Cross-Jurisdictional Analysis of Administrative Health Data and Primary Care Electronic Medical Records in Canada

Abstract

Over the last 30 years, public investments have created and supported administrative health data resources and repositories in Canada to support population health, health services and health policy research. Together, these repositories represent the building blocks of a world-class data platform that enables evidence-informed clinical, managerial and policy decisions. But because Canada’s universal health care system is managed at the provincial level, these repositories have limited capacity to share and use data across jurisdictional boundaries. Challenges with timely access to data remain and differences between jurisdictions affect the quality, scope, and impact of work that could be done. There are considerable benefits to be obtained from collaboration seeking to compare and/or combine health data across jurisdictional borders, despite the limitations in sharing the data. To ensure that Canadians continue to have access to high-quality health care and benefit from effective health policies, researchers and system planners must have access to and be able to make effective use of administrative health data. The purpose of this paper is to describe how we approached and addressed challenges in data access, data governance and data architecture in a Canadian cross-jurisdictional research study.