 23.5 PH Workforce 19.6

  21. Priorities by Job Category Policy Analysts Priority % Health Disparities 30.0 EB Practice 26.0 Core Functions 22.0 Partnerships 22.0 Policy/Legislative 22.0 Development Consultants Priority % Health Disparities 30.4 Assess/Surveillance 25.0 EB Practice 23.2 PH Infrastructure 21.4 Partnerships 21.4

  22. Next Steps • Complete literature synthesis • Hold National Think Tank, Montreal May 2011 • Hold workshop at CPHA conference in June to engage a broader audience and expand our fledgling network • Report preliminary agenda to Canadian PH community and seek feedback/confirmation • Work with funders to develop strategic RFPs for PHSR research

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