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Centre for Health Economics and Policy Analysis
Degroote

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.

  • The financial toll on patients and families of a cancer diagnosis

    Dr. Christopher Longo

    The results of a national study of the financial burden that cancer treatment puts on Canadian patients and families will were analyzed by CHEPA member Dr. Christopher Longo, Associate Professor of Health Policy and Management at McMaster’s Degroote School of Business, at a seminar on Wednesday, Jan. 15.

    The impact of a cancer diagnosis goes beyond the clinical and emotional complexities to include impacts on patient and family financial security, with those in low income populations or who lack private health insurance more severely affected.  Longo’s seminar, entitled A National study evaluating patient and family financial burden associated with cancer treatment in Canada” will describe the results of research that evaluated the financial burden experienced by 901 patients from BC (131) Alberta (113), Manitoba (134), Ontario (472), and “rest of Canada” (51), including 344 breast, 183 colorectal, 158 lung and 216 prostate patients, with an average treatment duration of 318 days.

    The research found that the financial cost of a cancer diagnosis nationally averages $2723 per month.  These results suggest an increase in Ontario of more than 200% in financial costs of a cancer diagnosis since 2003. Moreover, financial decisions to forego care appear to be high for a largely publicly funded healthcare system. 

    To view a video of this presentation, copy and paste this link into your browser:
    https://mcmaster.webex.com/recordingservice/sites/mcmaster/recording/playback/a98d0e7ef40f44a3be3e7aceb1f6e252

    Full story

CHEPA News

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CHEPA Seminar Series

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