The North American Observatory on Health Systems and Policies (NAO) is a collaborative partnership of interested researchers, research organizations, governments, and health organizations promoting evidence-informed health system policy decision-making. Due to the high degree of health system decentralization in the United States and Canada, the NAO is committed to focusing considerable attention to state and provincial health systems and to creating a foundation for more systematic health system and policy comparisons among substates.

Newfoundland and Labrador:
A Health System Profile
(now available in PDF)

Alberta: A Health System Profile
(now available in PDF)

New Publication in the Special Issue on Indigenous Self-determination in Health System Reforms

Health Policy Updates

New Publications

New Book Chapter


Health System Profiles

Canada Health System Review (2020)

Mexico Health System Review (2020)

United States Health System Review (2020)

Logo of the Institute of Health Policy, Management and Evaluation; University of Toronto
Logo of the Dalla Lana School of Public Health
Logo of the North American Observatory on Health Systems and Policies

The North American Observatory is hosted at the University of Toronto in Toronto, Ontario. We wish to acknowledge this land on which the University of Toronto operates. For thousands of years it has been the traditional land of the Huron-Wendat, the Seneca, and the Mississaugas of the Credit. Today, this meeting place is still the home to many Indigenous people from across Turtle Island and we are grateful to have the opportunity to work on this land.