Evidence map›Paper›PMID 29981105›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2018

Contested roles of Canada's Chief Medical Officers of Health.

Patrick Fafard, Brittany McNena, Agatha Suszek, Steven J Hoffman

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Patrick FafardGlobal Strategy Lab, York University/University of Ottawa, Toronto/Ottawa, Canada. pfafard@uottawa.ca.ORCID 0000-0001-6234-3699
Brittany McNenaGlobal Strategy Lab, York University/University of Ottawa, Toronto/Ottawa, Canada.
Agatha SuszekGlobal Strategy Lab, York University/University of Ottawa, Toronto/Ottawa, Canada.
Steven J HoffmanGlobal Strategy Lab, York University/University of Ottawa, Toronto/Ottawa, Canada.

Funding

CIHR 152725
6 · The paper itself

Abstract

The roles and responsibilities of Canada's Chief Medical Officers of Health (CMOHs) are contested. On the one hand, they are senior public servants who confidentially advise government on public health matters and manage the implementation of government priorities. On the other hand, CMOHs are perceived as independent communicators and advocates for public health. This article analyzes public health legislation across Canada that governs the CMOH role. Our legal analysis reveals that the presence and degree of advisory, communication, and management roles for the CMOH vary considerably across the country. In many jurisdictions, the power and authority of the CMOH is not clearly defined in legislation. This creates great potential for confusion and conflict, particularly with respect to CMOHs' authority to act as public health advocates. We call on governments to clarify their preferences when it comes to the CMOH role and either amend the relevant statute or otherwise find ways to clarify the mandate of their CMOHs.

Indexed as

Physician's RoleCanadaHumansPhysician ExecutivesAdministrateur en chef de la santé publiqueChief Medical Officer of HealthChief Public Health OfficerGouvernance de la santé publiqueMédecin-hygiénisteMédecin-hygiéniste en chefMedical Officer of HealthMots-clésPublic healthPublic health governanceSanté publique

Identifiers

PMID29981105
PMCPMC6182332

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.