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Robert G. Evans, PhD and Greg L. Stoddart, PhD

Robert G. Evans is with the Department of Economics and the Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada. Greg L. Stoddart is with the Department of Clinical Epidemiology and Biostatistics and the Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Ontario, Canada. Both are also with the Population Health Program of the Canadian Institute for Advanced Research, Toronto, Ontario, Canada.

Correspondence: Requests for reprints should be sent to Greg L. Stoddart, PhD, Department of Clinical Epidemiology and Biostatistics, HSC-2D1, McMaster University, 1200 Main St W, Hamilton, Ontario L8N 3Z5, Canada (e-mail: stoddart{at}mcmaster.ca).

The authors’ 1990 article "Producing Health, Consuming Health Care" presented a conceptual framework for synthesizing a rapidly growing body of findings on the nonmedical determinants of health. The article received a very positive response, and here the authors reflect on what lessons might be learned from that response about the style or content of effective interdisciplinary communication.

Much substantive knowledge has been accumulated since 1990, and a number of different frameworks have been developed before and since. The authors situate theirs within this literature and consider how they might have modified it if they "knew then what they know now." They ask what impact this article, and the much broader stream of research on the determinants of health, has had on public policy?

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