Mehdi Ammi’s research spans health economics, applied microeconometrics and health policy. His research is primarily quantitative, using a variety of methods (e.g., choice experiments) and data sources (e.g., survey and administrative data). He also uses other approaches, such as synthesis and comparative case studies, to study health policy relevant questions in Canada and abroad.
Associate Professor
Health economics; applied econometrics; applied microeconomics.
- Brief Biography
BA in Economics (Université de Bourgogne, France)
MA in Economics (Université de Bourgogne, France)
PhD in Economics, highest honors (Laboratoire d’Économie et Gestion – CNRS and Université de Bourgogne, France)Dr. Ammi’s research spans health economics, applied microeconometrics, and health policy. His research is primarily quantitative, using a variety of methods (e.g., choice experiments) and data sources (e.g., survey and administrative data). He also uses other approaches, such as synthesis and comparative case studies, to study health policy relevant questions in Canada and abroad.
In Canada, about 1 in 10 dollars is spent on health care and the share of provincial budgets allocated to health is above 40% in most provinces. However, the Canadian health care system performance is far from being impressive, by international standards. This raises the question of the correct allocation of resources, one key question for economists. I am particularly interested in studying health care from the supply-side and like most applied economists, I try to find answer to causal questions. My research interests include primary care (especially physicians’ and nurses’ behaviour, and team-based care), utilization and accessibility of care, decentralization in healthcare, as well as public health. Overall, I want to understand how the characteristics of health and healthcare systems can be modified to balance comprehensive access, high quality and low cost of healthcare, and ultimately improve population health.
Honours
- FPA Research Productivity Award, Carleton University, 2018-2019
- Travel Award, Canadian Institutes of Health Research, 2015
- Start-up Grant, Faculty of Public Affairs at Carleton University, 2013
- Postdoctoral Fellowship, Canadian Institutes of Health Research, 2012-2013
- Doctoral Research Grant, LEG-CNRS, 2008
Academic Leadership
Active Initiatives
- Journal Articles
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- Ammi M., Arpin E., Allin S. “Interpreting forty-three-year trends of expenditures on public health in Canada: long-run trends, temporal periods, and data differences.” Health Policy. Elsevier. 125(12): pp. 1557-1564 (December 2021)
- Allan, Ian, and Mehdi Ammi. “Evolution of the Determinants of Unmet Health Care Needs in a Universal Health Care System: Canada, 2001–2014.” Health Economics, Policy and Law. Cambridge University Press. pp. 1–24 (August 2020)
- Desson Z., Weller E., McMeekin P., Ammi M. “An analysis of the policy response to the COVID-19 pandemic in France, Belgium, and Canada” Health Policy and Technology. Elsevier. 9(4): pp 430-446 (December 2020)
- Ammi M., Diop M, Strumpf E. “Explaining primary care physicians’ decision to quit patient-centered medical homes: evidence from Quebec, Canada”. Health Services Research. Wiley Online. 54(2) : pp. 367-378 (Febuary 2019)
- Li A., Cronin S., Bai Y., Walker K., Ammi M., Hogg W., Wong S., Wodchis W. “Assessing the representativeness of physician and patient respondents to a primary care survey using administrative data”. BMC Family Practice. England : BioMed Central Ltd. 19 (1) : pp.77-77 (May 2018)
- Ammi, M., Ambrose S. ‡, Hogg W., Wong S. 2017. “The Influence of Registered Nurses and Nurse Practitioners on Patient Experience with Primary Care: Results from the Canadian QUALICO-PC Study.” Health policy (Amsterdam). Ireland: Elsevier B..V. 121(12) pp.1215–1224 (December 2017)
- Strumpf E., Ammi M., Diop M , Fiset-Laniel J , Tousignant P. “The Impact of Team-Based Primary Care on Health Care Services Utilization and Costs: Quebec’s Family Medicine Groups.” Journal of health economics. Netherlands: Elsevier B.V. 55: pp.76-94 (September 2017)
- Ammi M. and Fortier G. “The Influence of Welfare Systems on Pay-for-Performance Programs for General Practitioners: A Critical Review.” Social science & medicine.
England: Elsevier Ltd. 179. Pp.157-166 (April 2017)
- Ammi M. and Peyron C. “Heterogeneity in General Practitioners’ Preferences for Quality Improvement Programs: a Choice Experiment and Policy Simulation in France.” Health economics review. Berlin/Heidelberg: Springer Berlin Heidelberg . 6(1): pp.1–11 (December 2016)
- Langton, J.M., Wong, S.T., Johnston, S., Abelson, J., Ammi, M., Burge, F., Campbell, J., Haggerty, J., Hogg, W., Wodchis, W.P., McGrail, K. “Primary Care Performance Measurement and Reporting at a Regional Level: Could a Matrix Approach Provide Actionable Information for Policy Makers and Clinicians?” Healthcare policy.
Canada: Longwoods Publishing. 12(2): pp.33-51 (November 2016)
- Lecocq A., Ammi M. and Bellarbre E., 2014, “Le score de propension : un guide méthodologique pour les recherches expérimentales et quasi expérimentales en éducation.” Mesure et évaluation en education. ADMEE-Canada – Université Laval. 37(2): pp. 69-100 (2014)
- Ammi M. et Béjean S, Ammi, Mehdi, and Sophie Béjean. “Les incitations à la prévention peuvent-elles être efficaces en médecine libérale?” Journal d’économie médicale. Paris; ESKA. 28(1) pp. 3-17 (2010)
- Ammi M. et Peyron C., 2010. “Incitations à l’offre de prévention et préférences en médecine générale : l’apport de la méthode DCE.” Économie publique. Marseille: Institut d’économie publique. 24-25: pp.129-155 (2009) ISSN: 1778-7440
- Book Chapters
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- Ammi M., Contandriopoulos A-P. et Pineault R, 2009. « Institutions, organisations et offre de prévention en médecine générale : une mise en perspective franco-québécoise » (Institutions, organizations and prevention supply in general practice: France and Quebec) in : Barnay T. et Legendre F., Emploi et politiques sociales, Paris, L’Harmattan, tome 1, p.57-70.
- Ammi M. et Béjean S., 2008. « Médecins libéraux et prévention : quelle efficacité attendre des incitations financières ? » (Prevention in private practice: what can be expected from financial incentives?) in : Domin J.-P., Maric M., Delabruyère S. et Hedoin C., Au-delà des droits économiques et des droits politiques, les droits sociaux ?, Paris, L’Harmattan, tome 2, p.179-191
Media coverage
SPPA News
Principal Investigator, Public health financing and structural transformation: evaluating the impacts of past changes and understanding policymakers’ preferences for the future (Canadain Institues of Health Research Catalyst Grant)
This project is aimed to advance knowledge on the positive, negative and unintended effects of transformations to the public health structure and the implications on resource allocation. The goal of the research is to provide quantitative and qualitative data about the impact of past changes and policymakers’ preferences, but also to provide a method for monitoring changes to public health at the provincial, territorial and local level in the future.
Co-Investigator, Establishing a platform to monitor the performance of public health systems across Canada
(Canadain Institues of Health Research Grant)
Strong public health systems are essential to improving population health and ensuring sustainable health systems. While there is robust evidence of effectiveness of public health interventions, there is little known about how performance of public health systems varies across the country. Our proposed project aims to fill this knowledge gap by examining and comparing changes to public health financing, governance and organization on health outcomes using case studies in Canada and by defining structure, process and outcome indicators to establish a platform for ongoing monitoring and evaluation research.
Principal Investigator, Improving Public Health Finance Capacity and Spending Data Monitoring and Reporting to Inform the COVID Recovery Period: An International, Sequential Mixed-Methods Investigation (Canadain Institues of Health Research Grant)
The COVID-19 pandemic has made clearer than ever the need for strong, resilient public health (PH) systems that are sufficiently well funded. PH scholars, practitioners, and decision-makers from across the globe are now calling for a rebuilding of and reinvestment in PH systems for the COVID recovery period. However, there are substantial discrepancies between levels of governments or health reporting agencies as to how much is spent on PH. Without precise estimates of the past and current PH investments, rebuilding strong PH systems will prove difficult. We propose a project dedicated to improving the PH financing/spending monitoring and reporting in Canada, with international implications and organized around three interrelated objectives.
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