Health systems · Analysis
The wait-list is full of patients who don't belong on itThe wait-list is full of patients who don't belong on it
Over-referral, not specialist scarcity, is the root cause of Canada's specialty wait-times.
CareChainMay 2026
Insights
Influencing how Canada thinks about specialty care
Data-forward commentary on triage, marketplace economics, and the evidence behind allied-health-led assessment. Read online or download any report.
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Health systems
Marketplace economics
Clinical evidence
Clinical evidence · Report
The spine pathway results, in detailThe spine pathway results, in detail
A full read of the wait-time, satisfaction, and chronicity outcomes.
CareChainMay 2026
Marketplace economics · Essay
The marketplace economics of triageThe marketplace economics of triage
Why a multi-sided platform aligns incentives the current system cannot.
CareChainApr 2026
Health systems · Playbook
Triage at scale: a deployment playbookTriage at scale: a deployment playbook
What month one, three, and six look like when a health system routes its wait-list through allied-health-led triage.
CareChainMar 2026
Health systems · Brief
Wait-times in Canada: the 30-year pictureWait-times in Canada: the 30-year picture
Specialty wait-times have grown 200 to 500 percent since 1993. A brief on how the list got this long.
CareChainMar 2026
Clinical evidence · Research note
STarT-Back and ODI outcomes, explainedSTarT-Back and ODI outcomes, explained
How two validated instruments show the redirected patients were genuinely helped, not just cleared from a queue.
CareChainFeb 2026
Clinical evidence · Explainer
What an allied-health-led assessment involvesWhat an allied-health-led assessment involves
A plain explainer of the one-hour assessment that sits at the front of the pathway.
CareChainFeb 2026
Health systems · Guide
Procurement guide: deploying CareChainProcurement guide: deploying CareChain
Integration, data residency, and timelines for a health-system procurement team.
CareChainJan 2026
Marketplace economics · Brief
Closed-loop referral: how the data flowsClosed-loop referral: how the data flows
How records, referrals, and outcomes move across one network so nothing disappears between providers.
CareChainJan 2026
Latest report
The spine pathway, in detail
How 85 percent of orthopedic referrals were triaged off the wait-list, with the published results.
Read the report