REGULATION AND GOVERNANCE OF ACCESS TO UNPROVEN MEDICAL INTERVENTIONS IN CANADA; A CASE STUDY ANALYSIS
type: CreativeWork
description: This research used case studies to identify and explore lessons from past regulation and governance of access to unproven medical interventions provided by physicians in Canada, with the goal of informing and strengthening future strategies. The examples selected were chelation therapy for applications other than treating heavy metal toxicity, liberation therapy for multiple sclerosis, and unproven stem cell interventions. For each case study, a systematic data collection strategy was used that included academic literature from relevant disciplines, legislation, government documents, records of legislative and parliamentary debates, jurisprudence, professional regulatory decisions and guidance, news media, and patient advocacy activity. The role of law helped set boundaries for the data collection and analysis, which focused primarily on regulatory and governance tools and strategies that use or are empowered or constrained by law. A second objective of this research was to develop theoretical insights regarding the use of regulation and governance as frameworks for understanding complex policy issues. Drawing on the fields of regulation and governance, a conceptual framework was developed to guide the case study analyses. This conceptual framework was revised iteratively throughout the work. The key features of regulation and governance that were identified and explored through each case study were actors, instruments, purposes, legitimacy, and responsiveness and adaptability. Following the individual case study analyses, which developed a deep understanding of each case, a cross-case analysis was conducted to identify features of the Canadian context that future regulation and governance of access to unproven medical interventions will likely need to account for to be successful. These features include our decentralized healthcare system, the importance of medical professional regulation, and our independent judicial processes. There are also several areas of focu…
abstract: This research used case studies to identify and explore lessons from past regulation and governance of access to unproven medical interventions provided by physicians in Canada, with the goal of informing and strengthening future strategies. The examples selected were chelation therapy for applications other than treating heavy metal toxicity, liberation therapy for multiple sclerosis, and unproven stem cell interventions. For each case study, a systematic data collection strategy was used that included academic literature from relevant disciplines, legislation, government documents, records of legislative and parliamentary debates, jurisprudence, professional regulatory decisions and guidance, news media, and patient advocacy activity. The role of law helped set boundaries for the data collection and analysis, which focused primarily on regulatory and governance tools and strategies that use or are empowered or constrained by law. A second objective of this research was to develop theoretical insights regarding the use of regulation and governance as frameworks for understanding complex policy issues. Drawing on the fields of regulation and governance, a conceptual framework was developed to guide the case study analyses. This conceptual framework was revised iteratively throughout the work. The key features of regulation and governance that were identified and explored through each case study were actors, instruments, purposes, legitimacy, and responsiveness and adaptability. Following the individual case study analyses, which developed a deep understanding of each case, a cross-case analysis was conducted to identify features of the Canadian context that future regulation and governance of access to unproven medical interventions will likely need to account for to be successful. These features include our decentralized healthcare system, the importance of medical professional regulation, and our independent judicial processes. There are also several areas of focu…
author: Zarzeczny, Amy
language: en
keywords: regulation, governance, unproven medical interventions
date published: 2022-10-18
date modified: 2026-07-24T04:27:08Z
provider: University of Saskatchewan
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Saskatchewan

PropertyValue
property ID: Handle
value: https://hdl.handle.net/10388/14261