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Canada's immigration policy is regarded globally as a best practice model for selecting highly skilled migrants. Yet, upon arrival many immigrants face challenges integrating into employment. Where immigrants settle is one factor that has been shown to impact on employment integration. In Canada, regionalization policies have resulted in more immigrants settling in small to mid‐sized cities. It is important to understand how these local systems are organized to promote immigrant integration into employment. Using a systems approach, this paper presents a case study of immigrant employment in a mid‐sized city in Ontario, Canada. Through a document review and stakeholder interviews, a systems map was developed, and local perspectives were analyzed. Results demonstrate that in a mid‐sized city, few organizations play a large role in immigrant employment. The connections between these core organizations and the local labour market are complex. Any potential challenges to the system that interfere with these connections can cause a delay for newcomers seeking employment. As cities begin to experience growth driven by immigration, there is a need to ensure local services are not only available but also working effectively within the larger employment system. Key messages: An important focus of Canada's immigration policy has been to improve employment integration locally.Using a systems approach allows mid‐sized cities to identify local services and how they are connected to promote employment integration of newcomers.Greater connectivity between services can streamline the employment process for immigrants settling in mid‐sized cities. [ABSTRACT FROM AUTHOR]

Amid Earth's ongoing sixth mass extinction event, numerous measures have been proposed to recover the populations of species at risk of extinction. However, the methods and objectives of different species' recovery plans sometimes conflict with each other, causing a conundrum we refer to as recovery–action antagonism. Recovery–action antagonism reduces the cost‐effectiveness of conservation programs and can increase the extinction risk of nontarget species. We describe a method to identify interactions between recovery actions, including antagonisms proposed for different at‐risk species in a given location. The method includes a process to evaluate potential drivers of recovery‐action antagonism and other interaction types using principal coordinates analysis and distance‐based redundancy analysis. We illustrate various applications of the method through case studies performed in Pelee Island and Rouge National Urban Park, two biodiverse areas in Ontario, Canada. Potential antagonism was identified between 1.5% (Pelee) and 5% (Rouge) of the evaluated recovery actions. Although the rate of antagonism was low in our case studies, the method allows the identification of a variety of interactions, which can help to prioritize similar and complementary actions that will benefit a large number of species while minimizing actions that may have competing outcomes. [ABSTRACT FROM AUTHOR]

Aims: This study aims to understand factors contributing to nonpublication and publication bias in clinical trials in Canada. Methods: Qualitative interviews were conducted between March 2019 and April 2021 with 34 participants from the Canadian provinces of Alberta, British Columbia and Ontario, including 17 clinical trial investigators, 1 clinical research coordinator, 3 research administrators, 3 research ethics board members and 10 clinical trial participants. We conducted a thematic analysis involving coding of interview transcripts and memo‐writing to identify key themes. Results: Several factors contribute to nonpublication and publication bias in clinical trial research. A core theme was that reporting practices are shaped by incentives within the research system taht favour publication of positive over negative trials. Investigators are discouraged from reporting by experiences or perceptions of difficulty in publishing negative findings but rewarded for publishing positive findings in various ways. Trial investigators more strongly associated positive clinical trials than negative trials with opportunities for industry and nonindustry funding and with academic promotion, bonuses and recognition. Research institutions and ethics boards tended to lack well‐resourced, proactive policies and practices to ensure trial findings are reported in registries or journals. Conclusion: Clinical trial reporting practices in Canada are shaped by incentives favouring reporting of positive over negative trials, such as funding opportunities and academic promotion, bonuses and recognition. Research institutions could help change incentives by adopting performance metrics that emphasize full reporting of results in journals or registries. [ABSTRACT FROM AUTHOR]

Introduction: Improving health services integration through primary health care (PHC) teams for patients with chronic conditions is essential to address their complex health needs and facilitate better health outcomes. The objective of this study was to explore if and how patients, family members, and caregivers were engaged or wanted to be engaged in developing, implementing and evaluating health policies related to PHC teams. This patient‐oriented research was carried out in three provinces across Canada: British Columbia, Alberta and Ontario. Methods: A total of 29 semi‐structured interviews with patients were conducted across the three provinces and data were analysed using thematic analysis. Results: Three key themes were identified: motivation for policy engagement, experiences with policy engagement and barriers to engagement in policy. The majority of participants in the study wanted to be engaged in policy processes and advocate for integrated care through PHC teams. Barriers to patient engagement in policy, such as lack of opportunities for engagement, power imbalances, tokenism, lack of accessibility of engagement opportunities and experiences of racism and discrimination were also identified. Conclusion: This study increases the understanding of patient, family member, and caregiver engagement in policy related to PHC team integration and the barriers that currently exist in this engagement process. This information can be used to guide decision‐makers on how to improve the delivery of integrated health services through PHC teams and enhance patient, family member, and caregiver engagement in PHC policy. Patient or Public Contribution: We would like to acknowledge the contributions of our patient partners, Brenda Jagroop and Judy Birdsell, who assisted with developing and pilot testing the interview guide. Judy Birdsell also assisted with the preparation of this manuscript. This study also engaged patients, family members, and caregivers to share their experiences with engagement in PHC policy. [ABSTRACT FROM AUTHOR]