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.
Featured

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

Upcoming webinar: How Institutions, Politics, Organizations, and Governance Shaped COVID-19 Responses (Jan 30 @ 2 pm EST)

New Publication:
Challenges faced by practitioners accessing Jordan’s principle: A commentary
New Publications
- Network dynamics in public health advisory systems: A comparative analysis of scientific advice for COVID‐19 in Belgium, Quebec, Sweden, and Switzerland, Governance
- Digital health technologies and inequalities: A scoping review of potential impacts and policy recommendations, Health Policy
- Supporting the equitable access to health and social services for people experiencing homelessness, NAO Rapid Review
New Book Chapter
- Canada’s health care system: the promises and challenges of a federated system in Research Handbook on Health Care Policy
Health System Profiles

Canada Health System Review (2020)

Mexico Health System Review (2020)

United States Health System Review (2020)
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.