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Methods and Approaches

A key focus of the Public and Patient Engagement Collaborative’s research is on exploring and elucidating citizen values on health policy topics. Deliberation methods are commonly used in these types of studies where citizens from a variety of backgrounds come together to discuss and seek common ground on how to address challenging health policy topics. As part of their deliberations, participants consider evidence shared on the topic while reflecting on personal values and trade-offs between different scenarios put forward. We have studied a variety of topics using this approach.  

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Cancer Drug Funding 

In partnership with the McMaster Health Forum and the Canadian Centre for Applied Research in Cancer Control, we were awarded funding from the Canadian Partnership Against Cancer to engage Canadians in order to better inform decision-making about cancer drug funding. Six public deliberations were held across Canada in 2016–17 to develop recommendations to guide cancer drug funding decisions.

Pills and pill bottle

 

Citizens’ Reference Panel on Health Technologies (CRPHT)

We formed the CRPHT to inform the work of the Ontario Health Technology Advisory Committee (OHTAC) at Health Quality Ontario (HQO). The CRPHT was formed to elicit public and citizens’ societal and ethical values that should guide OHTAC in developing its recommendations on specific topics. Five structured deliberations were held on a variety of topics relevant to the health technology assessments (HTAs) OHTAC had underway. The results of the deliberations were shared with OHTAC and usefully informed HTA decisions.  

Male in discussion at meeting with three other individuals.

 

Mammography Screening 

In recent years, emerging evidence on mammography screening has questioned the relative benefits and risks of screening average-risk women for breast cancer. This has led to an increased emphasis on informed decision-making as many screening guidelines acknowledge that there is no clear ‘right’ or ‘wrong’ decision about mammography screening and women need to make screening decisions based on their own values. Little attention, however, has been paid to women’s perspectives on mammography screening and informed decision-making. This project aimed to address that gap through a series of citizen deliberations and a population-level survey of screen-eligible women. 

Mammography equipment

 

Transformation Project 

The purpose of the Transformation Project was to measure and improve the performance of primary care in Canada. We partnered with Dr. Sharon Johnston from the University of Ottawa to lead one of four studies within the pan-Canadian project. The project explored the best methods for reporting the results of primary health care performance to different groups of stakeholders: providers, patients and decision-makers. To achieve this, six deliberative dialogues were held across three provinces (Ontario, British Columbia and Nova Scotia).  

Older adult female sitting with health professional looking at clipboard.

Additional Resources: Methods and Approaches

WEBSITE

Patient engagement and Canada’s SPOR initiative: A resource guide for research teams and networks

Developed for the Ontario SPOR SUPPORT Unit, March 2015

WEBSITE

Why and when should we use public deliberation?

Hastings Center Report, March-April 2012

WEBSITE

What is public deliberation?

Hastings Center Report, March-April 2012