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John N. Lavis, MD, PhD, Suzanne E. Ross, MA, MBA, Gregory L. Stoddart, PhD, Joanne M. Hohenadel, BASc, Christopher B. McLeod, MA and Robert G. Evans, PhD

John N. Lavis, Suzanne E. Ross, and Gregory L. Stoddart are with the Centre for Health Economics and Policy Analysis and the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. John N. Lavis and Gregory L. Stoddart are also with the Population Health Program, Canadian Institute for Advanced Research, Toronto, Ontario. In addition, John N. Lavis is with the Institute for Work and Health, Toronto, and Gregory L. Stoddart is with the Department of Economics, McMaster University. Joanne M. Hohenadel is with the Department of Clinical Epidemiology and Biostatistics, McMaster University. Christopher B. McLeod is with the Institute for Work and Health, Toronto. Robert G. Evans is with the Population Health Program, Canadian Institute for Advanced Research, Toronto, and the Centre for Health Services and Policy Research and the Department of Economics, University of British Columbia, Vancouver.

Correspondence: Requests for reprints should be sent to John N. Lavis, MD, PhD, Centre for Health Economics and Policy Analysis, Health Sciences Centre, Room 2D3, McMaster University, 1200 Main St W, Hamilton, Ontario L8N 3Z5, Canada (e-mail: lavisj{at}mcmaster.ca).

Objectives. This article describes Canadian civil servants’ awareness of, attitudes toward, and self-reported use of ideas about the determinants of health.

Methods. Federal and provincial civil servants in departments of finance, labor, social services, and health were surveyed.

Results. With civil servants in finance departments a notable exception, most Canadian civil servants see the health of populations as a relevant outcome for their sectors. Many (65%) report that ideas about the determinants of health have already influenced policymaking in their sector, but most (83%) say they need more information about the health consequences of the policy alternatives their departments face.

Conclusions. Civil servants should consider developing accountability structures for health and researchers should consider producing and transferring more policy-relevant research.

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