PHIRN: Population Health Improvement Research Network


Putting Our Money Where Our Mouth Is

money_mouth-1The Future of Dental Care in Canada

The renegotiations of the federal-provincial-territorial health accord are on the horizon, and everyone is looking for a way to save money and improve health.

Sound impossible? Why don’t we put our money where our mouth is?

It’s a strange truth of Canadian public policy: the care of our lips, tongues, and throats is fully covered by public funding, but not our teeth and gums. This toothless approach to health care is a costly oversight for the public purse. A mounting body of evidence shows a correlation between poor oral health and higher incidence of diabetes, cardiovascular disease, pneumonia, and Alzheimer’s.

Tooth decay is a preventable disease and a low-cost public health intervention. A coordinated approach to oral health policy could play a major role in improving health and reducing costs over the long run. Putting Our Money Where Our Mouth Is: The Future of Dental Care in Canada is a timely compendium of facts and policies that help decision makers weigh their options for cost-effective policy that can create lasting change, one healthy smile at a time.




Source: CCPA

Last Updated ( Wednesday, 09 May 2012 09:36 )

Exploring which context matters in the study of health inequities and their mitigation

Nancy Edwards1,2 & Erica Di Ruggiero2

1Faculty of Health Sciences, School of Nursing, Department of Epidemiology and Community Medicine, University of Ottawa,
Ottawa, Ontario, Canada, and 2Institute of Population and Public Health, Canadian Institutes for Health Research, Ottawa, Ontario, Canada

Scandinavian Journal of Public Health, March 2011; 39(Suppl 6): 43–49

Available online at:


This commentary argues that contextual influences on health inequities need to be more thoroughly interrogated in future studies of population health interventions.


Case examples were chosen to illustrate several aspects of context: its historical, global, and dynamic nature; its multidimensional character; and its macro- and micro-level influences. These criteria were selected based on findings from an extensive literature review undertaken for the Public Health Agency of Canada and from two invitational symposia on multiple intervention programmes, one with a focus on equity, the other with a focus on context.


Contextual influences are pervasive yet specific, and diffuse yet structurally embedded. Historical contexts that have produced inequities have contemporary influences. The global forces of context cross jurisdictional boundaries. A complex set of social actors intersect with socio-political structures to dynamically co-create contextual influences.


These contextual influences raise critical challenges for the field of population health intervention research. These challenges must be addressed if we are going to succeed in the calls for action to reduce health inequities. Implications for future public health research and research-funding agencies must be carefully considered.


Source: PAHO/WHO

Last Updated ( Wednesday, 09 May 2012 09:37 )