Cost & Value in Healthcare

Established in December, 2016, the Research Exchange Group on Cost and Value in Healthcare brings together partners from government, academic institutions, the health system, and the broader community who share an interest in improving cost-efficiency and promoting better value in healthcare.  The group aims to promote knowledge exchange, to build local research capacity, and to encourage the use of evidence-based decision making for this important issue in Newfoundland and Labrador.

The Research Exchange Group on Cost and Value in Health Care fosters research collaboration and knowledge exchange among partners from community organizations and programs, educators, practitioners, health system officials, government partners, students, and academic researchers

2019 Meetings

All meetings take place at NLCAHR at 2:30pm on Mondays.

January 28, 2019 Dr. Anne Kearney will lead a group discussion on the new breast screening recommendations of the Canadian Task Force on Preventive Health Care .  The Task Force released updated breast cancer screening recommendations in 2018, meaning that the 2011 clinical practice guideline is no longer current. Importantly, the new guidelines recommend that women should be engaged in shared decision making. They also cite low-certainty evidence to indicate that screening for breast cancer with mammography results in a modest reduction in breast cancer mortality for women aged 40 to 74 years with the absolute benefit being the lowest for women less than 50 years of age. Moreover, the task force concluded that screening leads to overdiagnosis resulting in unnecessary treatment of cancer that would not have caused harm in a woman’s lifetime, as well as physical and psychological consequences from false positives with women under the age of 50 being at greater risk of these harms than older women. A review of patient values and preferences about screening suggested that a substantial proportion of women aged 40 to 49 years would choose not to be screened if they were aware of outcomes for their age group. In contrast, many women aged 50 years and older would choose screening given their more favourable balance of benefits and harms. The recommendation is to screen women who decide to undergo mammography screening every two to three years. 

February 25, 2019 David Buckle, Regional Director of Paramedicine, Western Health on Western Health's Alternate Transportation Systems, based on a project that utilizes non-medical transport for patients.

April 29, 2019: Joanne Thompson, Executive Director of the Gathering Place, on programs and services to support vulnerable communities

May 27, 2019: Drs. Stephanie Young and Rufaro Chitsike on a new comprehensive care program for thrombosis patients in Newfoundland & Labrador.

Previous meetings

Group Objectives

The group has identified the following as its key objectives:

  • Informing health policy to reduce costs and increase value in healthcare;
  • Reviewing research in progress/existing research literature on cost and value in healthcare; and
  • Building research teams on issues identified by the group and looking for research funding to support their work.
  • Networking with peers
  • Examining best practices around the world
  • Looking at collaborative research to examine challenges in healthcare
  • Identifying programs that have been a good use of healthcare dollars.
  • Ensuring that any new health care initiatives include evaluative components to assess new programs

Proposed Research Themes

Ethics and Access will be considered sub-themes of each of the five topics below:

  1. Determining the appropriateness of services and care being delivered (e.g. prescribing, screening, testing, procedures)
  2. Identifying administrative, clinical and service delivery innovations
  3. Accelerating cost saving and cost-effective health technology solutions
  4. Patient/Citizen engagement (e.g. in addressing gap between spending, appropriateness and outcomes)
  5. Linking social determinants of health with specific health care policy and care delivery solutions


Newfoundland & Labrador Centre for Applied Health Research

230 Elizabeth Ave, St. John's, NL, CANADA, A1B 3X9

Postal Address: P.O. Box 4200, St. John's, NL, CANADA, A1C 5S7

Tel: (709) 864-8000