Conference: Health Services Restructuring: New Evidence and New Directions

Organized by:
Centre for Health Services and Policy Research, Queen's University
Institute for Research on Public Policy, Montreal
John Deutsch Institute for the Study of Economic Policy, Queen's University
School of Policy Studies, Queen's University

November 17-18, 2005

The principal objective of the conference is to shift debate away from polemical and polarizing discussion and to help focus instead on using the tools of economics and empirical analysis to examine specific structural innovations in order to better understand what effects they may have and to help identify what works and what doesn't. The unifying theme of the conference will be the role of evidence on health policy and service delivery.

Note: The papers downloadable for this conference are preliminary and incomplete and should not be quoted without permission of the author(s).

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  Conference Schedule

Conference Schedule

Day 1: Thursday, November 17, 2005
(Policy Studies Building, Conference Room 202, Queen's University)

12:00 p.m.     Registration and Buffet Lunch

1:00 - 3:00 p.m.    Session I: Health Care Reform
                           Chair: Michael Decter, Health Council of Canada "Remarks"

        "Policy Instruments and Health Reform: The Role for Evidence?" (Pierre-Gerlier Forest, Health Canada)

        "Regionalization and Health Services Restructuring in Saskatchewan" (Greg Marchildon, University of Regina)

        "The Effects of De-listing Publicly Funded Health Care Services" (Mark Stabile, University of Toronto and Courtney Ward, University of Toronto)

        "The Demand for Private Health Insurance in Alberta in the Presence of a Public Alternative" (Herb Emery and Kevin Gerrits, University of Calgary)

Discussant: Tom McIntosh, Canadian Policy Research Networks, University of Regina "Remarks"

3:00 - 3:15 p.m.     Coffee Break

3:15 - 4:45 p.m.     Session II: Pharmacare
                           Chair: Robyn Tamblyn, McGill University "Remarks"

        "The Equity Impact of Income-Based Pharmacare" (Steve Morgan, University of British Columbia)

        "Drugs for Rare Diseases: Paying for Innovation" (Aidan Hollis, University of Calgary)

        "Effectiveness of Reference Drug Programs and Policy Implications" (Sebastian Schneeweiss, Harvard University)

Discussant: Wayne Critchley, Former Executive Director, Patented Medicine Prices Review Board "Remarks"

4:45 - 5:15 p.m.     Break

5:30 - 7:00 p.m.     Duncan Sinclair Lecture (Etherington Auditorium)
                            Introduction by Sam Shortt, Centre for Health Services and Policy Research, Queen's University

        "Deliberative Processes and Evidence-Informed Decision-Making in Health Care" (Tony Culyer, Institute for Work and Health, Toronto; and University of York, England)

        Thanks by Arthur Sweetman, School of Policy Studies, Queen's University

7:00 - 7:45 p.m.    Sinclair Lecture Reception (Queen's University Club)

7:45 p.m.     Conference Dinner (Queen's University Club)

Day 2: Friday, November 18, 2005
(Policy Studies Building, Conference Room 202, Queen's University)

8:00 - 8:30 a.m.     Continental Breakfast

8:30 - 10:30 a.m.     Session III: Issues in the Delivery of Health Care: Health Human Resources and Regionalization
                              Chair: Tom Ward, The Ward Group "Remarks"

        "Barriers and Solutions to Implementation Strategies to Improve Health Human Resource Models in Canada" (Martine Durier-Copp, Dalhousie University and Dominika Wranik, Dalhousie University)

        "The Impact of Implementing Managed Competition in Home Care Workers' Turnover Decisions" (Margaret Denton, McMaster University; Isik Urla Zeytinoglu, McMaster University; Sharon Davies, McMaster University; and Danielle Hunter, McMaster University)

        "An Empirical Analysis of Health Care Access in Canada" (Lori Curtis, University of Waterloo)

        "Causes and Consequences of Regional Variations in Health Care Resources in Ontario" (Therese Stukel, Institute for Clinical Evaluative Sciences)

Discussant: Peter Glynn (Queen's University) "Remarks"

10:30 - 11:00 a.m.    Coffee Break

11:00 - 12:30 p.m.     Session IV: Panel: The Chaoulli Decision and Health Care Reform
                              Moderator: Graham Scott, McMillan Binch Mendelsohn LLP

        Panelists include: Frank Fedyk (Health Canada), Claude Forget (McGill University Health Centre), Antonia Maioni (McGill University), Bill Tholl (Canadian Medical Association) (15 minutes each speaker)

12:30 - 1:30 p.m.     Buffet Lunch

1:30 - 3:30 p.m.     Session V: Public Health
                            Chair: David Mowat, Public Health Agency of Canada

        "The Economics of Obesity: Research and Policy Implications from a Canada-U.S. Comparison" (Lisa Powell, University of Illinois at Chicago and M. Christopher Auld, University of Calgary)

        "Sextant? Chronometer? Are We Equipped to Chart the Course of Health Services Restructuring?" (Robert James, Aechidna Health Informatics and Manya Sadouski)

        "A New Decision-Making Framework for the Prioritization of Health Technologies" (Ana P. Johnson-Masotti, Queen's University and Kevin Eva, Queen's University)

        "Planning for the Next Pandemic Threat: Defining the Federal Role in Public Health Emergencies" (Harvey Lazar, Queen's University and University of Victoria and Kumanan Wilson, University of Toronto)

Discussant: Duncan Hunter, Queen's University "Remarks"

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Conference Information

Conference to be held at the Policy Studies Building, Conference Room 202, Queen's University (which is on Union Street). The Duncan Sinclair Lecture will be in the Etherington Auditorium which is in Etherington Hall (which is on Stuart Street).

Conference registration fee is $250.00*, plus GST, payable to the John Deutsch Institute (GST Registration #R107868705). Registration is limited so please register early.

*A special rate will apply for academics.

Please make cheque payable to the John Deutsch Institute and mail to: Sharon Sullivan, John Deutsch Institute, Queen's University, Dunning Hall, Room 216C, Kingston, Ontario, K7L 3N6.


A block of rooms has been reserved at the Holiday Inn Kingston, 2 Princess Street (in downtown Kingston), for the nights of Thursday, November 17 and Friday, November 18 at a special conference rate of $102.00 per night, plus taxes. Reservations can be made directly by calling the Holiday Inn at 1-613-549-8400, ext. 2660 or 1-800-HOLIDAY and say that you are booking under the Block of Rooms "Health Services Restructuring". The block of rooms will be available until October 16th, so please book your room as soon as possible.

Conference Organizers

Charles Beach, Director of John Deutsch Institute, Queen's University
Richard Chaykowski, School of Policy Studies, Queen's University
Sam Shortt, Director of Centre for Health Services and Policy Research, Queen's University
France St-Hilaire, Vice-President - Research, Institute for Research on Public Policy
Arthur Sweetman, Director of School of Policy Studies, Queen's University

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Click HERE to register online

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For further information please contact Sharon Sullivan:

Phone: (613) 533-2294; Fax: (613) 533-6025