ArticleCanadian journal of public health = Revue canadienne de sante publique2020
Public health investments: neglect or wilful omission? Historical trends in Quebec and implications for Canada.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Factors influencing public health financing in British Columbia: A qualitative case study.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Building consensus on what to include in public health expenditures: A modified Delphi study in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Rural Emergency 360°: A mixed-methods analysis of barriers and priorities for equitable emergency care in Québec.PloS one · 2026Article
- "Public health without effective health communication is really nothing": Key informant interviews and thematic analysis as part of a multi-step research process to develop modernized public health communication competencies.Journal of public health research · 2025Article
- Economic policy and public health: Insights from the history of the Canadian Journal of Public Health.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Understanding the mental health and intention to leave of the public health workforce in Canada during the COVID-19 pandemic: A cross-sectional study.BMC public health · 2024Article
- The political and fiscal determinants of public health and curative care expenditures: evidence from the Canadian provinces, 1980-2018.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Prioritization of public health financing, organization, and workforce transformation: a Delphi study in Canada.BMC public health · 2023Article
- Integrating Public Health Into Undergraduate Medicine in North America: A Systematic Review.Cureus · 2023Review
- Centralization and integration of public health systems: Perspectives of public health leaders on factors facilitating and impeding COVID-19 responses in three Canadian provinces.Health policy (Amsterdam, Netherlands) · 2023Review
- Article
- Fare well to Nova Scotia? Public health investments remain chronically underfunded.Canadian journal of public health = Revue canadienne de sante publique · 2021Article
- Article
- On redesigning public health in Québec: lessons learned from the pandemic.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- The social determinants of pandemic impact: an opportunity to rethink what we mean by "public health spending".Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- How Can Health Systems Better Prepare for the Next Pandemic? Lessons Learned From the Management of COVID-19 in Quebec (Canada).Frontiers in public healthReview
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This commentary explores public health (PH) investments in Quebec and underlines the challenge of tracking PH resources across Canada. We analyzed governmental data to compare investments across all health and social programs in Quebec from 2004-2005 to 2017-2018. The province's PH budgets suffered from disproportionately low investments and abrupt cuts. These cuts were the largest among all health programs in 2015-2016 (- 7.1%). PH budgets did not keep up with inflation and, in constant dollars, have declined over the last decade. Furthermore, their evolution over the span of 14 years significantly differed from other health programs. On average, programs providing direct services experienced overall budget increases of 81%, whereas PH budgets had the lowest increase of all such programs at only 46%. PH suffers from serious erosion of its capacity. Unfortunately, there is a dire lack of comparable data for provincial, national, and international PH budgets, which further complicates the monitoring of PH erosion. We contend that systematic tracking of PH budgets remains profoundly inadequate across Canada. We recommend (1) regular, comprehensive, and publicly reported analyses of PH budgets; (2) in-depth comparisons of PH investments across Canadian jurisdictions; and (3) a strong PH systems and services research agenda for Canada.
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