• Improve the research environment and infrastructure, through research networks, beginning with primary care and mental health, and through provincially based support units on data management, project management, and other aspects of studies.
• Set up mechanisms to better train and mentor health professionals and non-clinicians in health research, through career paths established by partnerships with organizations that fund relevant education and training programs.
• Strengthen organizational, regulatory, and financial support for multisite studies, through provincial ethics review panels, a national template for contracts, national cost and operations standards, a simplified procedure for reporting adverse events, common databases, and common EHRs.
• Support best practices in health care, through knowledge transfer to patients.
a This box is based on the presentation by Jean Rouleau, Scientific Director, Institute of Circulatory and Respiratory Health, Canadian Institutes of Health and Research.
We need to pay for things that are safe and effective. We need to stop paying for things that are not safe and effective.
—Lynn Etheredge, The George Washington University
The workshop’s concluding discussion was oriented around six questions presented to workshop participants:
1. Long-term goals: What are the long-term strategic goals that we need to identify and meet?
2. Priorities: What are the top three priorities for reform, based on their urgency, scope, and/or importance to the transformation effort?
3. Short-term goals: What are the top three to five opportunities that represent “low-hanging fruit” or are realistic short-term goals for improving the productivity and effectiveness of our CTE?
4. Workforce: What are key opportunities and strategies for developing and leveraging a workforce to support the CTE?
5. Infrastructure: How can disease and patient advocacy networks, voluntary health associations, and other nongovernmental and