This article describes the strategy developed by the Institut national d’excellence en santé et services sociaux (INESSS) to integrate environmental considerations into its core activities. It articulates the means to meet three objectives: 1) knowing when to integrate environmental considerations into HTA knowledge products; 2) knowing which environmental considerations to integrate; and 3) knowing how to integrate these considerations into a growing number of knowledge products and improve over time. The tools and implementation process we describe may inspire other HTA agencies.

Lehoux, P., Wagner, M., Ganache, I., Truchon, C., Neveu, B., Sirois, M. C., Caron, M., de Guise, M. Integrating environmental considerations in HTA: The strategy of the Institut national d’excellence en santé et services sociaux (INESSS). International Journal of Technology Assessment in Health Care, 1-23.

Responsible Innovation in Health (RIH) can help health technology assessment agencies anticipate decision-makers’ informational needs regarding four systemic challenges: 1) equitable access; 2) workforce issues; 3) accountable policy trade-offs; and 4) environmental sustainability. This article clarifies how key RIH elements can enrich evaluation processes, align strategic priorities with health system challenges, and inform the production of deliverables that are broader in scope than a single technology review.

Lehoux, P., Ganache, I., Demers-Payette, O., Silva, H.P, Plamondon, G., de Guise, M. (2025). HTA responsiveness to today’s challenges to health systems: A responsible innovation in health perspective. International Journal of Technology Assessment in Health Care. 2025;41(1):e16.

This article sheds light on stakeholders’ perspectives on the intellectual property (IP) and value sharing of AI technologies developed through public-private partnership (PPP) in the health care sector. It indicates factors influencing their success or failure. For PPPs to be successful, updated policies clarifying public healthcare systems’ strategic use of AI are required as well as clear value-sharing frameworks.

Alami, H., Rivard, L., Lehoux, P., Ag Ahmed, M.A., Soubra, R., Rouquet, R., Fortin, J-P, Fleet, R. (2025). Conflicts and complexities around intellectual property and value sharing of artificial intelligence healthcare solutions in public-private partnerships: A qualitative study. Social Science & Medicine – Health Systems.

(in press)

Pozelli Sabio, R., Lehoux, P. (2026). Fostering responsibility in the institutional logics of food systems: Results from a multiple case study in the province of Québec and the state of São Paulo. Journal of Rural Studies.

This case study draws on documentary, observational, and interview data to compare digitalization efforts over 3 decades in four academic health centres in Quebec (Canada). The different experiences of these organizations underline the importance of adapting national strategies and providing support to implementers, building on acquired strengths, and arriving at the right balance of guidance from the top and autonomy to develop innovative capacities.

Motulsky, A., Usher, S., Gauvin, L., Hébert, P., Regis, C., Lehoux, P., Ray, T., Baker, R., Denis, JL. (2025). Policy context and digital development: a comparative study of trajectories in four Canadian academic health centres over 30 years. Journal of the American Medical Informatics Association. 32(8):1286–1298.

Little is known about the way Social Finance (SF) experts conceptualise and align the resources they provide to impact-driven ventures (IDVs). This paper investigates 1) the tools SF experts apply to guide business model development of their investees and 2) the activities they perceive as value-adding or value-subtracting. Findings suggest that different strategies for business model advice are adopted, reflecting a spectrum of investor involvement levels, and that a wide range of activities have the potential to either add significant value to IDVs or detract them from their goals.

Silva, H. P., Lehoux, P., Pozelli Sabio, R. (2024). The multifaceted role of social finance in supporting social entrepreneurship: A qualitative inquiry into business tools and value-adding and subtracting activities. Journal of Social Entrepreneurship.