HEAL Reports

Over the past 20 years, HEAL has developed an impressive track record when it comes to undertaking policy relevant research to inform the public policy decision-making process.  In this section, you will find a number of seminal policy reports that have contributed to the public dialogue on the future of health and health care in Canada.

Building on the progress made since the release of this original consensus statement, The Canadian Way 2.0 evaluates the level of action taken by the federal government over the past two years and identifies key areas of opportunity that remain. HEAL is confident that the solutions and options proposed will stimulate a national discussion about the expectations of Canadians and the roles and responsibilities of the federal government with respect to the future of health and health care in Canada. The Canadian Way 2.0 continues to advance a compelling case for a return to the Canadian way—providing health care with compassion, consensus, and collaboration.

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This Consensus Statement reflects an unprecedented level of agreement among health sector professionals and delivery organizations about the role of the federal government in improving the health of Canadians and the care they receive. It addresses many of the structural, demographic and financial challenges associated with the delivery of health care in Canada, and represents a call to action to all levels of government and our country’s political leadership.

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La présente Déclaration de consensus témoigne d’un niveau d’accord sans précédent parmi les professionnels du secteur de la santé et des organismes de prestation de soins de santé sur le rôle du gouvernement fédéral dans l’amélioration de la santé des Canadiens et des soins qu’ils reçoivent. Elle aborde un grand nombre de défis structurels, démographiques et financiers associés à la prestation de soins de santé au Canada et représente un appel à l’action adressé à tous les paliers de gouvernement et aux dirigeants politiques de notre pays.

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With the end of the 2004 Health Accord, HEAL has released the report "Reframing the Federal Role in Health & Health Care" that considers the following three policy questions:

  1. What is the appropriate role of the federal government in Canada's decentralized health care system?
  2. What is the best way to reform health care delivery for Canadians, given the interdependence of our health care systems?
  3. How should we align accountability and authority for health and health care renewal?

Completed in 2013, this report identifies 10 key findings, and is supported by two Appendices which include a literature review and environmental scan, and a synthesis of key informant interviews.

The report also builds on the previous report "Functional Federalism and the Future of Medicare" that was released by HEAL in2012.

The reports have informed HEAL's work over the past 9 months, and will lead to recommendations on the role of the federal government in health and health care later this year.

See Summary Report

See Appendix 1

See Appendix 2


HEAL has commissioned a report intended to inform and engage Canadians in a necessary public discussion about leadership options for federal, provincial and territorial governments, and other stakeholders.

The report addresses a number of important overarching questions including, what is the appropriate role for the federal government as it relates to health in light of Canada’s decentralized health system? What is the best way to manage the interdependence and independence of Canada’s jurisdictions when it comes to reform of health care delivery? How accountabilities and authorities for health and health care renewal need to be aligned in the future?

The report contains 15 key findings informed by a series of interviews with senior thought leaders in the health system, an on-line survey of members from HEAL and the Canadian Health Leadership Network, and a five-country international literature review.

The report identifies a number of specific health policy issues which require effective federal and provincial and territorial government leadership. These include: chronic disease management, home care & long-term care, access and wait times, and mental health.

The report further outlines three broad approaches that range from maintaining the status quo to active federal leadership to “buy change” and improve the overall quality, access, accountability and transparency of Canada’s health system.

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See Full Report

See Executive Summary

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Voir le Sommaire en français

The Health Council of Canada, in its first monitoring report of the goals outlined in the First Ministers’ Accord (Health Care Renewal in Canada Accelerating Change, 2005), asserted that work is urgently needed to accelerate efforts in this area as it is critical to other health care reforms. They stated “This (HHR) is an urgent priority. Without sufficient providers of care working together, all other efforts will flounder.” The Health Council acknowledged the lack of a national health human resource strategy and called for a collaborative approach to work toward this goal. To achieve this end, a National Health Human Resources Summit was convened in June 2005, resulting in the report “Modernizing the Management of Health Human Resources in Canada: Identifying Areas for Accelerated Change”, which called for a fully integrated approach to health human resources planning based on population health needs. This report further reinforced the need for urgent action to achieve this objective.


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