My program of research is in the area of health policy analysis and consists of two overlapping themes; Health System Reform and Health Professionals and Professional Governance

My interest in these two areas evolved from my previous employment as Registrar and CEO of a health regulatory college in which I was involved with the development of systems level policies in Ontario but then had to deal with the impact of the implementation of these policies at the level of the individual health care provider. My initial investigations revealed that there was limited research available that assessed the impact of macro level policies on health professionals, especially with respect to the allied health professions.

In keeping with these two areas of interest, my dissertation research assessed the impact of a systems level policy change (the implementation of managed competition into the Ontario home care system) on a range of health professionals (primarily physiotherapists, social workers and occupational therapists).  Further research has considered the impact of policies such as funding approaches, referral patterns, and regulatory reforms on a range of professionals such as physicians, nurses, dental hygienists, and psychiatrists.

By way of examples, this site provides additional information about a few of my research projects, including conference presentations and reports. You can access the various pages through the dropdown menu or by clicking on the links below.

Youth to Adult Transitions in Mental Health

Health Professions and Policy Reform

Assertive Community Treatment in Mental Health

Managed Competition and Home Care Services

Examples of Research Funding

Randall, G.E. (principal investigator) and Wakefield, P.A. (co-investigator).  Enhancing Health Systems and Service Delivery by Optimizing the use of Health Human Resources. ODHA Research Fund (2014 – 2017) ($15,000).

Lavis, J., Hurley, J. (co-principal investigators) and Abelson, J., Giacomini, M., Grignon, M., Randall, G.E., and Sweetman, A. (co-investigators).  Harnessing Evidence and Values for Health System Excellence. Ontario Ministry of Health and Long-Term Care – Health System Research Fund (HSRF) Award (April1, 2013 – March 31, 2016). Grant #02045. ($4,961,963).

Randall, G.E. (principal investigator) and Barr, N., Embrett, M., Longo, C., Mulvale, G., and Wakefield, P.A. (co-investigators).  Enhancing Health System Performance and Patient-Centred Care: Child to Adult Transitions in Health Care – The Case of Mental Health Services in Ontario.  Sub-grant from: Harnessing Evidence and Values for Health System Excellence. Ontario Ministry of Health and Long-Term Care – Health System Research Fund (HSRF) Awards (2013 – 2016). ($244,560).

Mulvale, G. and Kutcher, S. (co-principal investigators), Whitley, S., Randall, G.E., Abelson, J., Longo, C., and Wakefield, P.A. (co-investigators). Using National Frameworks to Guide Local Health Policy Development: Lessons from a Case Study of Child and Youth Mental Health Policy Making in the Yukon.  CIHR – Healthcare Renewal Policy Analysis (2013 – 2014). ($134,545).

Randall, G.E. (principal investigator) and Wakefield, P.A. (co-investigator). Rebalancing Health Profession Roles: The Case of Dental Hygienists and Preventive Oral Health McMaster University’s Arts Research Board (2012 – 2015). ($7,980).

Landry, M. (principal investigator), Woodhouse, L., Deber, R., Randall, G.E., Miller, P., Hicks, A., Stokes, E., Desmeules, and F., Thomas, S. (co-investigators). Policy Analyses of Scope of Practice Changes to Physiotherapy and the Newly Regulated Health Profession of Kinesiology.  The Ontario Health Human Resources Research Network (OHHRRN) (2011 – 2012). ($35,400).

Randall, G.E.  (principal investigator) and Wakefield, P.A. (co-investigator).  Exploring expanded roles for health professionals: The case of dental hygienists in Ontario.  Applied Health Research Network Initiative: Population Health Improvement Research Network (PHIRN) (2010 – 2011). ($12,000).

Wakefield P.A. (principal investigator) and Randall, G.E.  (co-investigator).  Exploring the role of peer support specialists in the delivery of community-based mental health services The Ontario Health Human Resources Research Network, Ontario Ministry of Health and Long-Term Care (2010 – 2011). ($10,000).

Randall, G.E. and Howard, M. (co-principal investigators).  After-hours telephone advice given by family physicians’ offices in Ontario. Ontario Ministry of Health and Long Term-Care research grant #02045 (2007 – 2008). ($35,129).