CIHR Health System Impact Fellows: Reflections on “Driving Change” Within the Health System

Document Type : Perspective


1 Healthy Populations Institute, Dalhousie University, Halifax, NS, Canada

2 Nova Scotia Health Authority, Halifax, NS, Canada

3 McGill University, Montreal, QC, Canada

4 Centre for Innovation in Autism and Intellectual Disabilities, Montreal, QC, Canada

5 Mount Saint Vincent University, Halifax, NS, Canada

6 Continuing-Care Research, Nova Scotia Health Authority, Halifax, NS, Canada

7 Institute of Health Policy and Management, University of Toronto, Toronto, ON, Canada

8 Sunnybrook Health Sciences Centre, Toronto, ON, Canada

9 DeGroote School of Business, McMaster University, Hamilton, ON, Canada

10 Nova Scotia Health Research Foundation, Halifax, NS, Canada

11 Institut National D'excellence en Santé et en Services Sociaux (INESSS), Québec City, QC, Canada

12 Centre Intégré en Santé et Services Sociaux de Chaudière-Appalaches, Ste-Marie, QC, Canada

13 Département de Médecine Familiale et Médecine D'urgence, Université Laval, Quebec City, QC, Canada

14 School of Public Health, University of Alberta, Edmonton, AB, Canada

15 Primary and Community Health, Health Service Delivery, Alberta Health, Edmonton, AB, Canada

16 Department of Human Kinetics, University of Ottawa, Ottawa, ON, Canada

17 University Health and Social Services Centre (IUHSSC) of Capitale-Nationale (CN), Faculty of Nursing Sciences, Université Laval, Québec City, QC, Canada

18 School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada

19 SE Health, Markham, ON, Canada

20 Department of Epidemiology Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, QC, Canada

21 Institut National de Santé Publique du Québec (INSPQ), Montréal, QC, Canada

22 Saskatchewan Health Authority, Saskatoon, SK, Canada

23 University of Saskatchewan, Saskatoon, SK, Canada


Learning health systems necessitate interdependence between health and academic sectors and are critical to address the present and future needs of our health systems. This concept is being supported through the new Canadian Institutes of Health Research (CIHR) Health System Impact (HSI) Fellowship, through which postdoctoral fellows are situated within a health system-related organization to help propel evidence-informed organizational transformation and change. A voluntary working group of fellows from the inaugural cohort representing diversity in geography, host setting and personal background, collectively organized a panel at the 2018 Canadian Association for Health Services and Policy Research Conference with the purpose of describing this shared scholarship experience. Here, we present a summary of this panel reflecting on our experiential learning in a practice environment and its ability for impact.



Commentaries Published on this Paper


  • It’s All About the IKT Approach: Three Perspectives on an Embedded Research Fellowship; Comment on “CIHR Health System Impact Fellows: Reflections on ‘Driving Change’ Within the Health System”

          Abstact | PDF


  • Meeting the Challenge of the “Know-Do” Gap; Comment on “CIHR Health System Impact Fellows: Reflections on ‘Driving Change’ Within the Health System”

          Abstract | PDF


  • Bridging the Gap Between Research and Policy and Practice; Comment on “CIHR Health System Impact Fellows: Reflections on ‘Driving Change’ Within the Health System”

          Abstract | PDF


  • The Health System Impact Fellowship: Perspectives from the Program Leads; Comment on “CIHR Health System Impact Fellows: Reflections on ‘Driving Change’ Within the Health System”

          Abstract | PDF


  • The Embedded Health Management Academic: A Boundary Spanning Role for Enabling Knowledge Translation; Comment on “CIHR Health System Impact Fellows: Reflections on ‘Driving Change’ Within the Health System”

          Abstract | PDF


  • Re-Framing the Knowledge to Action Challenge Through NIHR Knowledge Mobilisation Research Fellows; Comment on “CIHR Health System Impact Fellows: Reflections on ‘Driving Change’ Within the Health System”

           Abstract | PDF


Authors' Response to the Commentaries


  • Destination Impact! The Many Roads to Influencing Health System Change: A Response to Recent Commentaries

           Abstract | PDF


Watch the Video Summary here.



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Volume 8, Issue 6
June 2019
Pages 325-328
  • Receive Date: 24 September 2018
  • Revise Date: 07 December 2018
  • Accept Date: 09 December 2018
  • First Publish Date: 01 June 2019