CCHE Friday Seminar Series: Patient-level population-representative data for international health systems comparisons: lessons for Canadian healthcare

from CCHE General Updates Archive Feed at on March 20, 2023 at 07:13PM

We are pleased to welcome Peter Cram this Friday March 24th.

Canadian Centre for Health Economics
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Dear All,
For this week’s CCHE Health Economics Series, we are pleased to welcome Peter Cram this Friday March 24th, 10 am – 12 pm in HS Room 108 (155 College St.) and via Zoom. Dr. Cram will present “Using patient-level population-representative data for international health systems comparisons: findings and lessons for Canadian healthcare”. All are welcome. You may register for the Zoom by clicking here.

Peter Cram is the Chair of the Department of Internal Medicine at the University of Texas Medical Branch (UTMB) in Galveston, TX and an adjunct Professor of Medicine at the University of Toronto. He was on faculty at the University of Iowa (2002-2013) and Director of the Division of General Internal Medicine and Geriatrics at Sinai Health System and University Health Network at the University of Toronto (2014-2021). Dr. Cram was previously a Robert Wood Johnson Physician Faculty Scholar and competed a Health and Aging Policy Fellowship in the office of Congressman Lloyd Doggett. His research focuses on variation in utilization, outcomes, and cost for hospital-based services. Dr. Cram is the co-founder of the international health system research collaborative (IHSRC) with Bruce Landon from Harvard (


Comparing different countries’ health care systems (aka, international health system comparisons) is challenging; it requires identifying performance metrics, identifying suitable data sources from 2-or-more countries, and ensuring comparability of measures. At the same time, international health system comparisons can reveal unexpected performance gaps and catalyze improvement. In this seminar I will review the history of international health system comparisons and describe key questions that international comparisons can help to answer. I will review a number of the most common data sources that have historically be used for international comparisons and discuss their strengths and limitations. I will then discuss the movement towards using distributed (federated) research networks to analyze population-representative patient-level data as an alternative approach. I will review some of the recent research in this space by our team (IHSRC), ICCONIC and others. We will review learnings and potential policy implications for Canada.



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