Program Leads: Lisa Barbera, Winson Cheung, and Craig Earle
The way cancer services are organized, financed, funded and regulated critically affects the performance of our cancer systems. There is increasing demand from funders, clinicians, patients and the public to measure and report on this performance (e.g., screening rates, access to new drugs and technologies, wait times, survival, etc.) and compare it across jurisdictions. To provide meaningful information to this diverse group of stakeholders, there is a growing need to develop our capacity to draw on and use a complex array of data sources.
Our Health Systems, Services and Policy Program examines issues of access and quality of care and their effects on health; factors affecting the organization, delivery and use of cancer services; and the funding, financing and regulation of cancer services.
To support this research, three sub-programs will develop these resources:
- Population-based linkable cancer cohort databases
- Cancer control atlases
- Comparative analyses of cancer systems and policies
Recently Funded Projects
Here are some recent ARCC supported projects in this area:
Benchmarking End of Life Quality Indicators by Tumor Type & Describing models of palliative care across Canada
Lead Researcher(s): Aynharan Sinnarajah
Lead Institution: University of Calgary
Co-Investigators: Lisa Barbera, Hsien Seow, Peter Tanuseputro, Leonie Herx
Funding Term: 2021-2022
Evaluation of the systemic cancer therapy volume-outcome association: a population-based study to inform the optimal provincial organization and delivery of systemic cancer therapy
Lead Researcher(s): Michael J. Raphael
Lead Institution: Sunnybrook Research Institute
Co-Investigators: Peter Austin, Christopher Booth, Katherine Enright, Craig Earle, Natalie Coburn, Julie Hallet, Antoine Eskander, Joseph Del Paggio
Funding Term: 2021-2022
Developing New Palliative Care Quality Indicators and Benchmarks in Cancer across Canada
Principal Investigator: Lisa Barbera – Sunnybrook Research Institute & Hsien Seow – McMaster University
Co-Investigators: Fred Burge, Beverly Lawson, Kim McGrail, Dawn Guthrie, and Rinku Sutradhar
Funding Period: 2016-2019
A population cohort study on coltralateral prophylactic mastectomy: A concern for over-aggressive treatment of breast cancer patients in Canada
Principal Investigator: Angel Arnaout – Ottawa Hospital Research Institute
Co-Investigators: Janet Squires, Carl van Walraven, Mark Clemons
Funding Period: 2017-2018
Previously funded projects
Here are some of the projects we funded in this area in the past:
Cancer Control Health Human Resources in Canada: Data assets, gaps and next steps
Principal Investigator: Morris Barer – University of British Columbia
Co-Investigators: Stuart Peacock, Lindsay Hedden, Kim McGrail
Funding Period: 2015-2017
Using multistate models to longitudinally examine breast cancer screening behavior among women in Ontario: an innovative implementation aimed to minimize the amount of time women spend not up-to-date
Principal Investigator: Rinku Sutradhar – Institute for Clinical Evaluative Sciences
Co-Investigators: n/a
Funding Period: 2015-2016
Establish a Canadian Topography of Cancer Services With Reporting and Feedback Functions
Principal Investigator: Dr. Craig Earle
Co-Investigators: n/a
Funding Period: 2015-2016
A population-based study of factors associated with advanced cutaneous melanoma diagnosis in Ontario
Studentship Award
Student: Meaghan Mavor – Queen’s University
Supervisor: Timothy Hanna
Funding Period: 2017
The reduction of radiation therapy error: assisting the development and implementation of a national radiotherapy reporting system
Studentship Award
Student: Graham Smith – Queen’s University
Supervisor: Mike Brundage
Funding Period: 2017
Quality of end of life cancer care in Canada: a comparison between BC, AL, ONT and NS (Signature Project)
Principal Investigator: Lisa Barbera – Sunnybrook Research Institute
Co-Investigators: Hsein Seow, Jonathan Sussman, Rinku Sutradhar, Jeffrey Hoch, Stuart Peacock, Kim McGrail, Michael Downing and Fred Burge
Funding Period: 2011-2014
Assessing Utility and motivating practice change in palliative radiation therapy
Principal Investigator: Ivo Olivotto – BC Cancer Agency
Co-Investigators: John French, Joanne Stephen, Robert Olson
Funding Period: 2012-2014
Ontario cancer study feasibility pilot
Principal Investigator: Craig Earle – Sunnybrook Research Institute
Co-Investigators: Geoff Anserdon, Geoffrey Lui, Michelle Cotterchio, John McLauglin and Kelly McDonald
Funding Period: 2011-2012
Advancing quality in cancer control and cancer system performance in the face of uncertainty
Principal Investigator: Melissa Brouwers – McMaster University
Co-Investigators: Jeffrey Hoch
Funding Period: 2011-2012
Cancer control geomapping
Principal Investigator: Mary McBride – BC Cancer Agency
Co-Investigators: Mark Dobrow and Scott Tyldesley
Funding Period: 2010-2011
Dynamic case studies in cancer control: methodology development and feasibility assessment
Principal Investigator: Mark Dobrow – Cancer Care Ontario
Co-Investigators: Jeffrey Hoch, Mary McBride, Melissa Brouwers and Julie Gilbert
Funding Period: 2010-2011
Cancer control geomapping
Principal Investigator: Mary McBride – BC Cancer Agency
Co-Investigators: Mark Dobrow and Morris Barer
Funding Period: 2009-2010
Leveraged Projects
Here are some additional projects our investigators and research personnel have been involved with:
Approaches to Accountability: Implications of Goals, Governance, Services, and Sub-sectors
Principal Investigator: Deber R
Co-Investigators: Brown A (Co-Principal Decision-Maker), Dobrow MJ (Co-Principal Decision-Maker), Burns J, Chafe R, Sawka C, Sherar M, Sullivan T, Baker GR, Barnsley J, Baumann A, Berta W, Gamble B, Laporte A, Lum J, Schwartz R, Williams P, Wodchis WP
Granting Agency: Canadian Institutes of Health Research
Years: 2010-2013
Childhood cancer forum: exploration and setting priorities for an unmet need in Bangladesh
Principal Investigator: Peacock S
Co-Investigators: Larson C, McBride M, Rahman S, Rogers P
Granting Agency: Canadian Institutes of Health Research
Year: 2010
Late Morbidity Risks and Health Care Utilization among 5-year Survivors of Breast Cancer in British Columbia, Canada
Principal Investigator: McBride M
Co-Investigators: Tyldesley S, Wai E, Alan S, Spinelli JJ
Granting Agency: Canadian Breast Cancer Foundation
Years: 2009-2011
Long term income and employment among childhood, adolescent and young adult cancer survivors: phase II methods and analysis
Principal Investigator: Peacock S
Co-Investigators: McBride M, Goddard K, Pritchard S, Spinelli J, Rogers P, Teckle P
Granting Agency: Canadian Cancer Society Research Institute
Years: 2009-11
The cost-effectiveness of cancer drugs funded by the New Drug Funding Program: providing evidence of the value of medicines in delivering expected outcomes
Principal Investigator: Hoch J, Krahn M
Co-Investigators: Bell C, Gavura S, Grootendorst P, Hodgson D, Mamdani M, Peacock S, Sawka C, Sullivan T, Trudeau M, Woodward G
Granting Agency: Drug Innovation Fund of the Ontario Ministry of Health and Long Term Care
Years: 2008-2011
Long term income and employment among childhood, adolescent and young adult cancer survivors: phase I data linkage platform
Principal Investigator: Peacock S
Co-Investigators: McBride M, Goddard K, Pritchard S, Spinelli J, Rogers P, Teckle P
Granting Agency: National Cancer Institute of Canada
Years: 2008-13
Childhood, adolescent and young adult cancer survivor research (Program Project Grant)
Principal Investigator: McBride M
Co-Investigators: Broemling AM, Siegel L, Peacock S, Teckle P, Sheps S, Pritchard S, Glickman V, Goddard K, Fryer C, Hu J, Rassekh R, Rogers P, Spinelli J, Poole B
Granting Agency: National Cancer Institute of Canada
Years: 2008-13
Screening practices in women with and without a personal and family history of breast cancer: a population-based study
Principal Investigator: Hopper JL
Co-Investigators: Apicella C, Keogh L, Kirkman M, Peacock S
Granting Agency: Cancer Australia
Years: 2008-11
CIHR Team in Population-Based Colorectal Cancer Screening
Principal Investigator: Rabeneck L
Co-Investigators: Dobrow MJ, Paszat L, Ritvo P, Stukel, T, Hilsden B, Baxter N, Rostom A, McGregor L, Bathe O, Hoch J, Brouwers M.
Granting Agency: Canadian Institutes for Health Research
Years: 2007-2012
Factors influencing the adoption of new cancer drugs across various institutional contexts
Principal Investigator: Coyte P
Co-Investigators: Sullivan T, Chafe R, Culyer A, Dobrow M, Laing K, Morgan S, O’Reilly S, Peacock S, Sawka C, Smith S, Trudeau M
Granting Agency: Canadian Institutes of Health Research
Year: 2007-10
This project also falls under ARCC’s Health Technology Assessment theme.
Priority Setting Methods in Cancer: Evidence-Based Marginal Analysis
Principal Investigator: Peacock S
Co-Investigators: Mitton C, Donaldson C, Spinelli J, Taylor S, Sutcliffe S, O’Reilly S, Coldman A
Granting Agency: Canadian Institutes of Health Research
Years: 2006-10
This project also falls under ARCC’s Health Technology Assessment theme.
Assessing an HPV-centered Cervical Screening Strategy: attitudes among Family practitioners, Colposcopists and Obstetrician-Gynecologists
Principal Investigator: Peacock S
Co-Investigators: Papadakis E, van der Hoek K, Ogilivie G, Smith L, Coldman A
Unfunded
This project also falls under ARCC’s Health Technology Assessment theme.
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