Research Knowledge & Innovation:
Government as Receptor
Tai Huynh
Senior Fellow,
Centre for Innovation in Complex Care
University Health Network
2
“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
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
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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
Source: Lomas and Brown,
Milbank Quarterly 2009
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Impact of Baker/Norton:
Healthcare Policy (Politics)
Source: Legislative Assembly of Ontario, Debates Transcript (Hansard) from May 30, 2004
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“What Ministers call 'evidence' is what they get
from their constituents.”
Petticrew et al. 2004
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Impact of Baker/Norton:
Healthcare Policy (Politics)
delisting
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)
Source: Legislative Assembly of Ontario, Debates Transcript (Hansard) from May 30, 2004
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Impact of Baker/Norton:
The Mainstream
“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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Amplification of Research Knowledge & Innovation
mainstream
Politicians
public opinion
advocacy
human stories
Civil Servants
grey literature
raw data
inter-jurisdictional precedents
expert opinion
policy wonks
Researchers
research
RCTs
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Thank You!
Tai Huynh
Senior Fellow
Centre for Innovation in Complex Care
University Health Network
tai.m.huynh@gmail.com
www.thecicc.com