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

Alberta: A Health System Profile

Delivering primary care services in non-traditional healthcare settings to people experiencing homelessness, NAO Rapid Review

Health Reform Observer – Observatoire des Réformes de Santé – Call for Papers (Special Issue): COVID-19
COVID-19 Updates
New Publications & Reports
- Policy programs and service delivery models for older adults and their caregivers: Comparing three provinces and two states, Health and Social Care in the Community
- Public Health Systems in Canada: Quebec; British Columbia
- Uncovering Public Perceptions of Older Adults’ Vaccines in Canada: A Study of Online Discussions from National Media Sources, Canadian Journal on Aging
NAO News
Events
- NAO Lecture Series – Revitalising Health Care Reform through the Pandemic: Further Adventures of Sláintecare in Ireland (June 10, 2022)
Registration open
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.