Research Knowledge & Innovation:Government as Receptor

Tai HuynhSenior Fellow,

Centre for Innovation in Complex CareUniversity Health Network

“The less people know about how laws and [ ] are made, the better they'll sleep at night.”

Otto von Bismarck

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“The less people know about how laws and sausages are made, the better they'll sleep at night.”

Otto von Bismarck

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The Quality & Patient Safety Agenda in Ontario

2004 The Canadian Adverse Events Study

(“Baker/Norton” study)

2004-2006

Local and grassroots efforts to improve quality and safety

2007-2010

Public reporting of HSMR nationally (2007), mandatory patient safety reporting in Ontario (2008)

2010 + Excellent Care for All Act

Evidence and Policy-Making

“[Policy-makers] considered peer-reviewed research, along side grey literature, raw data (in their tabular presentation), the actions or programs in other jurisdictions, the views of experts or expert advisory committees, and opinion polls to form the core components of evidence for policy.

For researchers and, to a lesser extent, for evidence-based medicine proponents, the word evidence is synonymous with research, whereas for these civil servants, evidence is more synonymous with data, analysis, or investigation.”

Lomas and Brown, Milbank Quarterly 2009

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Case Study: Baker/Norton

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Impact of Baker/Norton:Knowledge Translation

Publication downloaded 25,000 times within first 4 days of publication, largest ever in CMAJ history

More than 28 newspaper stories, 47 radio items and 19 TV news items about the study

Large number of stakeholders (government officials, healthcare providers, researchers, etc.) attended forums and webcasts in 2002, 2003 and 2004

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Ministry of Health: Knowledge Receptor

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Source: Lomas and Brown, Milbank Quarterly 2009

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Source: Legislative Assembly of Ontario, Debates Transcript (Hansard) from May 30, 2004

Impact of Baker/Norton:Healthcare Policy (Politics)

“What Ministers call 'evidence' is what they get from their constituents.”

Petticrew et al. 2004

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Source: Legislative Assembly of Ontario, Debates Transcript (Hansard) from May 30, 2004

delisting

Impact of Baker/Norton:Healthcare Policy (Politics)

Last Wednesday, I attended a rally in my riding about delisting OHIP services…

they're shocked that the government didn't think about how the delisting of essential health care services would affect the daily lives of real people like them before they

grabbed the money.(Ernie Hardeman, MPP)

“An analysis by CIHI of the perceptions of major news events in that period discovered that despite the large number of media stories across the country, few Canadians knew much about the adverse events study and its results.”

Baker et al., Healthcare Policy, 2006

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Impact of Baker/Norton:The Mainstream

Amplification of Research Knowledge & Innovation

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Researchersresearch

RCTs

public opinionadvocacy

human stories

grey literatureraw data

inter-jurisdictional precedentsexpert opinion

Civil Servants

Politicians

policy wonksmainstream

Thank You!

Tai HuynhSenior Fellow

Centre for Innovation in Complex CareUniversity Health Networktai.m.huynh@gmail.com

www.thecicc.com

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