Sara Allin
Datos Biográficos
| ID | 1738593 |
|---|---|
| NOMBRE | Sara Allin |
| NOMBRES | Sara |
| APELLIDO | Allin |
| FIRMA | ALLIN S |
| AFILIACIONES | University of Toronto |
| ORCID | 0000-0002-0579-8985 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 44 |
| TOTAL DE CITAS | 115 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2005 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Pandemic policy and the care economy
A growing body of literature has reported on the gendered impact of COVID-19. Unemployment and income loss are two consequences of the pandemic that disproportionately impacted women. Studies have shown that these consequences are associated with the rise in unpaid care work (UCW) following the implementation of public health measures to curb the spread of COVID-19. Around the world, UCW is largely the responsibility of women, including in Latin …
Equity of financial protection for health care in high-income countries
BACKGROUND: Financial protection is a central objective of health systems and a key mechanism for advancing health equity within universal health coverage. To date, evidence on the equity of financial protection in high-income countries has not been systematically synthesized. OBJECTIVE: To summarize the literature on the equity of financial protection for health care in high-income countries. METHODS: We conducted a systematic scoping review bas…
What counts as public health expenditures? A comparative case study of Australia, Canada, and England
The current lack of clarity with what public health budgets are spent on globally impedes research and informed resource allocation. This study aimed to examine the extent to which disaggregated public health expenditures data is publicly reported and determine which core public health functions are funded in three countries. A targeted search of government websites was conducted to identify datasets of disaggregated public health expenditures at…
Uncovering the mechanisms of policy change
Background: Health systems worldwide are focused on strengthening primary care, improving quality and access to regular primary care providers and care teams, and integrating primary care with the rest of the health system. This workshop aims to share findings from an international comparative health policy research network comprised of high and middle-income countries across four world regions and to stimulate dialogue and lesson sharing on the …
Adapting and supporting equitable access to primary health and social services for people experiencing homelessness
Background: People experiencing homelessness (PEH) face several social and health challenges, including stigma and discrimination, and barriers to access healthcare and navigate health systems. While the health and social consequences of homelessness have received considerable attention in the literature, including their elevated risks of infectious and chronic diseases, we know less about how health systems have adapted and reformed to better me…
What are the Impacts of Task Shifting and Skill Mix Interventions in Primary Care? Results from a realist review
Background: Countries globally face a growing health human resource crisis in primary care. Task shifting and skill mix are two inter-related strategies that have been implemented to alleviate the health human resource crisis. Both interventions involve changing or expanding clinical roles, ultimately optimizing the current workforce. This realist synthesis of a systematic review aims to understand how and why task shifting and skill mix interven…
Policy supports for integrated care
Background and objectives: Integrated care aims to coordinate the care needs of a population, particularly individuals with complex care needs, across community, primary and secondary care settings. Ontario has been pursuing a whole systems approach to integration through reorganization into Ontario Health Teams (OHTs) where hospitals, doctors, and allied health providers work as a coordinated team to provide responsive, appropriate, and efficien…
Building resilient primary care systems through the implementation of meso-level governance for integrated care
Background and objectives: A key policy priority is the development of a seamless patient journeys through the continuum of health services through integrated care system reform. In this study, we learn from recent reforms in Australia, Canada, the United Kingdom) to strengthen primary care engagement in the implementation of integrated systems reforms, to gain insights from the implementation barriers and enablers at multiple levels of the syste…
How are pharmacists being integrated in primary care in Canada? Examples from two provinces
Background: Pharmacists are increasingly recognized as a key player in primary care, evidenced by their vital role in COVID-19 pandemic responses in Canada and worldwide. In Canada, the role of pharmacists in the health system shifted, both prior to and during the pandemic, by expanded scopes of practice and new governance and funding models to support care provision and integration with other primary care providers (PCPs). Our research explores …
The progressivity of health care revenue financing in 29 countries
What are the policy options for regulating private equity involvement in health care? A review of policies implemented or considered in seven high-income countries
Over the past two decades, private equity investment in health care has increased substantially. Proponents argue that private equity can optimize and improve health services, while critics warn that the business model of these firms is not aligned with the social values of care delivery and has harmful consequences for health systems and patients. It remains unclear to what extent - and how - subnational, national and supranational governments h…
Initiatives to increase childhood vaccination coverage
Background Childhood vaccination rates fluctuate over time and do not always meet the levels recommended by the WHO. Objective This study aims to provide an overview of measures countries have introduced to increase vaccination rates. Methods We developed a structured data collection template that was completed by country experts from Europe, Israel, the USA, and Canada. Experts were identified using the European Observatory on Health Systems and…
How do policy supports enable the implementation, scale, and sustainability of integrated care programs in England, Germany, and The Netherlands? Lessons for Canada
Factors influencing public health financing in British Columbia
This study sheds light on some of the possible policy strategies for sustaining public health funding, such as inclusion of public health experts in financial decision-making and developing public health performance indicators, which may inform current public health system strengthening efforts
The role of trust in engaging community-based task forces and agencies among minoritized communities during a public health emergency
Community leaders play an instrumental role in establishing and sustaining trust in vaccine promotion among community members. Trust established among community leaders and ambassadors enabled vaccine promotion efforts among minoritized communities. These findings may help to further strengthen community engagement for future public health emergency responses
"Testing "the science
Mitigating the regressivity of private mechanisms of financing healthcare
Progressive financing of health care can help advance the equity and financial protection goals of health systems. All countries' health systems are financed in part through private mechanisms, including out-of-pocket payments and voluntary health insurance. Yet little is known about how these financing schemes are structured, and the extent to which policies in place mitigate regressivity. This study identifies the potential policies to mitigate…
Availability and financing of CAR-T cell therapies
Chimeric antigen receptor T-cell therapies (CAR-T therapies) are a type of advanced therapy medicinal product (ATMP) that belong to a new generation of personalised cancer immunotherapies. This paper compares the approval, availability and financing of CAR-T cell therapies in ten countries. It also examines the implementation of this type of ATMP within the health care system, describing the organizational elements of CAR-T therapy delivery and t…
How have Ontario Public Health units engaged with faith-based organizations to build confidence in Covid-19 vaccines among ethno-racial communities
In Ontario, collaborations between Public Health Units (PHUs) and faith-based organizations (FBOs) and other community organizations were implemented to deliver interventions aimed at building trust in vaccines among ethnoracial communities. This research sought to explore the processes of PHU engagement with FBOs, and challenges encountered. A qualitative research study based on in-depth interviews was conducted with 18 of the 34 Ontario PHUs wh…
Public health partnerships with faith-based organizations to support vaccination uptake among minoritized communities
Faith-based vaccine initiatives are of growing interest to public health agencies who are looking to increase vaccine confidence among ethnoracially minoritized populations. Despite evidence that support faith-based organizations’ (FBOs) partnerships with public health agencies (PHAs) to increase vaccine confidence, reviews on the scope and efforts to ensure equitable vaccination delivery for ethnoracially minoritized populations are scarce. We a…
Facilitators and challenges in collaboration between public health units and faith-based organizations to promote Covid-19 vaccine confidence in Ontario
Engaging with faith-based communities is an ongoing process that requires time, flexibility, and patience, but it is necessary to improve vaccine confidence and equity access among population groups made structurally vulnerable. Lessons learned from this research can guide the implementation of future vaccination programs
Do expenditures on public health reduce preventable mortality in the long run? Evidence from the Canadian provinces
Mobilization of science advice by the Canadian federal government to support the Covid-19 pandemic response
The procurement and provision of expert-driven, evidence-informed, and independent science advice is integral to timely decision-making during public health emergencies. The 2019 coronavirus disease (COVID-19) pandemic has underscored the need for sound evidence in public health policy and exposed the challenges facing government science advisory mechanisms. This paper is a jurisdictional case study describing (i) the federal science advice bodie…
The uses of Patient Reported Experience Measures in health systems
Challenges facing mental health systems arising from the Covid-19 pandemic
We assessed challenges that the COVID-19 pandemic presented for mental health systems and the responses to these challenges in 14 countries in Europe and North America. Experts from each country filled out a structured questionnaire with closed- and open-ended questions between January and June 2021. We conducted thematic analysis to investigate the qualitative responses to open-ended questions, and we summarized the responses to closed-ended sur…
The Recalled Childhood Gender Identity/Gender Role Questionnaire
Subjective unmet need and utilization of health care services in Canada
Measuring Socioeconomic Differences in Use of Health Care Services by Wealth Versus by Income
Objectives. We compared the extent of socioeconomic differences in use of health care services based on wealth (i.e., accumulated assets) as the socioeconomic ranking variable with the extent of differences based on income to explore the sensitivity of the estimates of equity to the choice of the socioeconomic indicator. Methods. We used data from the Health and Retirement Study in the United States and the Survey of Health, Ageing, and Retiremen…
Interest Groups and Health System Reform in Greece
Despite the establishment of the National Health System in Greece in the early 1980s, the institutional framework remained largely unchanged due to opposition from interest groups and large set-up costs, thus allowing the powerful stakeholders to preserve their privileges. Not until almost two decades later was reform attempted in order to rationalise and modernise purchasing and delivery. The objective of this paper is to analyse the ambitious r…
Comparing individual and area-based income measures
Do expenditures on public health reduce preventable mortality in the long run? Evidence from the Canadian provinces
Promise and peril
Our study highlighted that stakeholder priorities and a limited understanding about public health systems influenced how reforms were implemented. Our findings support calls for modernized and inclusive governance, stable public health funding, and investment in the public health workforce, which may help inform future reforms
Interest Groups and Health System Reform in Greece
Despite the establishment of the National Health System in Greece in the early 1980s, the institutional framework remained largely unchanged due to opposition from interest groups and large set-up costs, thus allowing the powerful stakeholders to preserve their privileges. Not until almost two decades later was reform attempted in order to rationalise and modernise purchasing and delivery. The objective of this paper is to analyse the ambitious r…
The Recalled Childhood Gender Identity/Gender Role Questionnaire
Measuring Socioeconomic Differences in Use of Health Care Services by Wealth Versus by Income
Objectives. We compared the extent of socioeconomic differences in use of health care services based on wealth (i.e., accumulated assets) as the socioeconomic ranking variable with the extent of differences based on income to explore the sensitivity of the estimates of equity to the choice of the socioeconomic indicator. Methods. We used data from the Health and Retirement Study in the United States and the Survey of Health, Ageing, and Retiremen…
Subjective unmet need and utilization of health care services in Canada
Socioeconomic Status and the Use of Medicines in the Ontario Public Drug Program
Residents of Ontario aged 65 years and older are covered by a provincially funded prescription drug program. The aim of this paper is to assess the extent of inequity in prescription drug use for people eligible for Ontario Drug Benefit coverage, and to explore the different possible explanations for inequities. The analyses draw on the Canadian Community Health Survey from 2005, which is linked to pharmacy and Ontario Health Insurance Plan claim…
The Economic Costs of Childhood Disability
Childhood disabilities entail a range of immediate and long-term economic costs that have important implications for the well-being of the child, the family, and society but that are difficult to measure. In an extensive research review, Mark Stabile and Sara Allin examine evidence about three kinds of costs—direct, out-of-pocket costs incurred as a result of the child's disability; indirect costs incurred by the family as it decides how best to …
Health system performance reporting in Canada
Public reporting is increasingly used to enhance accountability and transparency and stimulate performance improvement in the public sector. In Canada performance reporting in the health sector is still in development, and involves a large number of actors. This article reports on the results of a recent intervention by the Canadian Institute for Health Information (CIHI) to develop a platform for pan‐Canadian performance reporting ( http://www.y…
Comparing individual and area-based income measures
Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries
INTRODUCTION: Long-term care (LTC) is organized in a fragmented manner. Payer agencies (PA) receive LTC funds from the agency collecting funds, and commission services. Yet, distributional equity (DE) across PAs, a precondition to geographical equity of access to LTC, has received limited attention. We conceptualize that LTC systems promote DE when they are designed to set eligibility criteria nationally (vs. locally); and to distribute funds amo…
Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions
Oral health is an important component of general health, yet there is limited financial protection for the costs of oral health care in many countries. This study compares public dental care coverage in a selection of jurisdictions: Australia (New South Wales), Canada (Alberta), England, France, Germany, Italy, Sweden, and the United States. Drawing on the WHO Universal Coverage Cube, we compare breadth (who is covered), depth (share of total cos…
On Measuring the Inequity of Financing Health Care in the United States and the Redistribution of Income Through Health Care Financing in Canada
Comparing public policies impacting prescribing and medication management in primary care in two Canadian provinces
The challenges of polypharmacy and inappropriate prescribing are recognized internationally. This study synthesizes and compares the policies related to these issues introduced in Canada's two most populous provinces - Ontario and Quebec - over the first two decades of the 21st century. Drawing on policy documents and consultations with experts, we found that while medication management to address polypharmacy and inappropriate prescribing has no…
Interpreting forty-three-year trends of expenditures on public health in Canada
The COVID-19 pandemic has raised concerns around public health (PH) investments. Among OECD countries, Canada devotes one of the largest shares of total health expenditures to PH. Examining retrospectively PH spending growth over a very long period may hold lessons on how to reach this high share. Further, different historical periods can be used to understand how macroeconomic conditions affect PH spending growth. Using forty-three years of data…
A comparison of 2020 health policy responses to the Covid-19 pandemic in Canada, Ireland, the United Kingdom and the United States of America
What Can Canada Learn From Accountable Care Organizations
Introduction: Accountable Care Organizations (ACOs), implemented in the United States (US), aim to reduce costs and integrate care by aligning incentives among providers and payers. Canadian governments are interested adopting such models to integrate care, though comparative studies assessing the applicability and transferability of ACOs in Canada are lacking. In this comparative study, we performed a narrative literature review to examine how C…
Accounting for the Rising Caesarean Section Rate in Canada
In most high-income countries, including Canada, the share of births by Caesarean section (C-section) has risen over the past decades to far exceed World Health Organization recommendations of the proportion justified on medical grounds (15 percent). Although unnecessary C-sections represent an important cost for health care systems, they are not associated with clear benefits for the mother and the child and can sometimes represent additional ri…
Mobilization of science advice by the Canadian federal government to support the Covid-19 pandemic response
The procurement and provision of expert-driven, evidence-informed, and independent science advice is integral to timely decision-making during public health emergencies. The 2019 coronavirus disease (COVID-19) pandemic has underscored the need for sound evidence in public health policy and exposed the challenges facing government science advisory mechanisms. This paper is a jurisdictional case study describing (i) the federal science advice bodie…
The uses of Patient Reported Experience Measures in health systems
Challenges facing mental health systems arising from the Covid-19 pandemic
We assessed challenges that the COVID-19 pandemic presented for mental health systems and the responses to these challenges in 14 countries in Europe and North America. Experts from each country filled out a structured questionnaire with closed- and open-ended questions between January and June 2021. We conducted thematic analysis to investigate the qualitative responses to open-ended questions, and we summarized the responses to closed-ended sur…
Centralization and integration of public health systems
Prioritization of public health financing, organization, and workforce transformation
Consensus emerged rapidly among Canadian public health decision-makers on prioritizing public health budget and time frame for spending. Ensuring that public health services beyond COVID-19 and communicable disease are maintained and enhanced is also of central importance. Future research shall explore potential trade-offs between these priorities
Promise and peril
Our study highlighted that stakeholder priorities and a limited understanding about public health systems influenced how reforms were implemented. Our findings support calls for modernized and inclusive governance, stable public health funding, and investment in the public health workforce, which may help inform future reforms
Mitigating the regressivity of private mechanisms of financing healthcare
Progressive financing of health care can help advance the equity and financial protection goals of health systems. All countries' health systems are financed in part through private mechanisms, including out-of-pocket payments and voluntary health insurance. Yet little is known about how these financing schemes are structured, and the extent to which policies in place mitigate regressivity. This study identifies the potential policies to mitigate…
Availability and financing of CAR-T cell therapies
Chimeric antigen receptor T-cell therapies (CAR-T therapies) are a type of advanced therapy medicinal product (ATMP) that belong to a new generation of personalised cancer immunotherapies. This paper compares the approval, availability and financing of CAR-T cell therapies in ten countries. It also examines the implementation of this type of ATMP within the health care system, describing the organizational elements of CAR-T therapy delivery and t…
How have Ontario Public Health units engaged with faith-based organizations to build confidence in Covid-19 vaccines among ethno-racial communities
In Ontario, collaborations between Public Health Units (PHUs) and faith-based organizations (FBOs) and other community organizations were implemented to deliver interventions aimed at building trust in vaccines among ethnoracial communities. This research sought to explore the processes of PHU engagement with FBOs, and challenges encountered. A qualitative research study based on in-depth interviews was conducted with 18 of the 34 Ontario PHUs wh…
Medicine (22 obras) · Health care (21 obras) · Political science (21 obras) · Public health (17 obras) · Business (16 obras) · Economics (16 obras) · Economic growth (14 obras) · Nursing (14 obras) · Primary Care and Health Outcomes (13 obras) · Public relations (11 obras)