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Centre for Health Economics and Policy Analysis

Centre for Health Economics and Policy Analysis


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.

  • CHEPA members to evaluate the economics of a Canadian paramedic-led model of palliative care in the home

    A team of CHEPA members (Jean-Éric Tarride, Michel Grignon, Hsien Seow, Feng Xie and Gordon Blackhouse) has been selected by the Canadian Partnership Against Cancer (CPAC) to conduct an economic evaluation and a budget impact analysis of a program that trains paramedics to provide palliative care in the homes of Canadians requiring urgent palliative services.
    The program, entitled “Paramedics and Palliative care: bringing vital services to Canadians” will run until spring, 2022. It is led by a partnership between CPAC and the Canadian Foundation for Healthcare Improvement (CFHI), which are jointly providing up to $5.5 million to expand access to paramedics trained in providing palliative and end-of-life care to people in their homes.

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  • Kapiriri, Schwartz receive new CIHR grants

    Lydia KapiririCongratulations to CHEPA members Lydia Kapiriri and LisaLisa Schwartz Schwartz, who have been awarded new grants by the Canadian Institutes of Health Research (CIHR).
    Lisa Schwartz is co- Principal Investigator, with Dr. Melissa Parker of McMaster’s Department of Pediatrics, on a project awarded a $100,000 CIHR Catalyst grant for Patient-Oriented Research for a study entitled “Circle of Emotions: Refining a Novel Emoji-Based Tool to Measure Children's Experiences.”

    Lydia Kapiriri is Principal Investigator on a project entitled “Reaching "last mile" adolescent populations to support equitable sexual and reproductive health and rights in Uganda” which has been awarded a $20,000 CIHR Planning and Dissemination grant.

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To read the CHEPA newsletter, click here.

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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