Programme de bourses d'impact sur le système de santé — stagiaires au doctorat et boursiers postdoctoraux : outil d'établissement de liens pour les organismes partenaires

The four research priorities of NHKI are:

1. Clinical Research Programs - to provide patient equitable access to innovative therapies through participation in clinical studies.
2. Building Capacity for Research in Community Hospitals in Canada
3. Patient Experience
4. Care for Older Persons

The three pillars of NHKI are:

1. Knowledge Generation
2. Knowledge Mobilization
3. Capacity Building.

The embedded work that the fellow(s) can engage in would include:

1. Strategy Development
2. Interested and Affected Partner Consultation
3. Environmental Scanning
4. Quantitative Data Analysis
5. Qualitative Data Analysis
6. Literature Reviews
7. Program Evaluation

• Advancing health equity by integrating housing and health services
• Building an innovative system of care for supported housing
• Enabling data-driven, population health planning and continuous improvement
• Supporting a learning health system aligned with VCH's vision of healthy lives in healthy communities and pillars of People, Innovation, Excellence, and Accountability

The candidate will contribute to some or all of the following areas:

• System mapping of supported housing and embedded health services
• Population segmentation using linked administrative and health data
• Design and implementation of a community of practice for nurses and frontline staff in supported housing
• Equity-oriented quality improvement in collaboration with VCH's internal QI team
• Support multidisciplinary modelling and evaluation through mixed methods analysis.

In alignment with the overarching mission and impact goals, the following priority areas have been designated as options for this fellowship competition:

• Primary and Community Care
• Wait Time Reduction
• Seniors Care
• Pharmaceutical Services
• Mental Health and Addictions
• Maternal and child health care
• Cultural safety, diversity and inclusion
• Population and Public Health
• Other related disciplines

The fellowship will be associated with one or more of the following priority areas:

• Supporting service integration, addressing gaps in care, and coordinating access across the region
• Supporting high quality care and reducing violence in forensic settings
• Conducting and applying patient-oriented research
• Using digital tools to support the integration of care while fostering data governance, quality, and literacy
• Understanding gaps and needs in mental health workforce and retention and recruitment issues at Waypoint

The fellow will contribute to research projects in one or more of following ways:

• Qualitative and quantitative data collection and analysis
• Literature reviews and knowledge syntheses
• Stakeholder engagement, including patient engagement
• Program development and evaluation
• Knowledge mobilization for practice, research, and policy audiences
• Implementation science and practice

The Office plays an independent leadership role in addressing public health issues in BC, with an ultimate goal of improving overall population health and reducing health inequalities. The Fellow is expected to apply data science and epidemiology methods to advance:

• Reliable and timely data and information on patterns and trends of population health status and health inequalities;
• Evidence-based public health polices and interventions.

• Communicable Diseases Prevention and Control (e.g. COVID-10 emergency and immunization)
• Psychoactive Substances Harm Prevention and Reduction (e.g. Overdose emergency, cannabis regulation, alcohol harm reduction)
• Environmental Health Protection (e.g. Drinking water protection, environmental contamination)
• Community Care Facilities Licensing (e.g. support for medical health officer role)
• Indigenous Health (e.g. Reconciliation, Declaration of Rights of Indigenous Peoples Act implementation, indigenous health status reporting)
• Emergency Management (e.g. all hazards emergency preparedness)
• Health inequalities and social determinants of health
• Injury (e.g. injury surveillance and prevention)
• Chronic disease surveillance and prevention, including congenital anomalies and developmental disabilities.

The type of project an awardee could expect to lead/contribute to includes:

• Machine learning methods for enhancing chronic disease surveillance including mental health and substance misuse surveillance
• Spatio-temporal models for estimating population heath outcomes and risk factors in small areas or communities
• Burden of diseases (ie, disability adjusted life years, DALYs) by cause and by risk factor in BC
• Population health impacts of climate change related exposures such as wildfire associated air pollution and extreme weather
• Other epidemiological research on etiology, disease patterns, and population health outcomes

PHO provides expert scientific and technical expertise and conducts applied research in the following areas:

• Chronic disease prevention
• Diseases of public health significance
• Emergency preparedness and response
• Environmental and occupational health
• Health promotion
• Immunization
• Infection prevention and control
• Injury prevention
• Knowledge exchange
• Microbiology and genomics
• Public health informatics

The fellow may engage in a variety of tasks related to the embedded program of work determined. Examples include:

• Conducting knowledge syntheses
• Analyzing data and interpreting results
• Applying AI and machine learning methods to address public health challenges
• Preparing knowledge mobilization activities for a variety of audiences
• Contributing to the development of strategy in the priority area

Reducing Intimate Partner Violence Injuries

A key strategic initiative of the Ministry of Public Safety and Solicitor: need for collaborative risk assessment and safety planning and improved sharing of risk factor information so that courts can properly assess risk and set conditions as opportunities to reduce intimate partner violence deaths.

1. Hospitalizations of victims of intimate partner violence
2. Intimate Partner Violence screening and interventions to improve health outcomes
3. Health and Policing collaboration Between 2014 and 2024, there were 152 homicide deaths attributed to IPV in B.C., averaging 14 deaths per year or 2.7 deaths per 1,000,000 population intimate-partner-violence-2014-2024.pdf

• Stakeholder consultations (health/policing)
• Environmental scan across jurisdictions
• Quantitative data analysis (# of hospitalizations, contacts with health care providers etc)
• Literature reviews
• Qualitative analysis
• Report of findings/recommendations

• Provincial implementation and evaluation of prenatal screening innovations.
• Equitable access to high-quality screening services across diverse geographic settings.
• Learning health systems, performance measurement, and continuous quality improvement.
• Knowledge mobilization and partnership with healthcare providers, laboratories, patients, and policy leaders.

• Lead a mixed-methods implementation science evaluation.
• Evaluate implementation across diverse healthcare settings and identify contextual factors influencing success.
• Engage healthcare providers, laboratory professionals, patients, and health system partners.
• Conduct qualitative and mixed methods research.
• Co-develop recommendations to optimize implementation and equitable access.
• Contribute to provincial implementation and evaluation activities within one of Canada’s leading perinatal-child learning health systems.

• Support the sustainability and expansion of clinical trials capacity throughout Nova Scotia, with an emphasis on net new capacity
• Build provincial capacity for women's health research and clinical trials
• Advance Nova Scotia Health's formal transition to a Learning Health System model
• Strengthen data-sharing, industry and government partnership models grounded in public trust, accountability, and strong governance

• Conduct environmental scans and evidence synthesis to inform decision-making
• Lead stakeholder consultations across clinical trials, research, and policy audiences
• Analyze quantitative and qualitative data to evaluate programs and models
• Assess the economic impact of projects and programs
• Develop governance frameworks and policy briefings for executive and provincial partners

• Regulatory pathways: Identify policy objectives that promote a competitive Canadian regulatory environment aligned with international best practices and reduce barriers to RD treatment access.
• Access pathways for therapies unfit for commercialization: Advance initiatives that support the development and implementation of emerging RD therapies that are unlikely to be commercially viable.

• Regulatory pathways: national and international environmental scanning, literature review, stakeholder consultation, quantitative/qualitative data analysis, program evaluation.
• Access pathways for therapies unfit for commercialization: Analysis of current national and international pathways (hospital exemption), case studies, interest-holders (decision/policy maker at federal and provincial levels, clinicians, patient/caregivers) engagement, economic evaluation, policy briefing.

L'INESSS a pour mission de promouvoir l'excellence clinique et l'utilisation efficace des ressources dans le secteur de la santé et des services sociaux.

Pour réaliser ses évaluations, l'Institut mobilise les données publiées dans la littérature scientifique, celles issues des milieux de soins et services telles les données clinico-administratives, de même que les connaissances et les expériences des personnes concernées, comme les professionnel(le)s et gestionnaires du réseau ainsi que les patient(e)s, usagers, usagères et proches aidant(e)s, dans une perspective d'amélioration des soins et services à la population.

L'une des priorités organisationnelles de l'INESSS, qui compte sur les compétences de près de 300 employés, est d'assurer le développement de son expertise interne afin de bien remplir sa mission d'aide à la décision, et ceci, en temps opportun.

À cette fin, ses trois directions scientifiques réalisent des mandats d'évaluation dans les domaines du médicament, des services de santé et des services sociaux. Ces trois domaines requièrent des compétences de pointe sur une grande diversité d'objets, incluant :

• Direction de l'évaluation des médicaments et des technologies à des fins de remboursement

  1. Biologie médicale
  2. Évaluation des médicaments aux fins d'inscription
  3. Évaluation des technologies innovantes en santé
  4. Produits des systèmes de sang du Québec
  5. Thérapies complexes

• Direction de l'évaluation et du soutien à l'amélioration des modes d'interventions – services sociaux et santé mentale

  1. Jeunes et familles
  2. Santé mentale
  3. Dépendance et itinérance
  4. Soutien à l'autonomie des personnes âgées
  5. Déficience physique, déficience intellectuelle, trouble du spectre de l'autisme
  6. Services sociaux généraux

• Direction de l'évaluation et de la pertinence des modes d'intervention en santé

  1. Cancérologie
  2. Trajectoires de soins chrono-sensibles
  3. Dépistage des maladies chroniques
  4. Modes d'intervention en santé
  5. Usage optimal du médicament et des modes d'intervention
  6. Protocoles médicaux nationaux et ordonnances associées
  7. Amélioration continue en première ligne
  8. Pertinence, actes à faible valeur, imagerie

L'Institut a identifié le sujet prioritaire suivant : consolider l'intégration des méthodes d'analyses économiques dans ses processus de production scientifique.

Le projet visé s'appuiera sur les compétences de recherche en économie de la santé du ou de la candidat(e) pour aider l'INESSS à mieux appuyer les capacités méthodologiques de ses équipes scientifiques.

Les processus d'évaluation et les processus délibératifs de l'INESSS sont structurés autour d'un cadre multidimensionnel d'appréciation de la valeur, tel que décrit dans son Énoncé de principes et de fondements éthiques [ PDF (1,2 Mo) - lien externe ].

Ce cadre comprend une dimension économique qui est bien intégrée dans les évaluations du médicament à des fins de remboursement, en s'appuyant notamment sur des expertises en pharmaco-économie. La dimension économique pose cependant des défis pour d'autres secteurs d'évaluation (p. ex., modes d'intervention complexes en santé mentale ou santé physique).

En travaillant de concert avec l'équipe du Bureau – Méthodologies et éthique de l'INESSS, la personne retenue mènera son projet d'apprentissage et d'intégration des compétences dans le cadre d'un projet mené au sein de l'une de nos Directions scientifiques (voir la colonne de gauche).

La personne retenue visera à atteindre les objectifs suivants :

• Mener un projet novateur de développement méthodologique en analyse économique qui soutienne la mission de l'INESSS;
• Ancrer les apprentissages issus de ce projet de développement méthodologique dans une évaluation en cours ou récemment complétée par la Direction retenue de l'INESSS;
• Élaborer un outil de formation et d'accompagnement pour les professionnel(le)s scientifiques ne détenant pas une formation formelle en économie.

Pour y arriver, le ou la candidat(e) mettra en application plusieurs compétences spécifiques en économie de la santé et s'appuiera sur une connaissance générale des :

• Méthodes mixtes de consultation des parties prenantes
• Méthodes d'évaluation quantitatives
• Analyse et synthèse des données probantes

La personne retenue sera soutenue par un duo de gestionnaires expérimentés en matière de méthodologie et d'évaluation.

The Gattuso Centre for Social Medicine was created with the purpose of advancing health equity. The centre’s work focuses on integrating social determinants of health into care delivery and better partnering with community organizations to improve the quality of care provided to structurally marginalized populations.

The Gattuso Centre for Social Medicine is committed to generating the evidence needed to evaluate its innovative models of care in alignment with a Quadruple Aim and health equity framework. Priority areas for research over the next five years are centred around interventions for improving health care access and housing stability that can inform public policy and healthcare practice related to the social determinants of health. Our evaluation approach includes multiple methods, inclusive of mixed-methods research, quantitative studies, qualitative studies, reviews, and process assessments to ensure a comprehensive understanding of program impact.

The Gattuso Centre for Social Medicine has an array of care programs for which evaluation and research is underway or planned. These include: social medicine supportive housing, social medicine care model (including AI prediction methods for early intervention), an emergency department diversion program for intoxicated individuals, homelessness prevention, and mobile health clinics. Health system impact fellows can anticipate opportunities to contribute to the following research activities:

• Secondary analysis of quantitative administrative health data
• Implementation and summative program evaluation
• Community-based mixed-methods research
• Presentation of research and evaluation findings to internal and external audiences
• Academic manuscript preparation and publication

Doctoral trainee or post-doctoral fellow

The mission of the Ted Rogers Centre for Heart Research (TRCHR) in the Peter Munk Cardiac Centre at UHN is to transform and dramatically improve the future of heart health. Its integrated program of research, education and clinical care aims to:

• Provide the world with new diagnoses, treatments, and tools to help people prevent, manage, and survive the devastating consequences of heart failure.
• Provide global leadership in the cardiac field and be a magnet for research and clinical talent. As heart failure grows into a Canadian and global epidemic– projected to affect one in five people in Canada over 40– new and innovative models of care are needed. TRCHR brings its unmatched breadth and depth of expertise, analytics and infrastructure, patient and community engagement together with research and clinical passion to find new ways to meet the staggering health, economic and societal burdens imposed by heart failure.

Through a strategic initiative known as TRANSFORM Heart Failure, TRCHR aims to address the disparities in access and provision of care for structurally disadvantaged and geographically isolated

• Bring equitable access through technological advances in digital medicine, remote healthcare monitoring, data analytics and artificial intelligence.
• Co-create new models of care that are proactive, personalized and decentralized and that empower patients and communities to manage their health.
• Develop, assess and evaluate patient and community engagement strategies to change patient outcomes and experiences.
• Explore and understand dimensions of health inequities in HF prevention, care, and patient outcomes/experiences with providers, organizations and health systems. Visit Digital Innovation for Heart Failure Care

Some examples to be explored:

• Environmental scanning and/or literature reviews on virtual care and telemedicine best practices and models, inclusion of community participatory research approaches, utilization of virtual care technologies across Canadian jurisdictions (including barriers, enablers).
• Policy analysis and briefings on emergent issues such as ethics and AI, ethics and virtual care, health care systems design and implementation.
• Qualitative or quantitative analyses of HF interventions, treatments, patients PROMs/PREMs as part of research studies within the TRCHR
• Stakeholder consultations and relationship-management across the breadth of programming (e.g., patient support sessions, strategies to engage patient in research as collaborators, leaders and participants, network development and mobilization).
• KT strategy development and execution to build and expand the community of investigators and interested partners in TRANSFORM-HF (e.g., planning and executing workshops, training sessions, our annual Symposium).
• Fellow could be involved in all stages from planning to execution to evaluation.
• Indigenous health and cultural safety are critical components of our training program.
• Opportunities to work with Indigenous partners and scholars in delivering programmatic activities as well as strengthening overall equity, diversity and inclusion approaches within the initiative.
• Patient engagement to help translate our research and clinical activities into meaningful impacts for patients, families and caregivers as well as develop tools, resources or rkshops for this audience.

Post-doctoral fellows only

To implement and scale team-based primary care - New Brunswick's top health system priority - by establishing a provincial research and learning network that embeds evidence, shared learning, and quality improvement into frontline care. The project will support implementation, evaluate impact, and inform broader system transformation.

• Supporting the shift from solo to team-based care
• Engaging health care partners across sectors
• Facilitating the spread of best practices among clinics
• Strengthening data collection, use, and sharing
• Evaluating team-based primary care implementation and outcomes

• Interest-holder engagement and intersectoral collaboration
• Advancing team based primary care through applied research and shared learning
• Design and execution of program and impact evaluations
• Quantitative and qualitative data analysis (EMR, admin data, interviews)
• Development of policy briefings and knowledge translation products

Post-doctoral fellows only