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  • Coal-Fired Electricity – a Regulatory Case Study, in a Narrative of Canada-US Harmonization

    Resource Type:
    Report
    Creator:
    Beale, Mike
    Description:
    More about the Regulatory Governance Initiative (RGI):  https://carleton.ca/rgi
    Abstract:
    Canada’s coal-fired electricity regulations were published in 2012 and were the first federal regulations targeting greenhouse gas (GHG) emissions from stationary sources. They have since been strengthened. This case study tells the policy story of how the regulations came about, and how in the space of 18 months the government’s regulatory approach evolved from one based on emissions intensity, to cap-and-trade, to capital stock turnover. It also tells the technical story of how a simple regulation based on the length of time a facility has to operate can still build in elements of trading and other flexibilities. It ends with some observations around lessons learned.
    Date Created:
    2019-05-14

  • Report: Interventions for Rural and Remote Youth Mental Health

    Resource Type:
    Report
    Creator:
    Petrie, Sam, Carson, Dean B., Steven, Sebastian, Peters, Paul A., Priest, Liam, Waid, Chelsea, and Sinclair, Laleah
    Description:
    Visit the Spatial Determinants of Health Lab website at  https://carleton.ca/determinants
    Abstract:
    Rural and remote communities in both Australia and Canada have a higher burden of mental illness relative to their urban counterparts. Suicide rates, particularly, are higher across all age groups among men in rural communities as compared to metropolitan areas. Mental health issues are especially present in younger populations within these communities. Additionally, rural and remote communities tend to have higher proportions of Indigenous origin individuals, who face additional challenges and service barriers. Rural and remote communities often encounter significant barriers to accessing mental health care. Individuals from these communities may be serviced solely by general health care providers that are not trained in mental health treatment. Travelling away from the community to alleviate this issue only further hinders accessibility as these individuals must travel larger distances to access specialized health services. When services are accessed, those from rural and remote communities are met with longer wait times than their urban counterparts. With no specialized treatment within the rural or remote community and inaccessible treatment outside the community, mental health care must shift to informal caregivers and the community as a whole. Rural and remote communities are often not trained in mental health care. Interventions to address rural and remote youth mental health are needed to equip communities with the tools and skills to overcome access barriers and support community members. A review of recent literature related to rural and remote youth mental health interventions was conducted. The aim of the review is to characterize these mental health interventions in Australia and Canada and examine how they relate to youth.
    Date Created:
    2019-11-20

  • Report: Telepaediatrics in Rural and Remote Australia and Canada

    Resource Type:
    Report
    Creator:
    Morris, Sydney, Peters, Paul A., LeBlanc, Michele, Steven, Sebastian, Carson, Dean, and Petrie, Sam
    Abstract:
    Rural and remote communities in Australia and Canada experience barriers to accessing healthcare services (1). These barriers are especially pronounced when attempting to access more specialized health care services, such as paediatric (2–4). Both countries have implemented programs that aim to bridge the gap between rural communities and specialized healthcare. One such service is telepaediatrics. Telepaediatrics, as part of telehealth, refers to any paediatric health-related service, network, or medical tool that transmits voice, data, images and information through telecommunication programs as part of providing health services (5–7). Telehealth services are ideal because they remove the need to relocate the rural patient to urban specialist sites (5–7). In a WHO survey (2010), 60% of member countries had telehealth services in place but only 30% of these programs were implemented as part of routine care (8). Only 3 member countries had established telepaediatric services in place (8). No previous investigations examine the use of telehealth programs in urban versus rural settings (8). This review aims to identify the common barriers to telepaediatric services in rural Australia and Canada and outlines suggestions for future implementation.
    Date Created:
    2019-11-20

  • Patient and Provider Perspectives on Rural eHealth Interventions

    Resource Type:
    Report
    Creator:
    Paskaran, Saambavi, Carson, Dean B., Leblanc, Michele, Petrie, Sam, and Peters, Paul A.
    Description:
    Visit the Spatial Determinants of Health Lab website at  https://carleton.ca/determinants
    Abstract:
    Although health care is widely accessible in most developed countries, rural areas often struggle to adequately meet health care needs. Challenges in accessing and receiving adequate health care introduce large variations in disease levels, level of treatment, life expectancy,and overall health status for rural populations. eHealth, or electronic health,defined here as any electronic medium used to access health services,is a method used to bridge the gap between rural and urban centers to improve health care access. Including the above definition, eHealth also includes any technology designed to improve efficiencies and reduce costs in relation to health care. By providing a comprehensive overview of feedback from past interventions, policy-makers and program developers can develop strategies to improve the implementation and the use of eHealth technologies.
    Date Created:
    2019-08-12

  • Best Practices for Rural eMental Health

    Resource Type:
    Report
    Creator:
    Petrie, Samuel, LeBlanc, Michele, Peters, Paul A., Aboukarr, Sereen, Paskaran, Saambavi, and Carson, Dean B.
    Description:
    Visit the Spatial Determinants of Health Lab website at  https://carleton.ca/determinants
    Abstract:
    A review of recent literature related to eHealth technologies in Canada and Australia was conducted to better understand specific barriers and enablers for the uptake, acceptability, and success of eMental health programs. It has been shown that the more “rural” or “remote” a community, the access to mental health services decreases. By mitigating barriers and promoting enablers, successful eMental health integration can increase access to mental health services for rural residents. eMental health aims to bridge the gap between rural and urban mental health services by introducing electronic methods such as teleconferencing or videoconferencing for psychological services, virtual referral to psychiatrists, and sharing of electronic records. Successful integration of the technology remains a challenging task, with key actors, enablers, and barriers all influencing its success.
    Date Created:
    2019-07-12

  • Report: Recruitment and Retention of Rural Physicians

    Resource Type:
    Report
    Creator:
    Petrie, Sam, Sendanyoye, Claudia, Sebastian, Steven, Carson, Dean, and Peters, Paul A.
    Description:
    See also Carleton's Spatial Determinants of Health Lab:  https://carleton.ca/determinants
    Abstract:
    Rural and remote communities comprise around32% and 22% of Australia’s and Canada’s population. However, only 14% and 16% of family physicians in Australia and Canada, respectively, practice in these communities, resulting in a disproportion in access as compared with urban areas. An erosion of health services occurs when the number of physicians and other health care providers in a region is insufficient or these professionals are non-existent. Even when existing in a rural and remote region, providers are often overburdened. Inaccessibility to services in rural and remote communities’ results in poor health outcomes for all involved. In Canada, 1 in 7 physicians will leave rural practice within two years. Strategies to address these turnover rates and the lessening interest in entering rural practice have focused on supporting recruitment and retention initiatives (RnR) to first bring physicians into rural practice and then encourage physicians to continue in rural practice beyond the short-term. These programs have so far been insufficient or ineffective to address the lack of physicians in rural and remote areas. A review of recent literature related to RnR initiatives focused on rural physicians in Australia and Canada was conducted to investigate the strengths and limitations of initiatives. Further, this review critically examines the short and long-term feasibility of initiatives and develops a conceptual framework for designing or examining RnR initiatives.
    Date Created:
    2019-07-12

  • A Project Development Checklist for Community-Based Research

    Resource Type:
    Report
    Creator:
    Centre for Studies on Poverty and Social Citizenship
    Description:
    Special thanks to the Toolkit researchers, including Tara McWhinney, Aaron Kozak and Evan Culic for their contributions towards building this toolkit. Cette publication est aussi disponible en français.
    Abstract:
    This Community-Based Research Toolkit is intended for community organizations trying to decide if they want to conduct research, and whether they should seek an academic partner to work with to conduct this research. This toolkit is designed as a project development checklist that acts as a guide for things to consider for community organizations conducting a research project.
    Date Created:
    2019-07-02

  • Final Evaluation Report: Evaluating the Impact of Lanark County Mental Health’s “Buried in Treasures” Hoarding Treatment Program

    Resource Type:
    Report
    Creator:
    van de Sande, Adje, Feder, Zoey, Ang, Steven, and McIntosh, Karen
    Date Created:
    2019-03-06

  • Media and Internet Concentration in Canada, 1984 – 2018

    Resource Type:
    Report
    Creator:
    Winseck, Dwayne
    Description:
    Part of a series from the CMCRP. Visit the CMCRP website for project details and background:  http://www.cmcrp.org
    Abstract:
    Every year the Canadian Media Concentration Research Project puts out two reports on the state of the telecoms, internet, and media industries in Canada. This is the second installment in this year’s series. Whereas the first report in this series examines the growth, development and upheaval that are transforming the media industries in Canada, this report takes a step further by asking a deceptively simple but profoundly important question: have these industries—individually and collectively—become more or less concentrated over time? The report does so by examining the state of competition and concentration in the mobile wireless and wireline telecoms market, broadband internet access, cable, satellite & IPTV services, broadcast television and radio, specialty and pay television services, online video subscription and download services, newspapers, magazines, internet advertising, search engines, social media as well as mobile and desktop operating systems and browsers. This year’s report also adds significantly to our efforts last year to examine the dynamics of advertising spending across all media in Canada, i.e. TV, radio, online, newspapers, magazines and out-of-doors. As we noted in our first report, we have also significantly expanded our coverage by taking some preliminary steps to capture a broader range of audiovisual media services that are delivered over the internet.
    Date Created:
    2019-12-13

  • Media and Internet Concentration in Canada 1984 – 2017

    Resource Type:
    Report
    Creator:
    Winseck, Dwayne
    Description:
    Part of a series from the CMCRP - visit the CMCRP website for additional background. See also the related overview Poster - Canada’s Top Media, Internet & Telecom Companies by Market Share (2017) The workbook and reports were revised in early January 2019 to replace estimated revenue values for the mobile wireless, internet access and internet advertising markets with published final revenue figures from the Canadian Radio-television and Telecommunications Commission (CRTC) on December 21, 2018 and by the Internet Advertising Bureau of Canada on December 10, 2018.
    Abstract:
    This report examines the state of competition in the mobile wireless market, internet access, broadcast, pay and streaming TV services, internet advertising, advertising across all media, newspapers, browsers, online news sources, search, social media, operating systems, etc. in Canada over the period from 1984 until 2017. We call the sum-total of these media “the network media economy”. We then use two common metrics—Concentration Ratios and the Herfindahl-Hirschman Index (HHI)—to determine whether these markets—individually and collectively—are competitive or concentrated.
    Date Created:
    2019-01-06