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A workbook titled “ Let's Talk was developed to help participants to
prepare. This contained statistical data, written information and some pre-
liminary analysis of that information, related to the four broad themes ini-
tially outlined by the Forum.
The consultation took place in two phases.
Phase 1 was a scoping study to identify the views of Canadians regard-
ing the present and future direction of health and health care issues. Its ob-
jectives were:
to engage Canadians in a dialogue on health and health care and on the
changes and improvements needed at the national level; and
to examine issues as they relate to the health of Canadians.
Phase 2 was to “ ground test ” the directions of the Forum before these
directions were articulated into recommendations. Its objectives were:
to seek views on the Forum's proposed directions and options; and
to solicit advice on approaches to implementation.
By the end of Phase 1, seventy-one study circles had been expertly fa-
cilitated, and in April 1996 key stakeholders were invited to a conference
in Toronto. The conference brought together representatives of local, re-
gional, provincial and national organizations with a specific interest in
health and health care. More than 200 people attended the conference and
participated in professionally facilitated groups to discuss the Forum's four
key issues:
how to allocate and organize resources in health and health care;
how to move from research to action on the determinants of health;
how to encourage evidence-based analysis and research in decision-
making about health and health care; and
how to identify the values Canadians hold about health and health care
and ensure these values influence decisions.
In Phase 2, feedback on proposed directions and options was sought by
Forum members from the wider constituency. Plans for return validation
meetings with study circles had to be abandoned when the time-frame for
the Forum to do its work was reduced significantly. Nevertheless Forum
members remained committed to testing their strategic directions with the
public and the second consultation phase achieved this through a telephone
survey and two regional conferences in Vancouver and Montreal held dur-
ing a six-week period in the fall of 1996. These conferences brought more
than 200 citizens and stakeholders together with no explicit weighting of
public and professional views. A background document, “ Advancing the
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