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Open Access Study protocol

Public health preparedness in Alberta: a systems-level study

Douglas Moore14*, Alan Shiell12, Tom Noseworthy12, Margaret Russell2 and Gerald Predy3

Author Affiliations

1 Centre for Health & Policy Studies, Dept. of Community Health Sciences, University of Calgary, 3330 Hospital Dr. NW, Calgary, AB T2N 4N1, Canada

2 Dept. of Community Health Sciences, University of Calgary, 3330 Hospital Dr. NW, Calgary, AB T2N 4N1, Canada

3 Capital Health Region, University of Alberta, Edmonton, AB, Canada

4 3875 St. Urbain, Bureau 3-02, Montreal, QC H2W 1V1, Canada

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BMC Public Health 2006, 6:313  doi:10.1186/1471-2458-6-313

Published: 28 December 2006



Recent international and national events have brought critical attention to the Canadian public health system and how prepared the system is to respond to various types of contemporary public health threats. This article describes the study design and methods being used to conduct a systems-level analysis of public health preparedness in the province of Alberta, Canada. The project is being funded under the Health Research Fund, Alberta Heritage Foundation for Medical Research.


We use an embedded, multiple-case study design, integrating qualitative and quantitative methods to measure empirically the degree of inter-organizational coordination existing among public health agencies in Alberta, Canada. We situate our measures of inter-organizational network ties within a systems-level framework to assess the relative influence of inter-organizational ties, individual organizational attributes, and institutional environmental features on public health preparedness. The relative contribution of each component is examined for two potential public health threats: pandemic influenza and West Nile virus.


The organizational dimensions of public health preparedness depend on a complex mix of individual organizational characteristics, inter-agency relationships, and institutional environmental factors. Our study is designed to discriminate among these different system components and assess the independent influence of each on the other, as well as the overall level of public health preparedness in Alberta. While all agree that competent organizations and functioning networks are important components of public health preparedness, this study is one of the first to use formal network analysis to study the role of inter-agency networks in the development of prepared public health systems.