Mary E Wiktorowicz

Professor

Director and Special Advisor for Global Health, Community Partnerships, Strategic Projects

Locations / Contact Info:

425 HNES
Keele Campus
Phone: 416 736 2100 Ext. 22124

Email address(es):

mwiktor@yorku.ca

Web site(s):

Dahdaleh Institute for Global Health Research

Faculty & School/Dept.

Faculty of Health - School of Health Policy & Management

Degrees

PhD Health Policy - 1995
Institute for Health Policy, Management and Evaluation
University of Toronto

Master of Science - 1988
Biochemistry
Dalhousie University

Bachelor of Science - 1985
Biochemistry
University of Manitoba

Biography

 

Mary Wiktorowicz is Professor of Health Policy, Director and Special Advisor to the Dean for Global Health, Community Partnerships and Strategic Projects in the Faculty of Health. As Associate Dean, Community and Global from 2014 - 2017 she supported the launch of the Dahdaleh Institute for Global Health Research and served as its Interim Director (2016 - 2017). As Chair, School of Health Policy and Management from 2006 - 2014 she led the school through a period of growth including the development of the PhD Program in Health, with the first field in Health Policy and Equity, and guided the development of the interdisciplinary Global Health BA and BSc. She is a member of the Graduate Programs in Health (Health Policy and Equity) and Critical Disability Studies. Professor Wiktorowicz adopts a comparative lens to study mental health and pharmaceutical governance and policy, and global health governance.

A recent study focused on mental health governance assessed the governance models ten local health networks used to coordinate mental health care across four provinces in Canada. The fragmented accountability regimes underlying mental health policy is a related research theme, including the legacy of the Canada Health Act in limiting the evolution of a system of comprehensive mental health care across Canada.

In her research on pharmacogovernance, Professor Wiktorowicz develops frameworks to enhance our understanding of the transnational governance models that guide the development of harmonized international standards for pharmaceutical safety and efficacy. Her research traces parallels in the governance approach of the global medicines network to that of its member jurisdictions to clarify the nature of their distinctive governance frameworks and the resulting dissonance they foster in post-market regulatory policy.

Professor Wiktorowicz's research in global health governance addresses the limitations inherent in the accountability frameworks underlying global programs of financial aid, with a focus on those supporting the prevention and treatment of malaria in low-income countries. Her research on local governance in Indigenous communities in India assesses the strengths and weaknesses of systems of local governance and the manner in which they support the enhancement of vulnerable women's and children's health.

She is an advisor to governments on current policy including the Canadian Senate Standing Committee on Social Affairs, Science and Technology, the House of Commons Standing Committee on Health, the Ontario Local Health Integration Collaborative on Mental Health, and the Ontario Ministry of Health and Long Term Care. She was a CIHR Best Brain advising on mental health policy. 

Selected Publications

Danhoundo, G., Premji, S., Wiktorowicz, M. 2017 Determinants of bed net policy implementation: A case study of Southern Benin. Health Policy and Planning forthcoming.



Wyndham-West, M., Wiktorowicz, M., Tsasis P. 2017. Power and Culture in Emerging Medical Technology Policymaking: Lessons from the Human Papillomavirus (HPV) Vaccine in Canada. Evidence and Policy. https://doi.org/10.1332/174426417X14845753387144



Selick, Avra and Mary Wiktorowicz. 2016. Co-occurring mental health and addiction disorders: The elusive path to integrated care. International Journal of Non-Communicable Diseases 1(3): 97-104.



Habibi, R., Guénette, L, Lexchin, J., Reynolds, E., Wiktorowicz, M., Mintzes, B. 2016. Regulating information or allowing deception? Pharmaceutical sales visits in Canada, France and the United States. Journal of Law, Medicine and Ethics 44: 602-615.



Danhoundo, G., Wiktorowicz, M., & Yaya, S. 2016. Governance of malaria prevention: How decision makers’ and pregnant women’s sensemaking contribute to unintended consequences. Health Care for Women International 38:238-252. http://www.tandfonline.com/doi/full/10.1080/07399332.2016.1234483



Walji, Rishma and Mary Wiktorowicz 2013. Governance of natural health products regulation: An iterative process.Health Policy 111: 86– 94.



Lexchin, J., Wiktorowicz, M, Moscou, K . Eggertson, L. 2013. Provincial Drug Plan Views of the Canadian Drug Safety System. Journal of Health Politics, Policy and Law 38(3): 545-571. 



Wiktorowicz, Mary, Lexchin, J., Moscou, K. 2012. Pharmacovigilance in Europe and North America: Divergent Approaches. Social Science and Medicine 75: 165-70. http://dx.doi.org/10.1016/j.socscimed.2011.11.046



Wiktorowicz, Mary, Fleury, Marie-Josée, Adair, Carol E., Lesage, Alain, Goldner, Elliot, Peters, Suzanne. 2010.  Mental health network governance: Comparative analysis across Canadian regions. Lead article International Journal of Integrated Health Volume 10: 1-14. http://www.ncbi.nlm.nih.gov.ezproxy.library.yorku.ca/pmc/articles/PMC3031794/



Wiktorowicz, M.E. 2005. “Restructuring mental health policy in Ontario: Deconstructing the evolving welfare state,” Canadian Public Administration 48(3): 386-412. Honorable mention for best article in Canadian Public Administration.



Wiktorowicz, M.E. 2003. "Emergent Patterns in the Regulation of Pharmaceuticals: Institutions and Interests in the United States, Canada, Britain and France," Journal of Health Politics, Policy and Law International Issue 28 (4): 615 - 658.



Hartford, K., Schrecker, T., Wiktorowicz, M., Hoch, J., Sharp, C. 2003. Four decades of mental health policy in Ontario, Canada. Administration and Policy in Mental Health 31 (1): 65 - 73.




Wiktorowicz, M.E., Lapp, M.D., Brodie, I., Abelson, D. 2003. “Nonprofit Groups and Health Policy in Ontario: Assessing Strategies and Influence in a Changing Environment,” in Kathy Brock editor Delicate Dances, Public Policy and the Nonprofit Sector, Volume 4, Montreal: McGill-Queen's University Press.



Wiktorowicz, M. 2000. "Shifting Priorities at the Health Protection Branch: Challenges to the Regulatory Process," Canadian Public Administration, 43(1): 1-22. (lead article)



Wiktorowicz, M.E., Goeree, R., Papaioannou, A., Papadimitropoulos, M., Adachi, J.D. 2001. Economic Implications of Hip Fracture: Health Service Use, Institutional Care and Cost in Canada. Osteoporosis International 12(4): 271-278.



Wiktorowicz, M. and Deber, R. 1997. Regulating Biotechnology: A Rational-Political Model of Policy Development. Health Policy 40: 115-138.


Other Research Outputs

Advised the Canadian Senate Standing Committee on Social Affairs, Science and Technology. Regulation of pharmaceuticals. June 6, 2014.

Advised the Canadian Senate Standing Committee on Social Affairs, Science and Technology. “Addressing the Risks of Medicine: A New Governance Strategy for Pharmacovigilance” November 8, 2012. Link to Y-file story: http://www.yorku.ca/health/people/index.php?dept=&mid=162283

As a CIHR "Best Brain" for the Institute of Health Services and Policy Research, Advised on Mental Health System Governance for the Nova Scotia Department of Health and Wellness, March 18, 2011

Keynote speaker: Ontario Local Health Integration Network Collaborative (LHIN-C), Improving Transitions in Mental Health and Addiction Services: Keynote address, January 31st 2011.

Advised the Health Canada Expert Advisory Committee – Vigilance of Health Products Meeting. Theme: Regional Collaboration and Opportunities in Pharmacovigilance.  October 19-20, 2011.  Toronto, Ontario.

Advised the House of Commons Standing Committee on Health, Study on Post-Market Surveillance, April 10, 2008.  Expert Panel presentation: Comparative research on international pharmacosurveillance. 

Advised the Federal/Provincial/Territorial Advisory Network on Mental Health Primary Health Care and Mental Health Forum “Coordinating Primary Care and Mental Health Care” November 22, 2005, Toronto.

Wiktorowicz, Mary, Fleury, Marie-Josée, Adair, Carol E., Lesage, Alain, Goldner, Elliot, Peters, Suzanne, Goering, Paula. 2009 Mental health network governance and coordination: Comparative analysis across ten Canadian regions 2009. Report for the Canadian Foundation for Healthcare Improvement.

 

Affiliations

Partnerships

Ontario Ministry of Health and Long Term Care
The Ontario Ministry of Health and Long Term Care was a research partner for the CHSRF-funded research project: Mental Health Restructuring Among Canadian Provinces: Lessons in Policy Reform and Regional Coordination.

Service/Community Activities

Canadian Institutes of Health Research
Member of the College of Reviewers, Institute of Health Services and Policy

Canadian Patient Safety Institute
Wiktorowicz M, Lexchin J, Paterson M, Mintzes B, Light D, Morgan S, Holbrook A, Tamblyn R, Zaki E, Moscou K. Research networks involved in post-market pharmacosurveillance in the United States, United Kingdom, France, New Zealand, Australia, Norway and European Union: lessons for Canada. Canadian Patient Safety Institute, 2008.

Health Council of Canada
Commissioned Reports Wiktorowicz ME, Lexchin J, Moscou K, Silversides A, Eggertson L. 2010. Keeping an eye on prescription drugs...keeping patients safe. Active monitoring systems for drug safety and effectiveness in Canada and internationally. November 17, 2010 http://publications.gc.ca/collections/collection_2011/ccs-hcc/H174-21-2010-eng.pdf Media Uptake for the Report: Total media stories: 87 Report downloads: 2,820

Awards

Premier's Award for Research Excellence - 2002

Honorable Mention, Hodgett's Award Best Article in - 2006

Canadian Public Administration in 2005

Faculty of Health Dean's Award for Service - 2011

Supervision

Currently available to supervise graduate students: Yes

Currently taking on work-study students, Graduate Assistants or Volunteers: No

Available to supervise undergraduate thesis projects: No

Current Research

 

Research areas: mental health policy, mental health care integration and coordination, regional health governance models, global health governance and policy, transnational governance through policy networks, transnational interdependence, transnational pharmaceutical policy.

The Canadian Institutes of Health Research and the Canadian Patient Safety Institute fund her mental health and pharmaceutical policy research.

Research Projects

What works best to protect public health. An international comparison of post-market regulatory risk communication on prescription drugs
PIs Colin Dormuth, Barbara Mintzes, Ingrid Sketris, Coinvestigators: Lisa Bero, Countrney Davis, M. De Bruin, A. Kessleheim, Thomas Moore, Lorri Puil, Elizabeth Roughhead, Mary Wiktorowicz, John Abraham et. al
Role: Collaborator
Amount funded: $1,158,976
Year Funded: 2017
Duration: 3 years
Funded by: Canadian Institutes of Health Research

International Strategies for Post-Market Pharmacosurveillance: Lessons for Canada
Role: Principal Investigator
Amount funded: $144,000
Year Funded: 2006
Duration: 3
Funded by: Canadian Institutes of Health Research

Assessing international pharmacosurveillance strategies: Lessons for Canada
Role: Principal Investigator
Amount funded: $68,880
Year Funded: 2007
Duration: 2
Funded by: Canadian Patient Safety Institute

Marrying Knowledge Generation with Knowledge Diffusion and Utilization: The Consortium for Applied Research and Evaluation in Mental Health
PI: Evelyn Vingilis
Role: CoInvestigator
Amount funded: $871,253
Year Funded: 2003
Duration: 4
Funded by: Canadian Institutes of Health Research

Developing a health system-level balanced scorecard
PI: Peter Tsasis
Role: CoInvestigator
Amount funded: $67,197
Year Funded: 2009
Duration: 2
Funded by: Social Sciences and Humanities Research Council

Les soins partagés: Rôle et impact des psychiatres-répondants sur l’amélioration des soins de santé mentale
PI: Fleury, M.-J Ranked 2nd out of 84 applications
Role: CoInvestigator
Amount funded: $440,000
Year Funded: 2016
Duration: 3
Funded by: Canadian Institutes of Health Research

Mental Health Restructuring Among Canadian Provinces: Lessons in Policy Reform and Regional Coordination
Role: Principal Investigator
Amount funded: $144,000
Year Funded: 2002
Duration: 3
Funded by: Other...
Other funding: Canadian Foundation for Healthcare Improvement

Partnerships in Capacity Building: Housing, Community Economic Development, and Psychiatric Survivors
Co-PIs Forchuk, C., Kreda, J., & Turner, K. Purpose: Evaluating gender specific housing alternatives for Psychiatric survivors
Role: CoInvestigator
Amount funded: $951,625
Year Funded: 2001
Duration: 4
Funded by: Social Sciences and Humanities Research Council

WHO and Accountability in West Africa
PI: Georges Danhoundo
Role: Co-Principal Investigator
Amount funded: $6,000
Year Funded: 2015
Duration: 3
Funded by: York University

Pharmaceutical Sales Representatives and Patient Safety: exploration of physician experiences in three countries and implications for regulatory policy
PIs: Barbara Mintzes, Joel Lexchin
Role: CoInvestigator
Amount funded: $308,366
Year Funded: 2012
Duration: 3
Funded by: Canadian Institutes of Health Research