All posts by Greg Marchildon

Dr. Katherine Fierlbeck

Health Policy in a Slowing Economy: Lessons (or Not) from Nova Scotia

Dr. Katherine Fierlbeck, Professor, Department of Political Science, Dalhousie University

Katherine Fierlbeck is McCulloch Professor of Political Science at Dalhousie University, and is cross-appointed with the Department of Community Health and Epidemiology in the Faculty of Medicine. Her most recent books include Health Care in Canada (UTP), Canadian Health Care Federalism (MQUP) and Comparative Health Care Federalism (Ashgate).

Host: University of Regina
March 20, 2014

With a shrinking economy, aging demographics, and an exodus of skilled workers, the province of Nova Scotia faces exceptional challenges in attempting to develop a responsive and sustainable health care system. Yet it is difficult to extricate policy dilemmas from political strategies, especially when real policy flexibility contracts as public irascibility expands. What are the specific obstacles facing Nova Scotia’s health care system, and how has the province responded to them? Why has it decided upon its current strategy of reform, and how successful in this endeavour will it be?


Dr. Peña-Sánchez

Payment methods and well-being of physicians: dissecting the impact of alternative payment plans on equity and distress of practitioners

Dr. Peña-Sánchez, post-doctoral fellow at the School of Public Health, University of Saskatchewan

Juan-Nicolás is a physician from Colombia with a European Master in Public Health; he completed his doctoral studies at the School of Public Health, University of Saskatchewan. In Colombia, he worked as a general practitioner and as a health care manager. In Canada, he has been coordinating research projects of the Multidisciplinary Inflammatory Bowel Disease (IBD) Clinic, University of Saskatchewan. Currently, he is a post-doctoral fellow, funded by the Saskatchewan Health Research Foundation and Crohn’s and Colitis Canada, evaluating the quality of care for patients with IBD across the province.

Date: January 30, 2015
Host: University of Saskatchewan, Health Sciences Building, Room A226
Video-conference to University of Regina, 2 Research Drive, Room 210

Fee-for-service (FFS) payment system has been criticized for affecting quality of care, contributing to the fragmentation of health care, and for rising costs of health care systems. Alternative payment plans (APP) have been introduced as options to the traditional FFS. Despite the link between payment methods and behaviour of physicians that has been established; there is a lack of evidence about the impact of payment systems on well-being of physicians, specifically on their perception of professional equity and daily distress. This seminar will present a study conducted among physicians practicing in the Saskatoon Health Region which aimed to explore the effects of APP on perceptions of their professional equity and daily distress.

Dr. Kim McGrail

Variations in physician practice: Quantifying the implications for total  Canadian health care spending Dr. Kim McGrail, Associate Professor, University of British Columbia, Associate Director of the University of British Columbia Centre for Health Services and Policy Research, and Associate with the Centre for Clinical Epidemiology and Evaluation.

Date: November 14, 2014
Host: University of Regina
Location: Room 210, 2 Research Drive, University of Regina Every family physician in

Canada is responsible for directing more than $3.3 million in physician, hospital and pharmaceutical spending each year. Not every physician practices the same way, with the implication that some physicians have larger “footprints” in the health care system than others. Research in primary care is starting to reveal differences in patterns of practice and resulting health care spending, with the ultimate objective of identifying associated differences in outcomes for patients.