Rein Lepnurm

    Dr. Rein Lepnurm

    Professor

    Research areas


    • Health care policy and strategy
    • Medical care organization
    • Entrepreneurship

    Current Research


    • Managing Quality in Canadian Hospitals. A three year longitudinal study of work environment factors associated with Quality of Patient Care. Funded by Canadian Institutes of Health Research,  Principal Investigator.
    • Research to Action: Applied Workplace Solutions for Nurses Saskatchewan. Pilot Project:  Improving Patient, Nurse, and Organizational Outcomes Utilizing Formal Nurse-Patient Ratios. Jointly funded by Health Canada, Saskatoon Health Region, Saskatchewan Union of Nurses & Department of Health of the Province of Saskatchewan, Principal Investigator.
    Click here for information on the MERCURi Research Group.

    Recent Grants and Awards


    • Managing Quality in Canadian Hospitals, Canadian Institutes of Health Research – Operating Grant Regional Partnerships Program $231,943 02/2011-03/2013.
    • Managing Quality in Canadian Hospitals, Canadian Institutes of Health Research-Operating Grant National Priority Announcement-Knowledge Translation to Action-$100,000 – 01/2010-01/2011.
    • Managing Quality in Hospitals, Principal Investigator: Rein Lepnurm, operating grant, Canadian Institutes of Health Research-National Priority Announcement-Knowledge Translation to Action,  $100,000 - 01/2010 to 01/2011.
    • Managing Quality in Hospitals, Principal Investigator: Rein Lepnurm, Canadian Institutes of Health Research-Regional Partnerships Program-operating grant, $231,943 - 02/2011 to 02/2013.
    • Health Canada, August 2009, Research to Action: Applied Workplace Solutions for Nurses Saskatchewan. Pilot Project:  Improving Patient, Nurse, and Organizational Outcomes Utilizing Formal Nurse-Patient Ratios, $528,000, Principal Investigator, Co-Investigators: Lynnette Stamler, Marlene Smadu & Lois Berry.
    • Canadian Institutes of Health Research, April 2009 Enhancing existing capacity in applied health services and policy research in western Canada, $2,822,200 (Co-Investigator), Sam Sheps UBC is PI, Lisa Lix University of Saskatchewan is Co-PI. There are multiple Co-Investigators from the Universities of the Western provinces.  My role is supervision of training for graduate students in the area of health management.
    • Canadian Institutes of Health Research, July 2007, Convergence or Divergence in Perspectives on Quality, $200,000 (Principal Investigator, Co-Investigators: A.M. Backman, R.T. Dobson, L.L. Stamler, W.S.Lockhart, C.Sicotte & D.T. Keegan).
    • Government of Saskatchewan (S.I.R & Rural Economic Development) & National Research Council (IRAP), April 2006, Spirit of Entrepreneurship Initiative, $15,000 (Principal Investigator, Co-Investigator: Ed, Gamble,).
    • Canadian Institutes of Health Research, July 2003, Following the Role of Equity in the Work of Physicians, $51,800 (Principal Investigator, Co-Investigators: A.M. Backman, R.T. Dobson, & D.T. Keegan).
    • Canadian Institutes of Health Research (Regional Partnerships Program) July 2001, The Role of Equity in the Work of Physicians, $116,084. (Principal Investigator, Co-Investigators: A.M. Backman, R.T. Dobson, & J.Rigby).
    • Avatud Eesti Fond, 923,000 EKK ($85,000 USD), January 1999.  Pädevuse Sertifitseerimise protsess Eesti Tervishoiujuhtidele. (A Certificate Program for Estonian Health Care Administrators)
    • Baltic Initiative Program, $39,000 Principal Investigator, October 1999 Certification Program for Estonian Health Care Executives.
    • Baltic Initiative Program, $39,750 Principal Investigator, August 1996.  Continuing Education Program for Estonian Health Care Executives.
    • World Bank, $30,000, February 1995.  Co-Principal Investigator with Dr. Philip Jacobs of the University of Alberta, a graduate course in Health Economics at Tartu University and text, published by Elmatar Publishers, Tartu, Estonia.
    • Baltic Initiatives Program, $42,000, Co-Principal Investigator with Jüri Wallner, retired CEO Children's Hospital of Ottawa.  August 1994.  A Training Program for Estonian Health Care Executives.
    • Saskatchewan Commission on Directions in Health Care, $66,000, Co-Principal Investigator.  July 1989 - December 1989.

    Current Courses


    • PUBH 808 Health Care Management
    • PUBH 853 Seminar in Health Care Regulation & Policy
    • PUBH 898 Doctoral Research Methods

    Select Publications


    Books, Chapters in Books, Expository and Review Articles

    • R. Lepnurm, W.S.Lockhart and D.L. Keegan, (2009). A Measure of Daily Distress in Practicing Medicine, Can J Psychiatry, 2009;54(3):170-180.
    • R. Lepnurm, R.T. Dobson, A.M. Backman and D.L. Keegan, (2007). Factors explaining the career satisfaction of general practitioners. Canadian Journal of Rural Medicine, Vol 12(4):217-230.
    • R. Lepnurm, D, Danielson, R.T. Dobson, and D.L. Keegan, (2006). Cornerstones of career satisfaction in medicine. Canadian Journal of Psychiatry, Vol 51(8):512-522.
    • R. Lepnurm, R.T. Dobson, A.M. Backman and D.L. Keegan, (2006). Factors explaining the career satisfaction of psychiatrists and surgeons. Canadian Journal of Psychiatry, Vol 51(4):63-75.
    • R.T. Dobson, R. Lepnurm and E. Streuning (2005). Measuring Professional Equity of Physicians, Social Science & Medicine 61,263-266..
    • M. Kaarna, Kaja Põlluste, R. Lepnurm and M. Thetloff (2004). Transformation in progress: Job satisfaction in a typical Estonian hospital. International Journal for Quality in Health Care, Vol 16(3):253-61.
    • R. Lepnurm, R. T. Dobson and A. M. Backman (2003). If the Pillars are Shaky, Does Faith in Medicare Crumble? Health Care Management Forum, Vol 16(1):11-16.
    • R. Lepnurm & M.Neufeld (2002) "Challenges for Long Term Care Management", concluding chapter of Issues & Challenges for Long-Term Care (2nd edition) editors Eleanor Sawyer & Marion Stephenson, CHA Press, Canadian Hospital Association Press, Ottawa, pp. 421-446.
    • R. Lepnurm & M.K. Lepnurm "The closure of rural hospitals in Saskatchewan; method or madness?", Social Science & Medicine, 2001: Vol 52: 1689-1707.
    • R. Dobson & R. Lepnurm "Wellness activities address inequities?", Social Science & Medicine, 2000: Vol 50: 107-121.
    • R. Lepnurm & R. Dobson, 1998. Fundamental Measures of Performance for Small Businesses, Canadian Council of Small Business & Entrepreneurship Conference, October 17, Halifax, N.S.
    • R. Lepnurm, 1998 Editor, Entrepreneurship, Vol 19 (no.21) Managing in Concert, Administrative Sciences Association of Canada, Saskatoon, SK.
    • R. Lepnurm Financial Management of the Health Care System of Estonia, commissioned paper for the Ministry of Education of Estonian under contract with the Estonian Business School, April 1997, Tallinn, Estonia.
    • R. Lepnurm, K. Mitt, & K. Põlluste, Strateegiline Juhtimine Tervishoiusüsteemis, (Strategic Management of the Health Care System), Elmatar Publishers, Tartu, Estonia August 1997.
    • R. Lepnurm, P, Jacobs, K. Kerem, & M. Randveer, Tervishoiuökonoomika alused, (Basic Health Economics), Elmatar Publishers, Tartu, Estonia December 1996.
    • R. Lepnurm "Challenges for Long Term Care Management", pp 405-439 chapter 18 of Issues & Challenges for Long-Term Care editors Eleanor Sawyer & Marion Stephenson, CHA Press, Canadian Healthcare Association, January 1996.
    • R. Lepnurm "The Objectives of Paying Doctors: Views from Saskatchewan", Journal of Ambulatory Care Management, 1996: 19(2), 44-58.
    • R. Lepnurm and C. Bergh, 1996. Globalization and Aggressive Canadian Entrepreneurs. Presented at the ENDEC World Conference on Entrepreneurship, December 7, Singapore. Published pgs. 266-275 in Proceedings "Globalization and Entrepreneurship".
    • R. Lepnurm "Consumer Sponsored Health Centres & Health Reforms in Canada", Journal of Ambulatory Care Management, 1995: 18(1), 39-46.
    • L. Grier & R. Lepnurm "Modelling a Chiropractor/Population Ratio", Journal of Manipulative & Physical Therapy, Vol 18(7): 464-470, 1995.
    • R. Lepnurm "Competition & Two-Tier Health Care in Estonia, abstract in 100 Years of Independent Chair of Public Health the University of Tartu, Tartu 1995.
    • C. Bergh & R. Lepnurm, 1995. Patterns in Small Business Management: A Focus on Entrepreneurship. Canadian Council of Small Business & Entrepreneurship Conference, October 26, Thunder Bay, Ontario. Also on CD-ROM.
    • R. Lepnurm & C. Bergh, 1995. Strategic Management & Entrepreneurial Orientation in Sick, Marginal & Health Businesses. Journal of Small Business & Entrepreneurship, April-June, 8-18.
    • C. Bergh & R. Lepnurm, 1994. The Differences Between Sick & Healthy Small Business. Best Entrepreneurship paper at the Canadian Council of Small Business & Entrepreneurship Conference, October 28, Winnipeg, Manitoba.
    • R. Lepnurm, C. Bergh, 1994. Entrepreneurship and the Odds of Survival for Small Business. Presented at Administrative Sciences Association of Canada and published in Entrepreneurship proceedings. Halifax, June 26.
    • R. Lepnurm and H. Henderson, "The Objectives of Paying Doctors: Saskatchewan Doctors Speak Out" presented at the Canadian Health Economics Research Association, August 26-28, 1993 University of Regina and published in Proceedings of the Fifth Canadian Conference on Health Economics, (edited by J.A. Boan), Canadian Plains Research Centre, University of Regina, 1994 pg 220-244 ISBN 0-88977-087-05.
    • C. B. Dobni & R. Lepnurm, 1994 & 1993. Great Western Brewing Company Limited. Case Study #10 in Strategic Management, Formulation, Implementation & Control, 5th edition 1994. J. A. Pearce & R. B. Robinson, Irwin Publishers. Case Study #17 in Strategic Management: Concepts & Cases, 7th edition 1993. A. A. Thompson & J. A. Strickland, Irwin Publishers. Cases in New Venture Development, 2nd edition 1993. Walter S. Good, McGraw-Hill Ryerson. This case has been used in several hundred business schools across the United States and Canada.

    Invited Papers in Published Conference Proceedings and Abstracts

    • Stamler, L. L., Lepnurm, R., Jeffery, C., & Morrison, J. (2009). "Quality care in hospitals: Baseline data and Implications for Clinical Practice". Paper. Canadian Association of Schools of Nursing Research Conference - Interrelationships Between Theory, Research, and Practice: A Systematic Approach in Nursing., Moncton, NB, May 6.
    • R. Lepnurm, R.Dobson & A.M.Backman, 2005. Predictors of Career Satisfaction for surgeons and psychiatrists, 5th World Congress on Health Economics, International Health Economics Association, Conference presentation July 11-13, Barcelona.
    • R. Lepnurm, A. M. Backman & R. Dobson, 2004. Predictors of career and performance satisfaction for physicians in Canada, presented at the Inaugural Conference of the Canadian Association for Health Services and Policy Research, May 26, Montreal. Abstract: CAHSPR/ACRSPS, p. 48.
    • R. Lepnurm, R.T. Dobson & A.M. Backman 2003. Predictors of career and performance satisfaction, Poster Presentation at the International Whiplash Trauma Congress, Oct 10-12, Denver, Colorado.
    • R. Lepnurm, K. Põlluste, M. Kaarna & E. Merisalu, 2003. Ideology and quality during the transformation of the health care system of Estonia, 4th World Congress on Health Economics, International Health Economics Assn, June 15-18, San Francisco, Abstract, Global Health Economics: Bridging Research & Reforms, p. 362.
    • A.M. Backman, R. Lepnurm, R. Dobson & J. Rigby, 2003. Pillars of Quality and Faith in the Canadian Health Care System, 4th World Congress on Health Economics, International Health Economics Assn, June 15-18, San Francisco, Abstract, Global Health Economics: Bridging Research & Reforms, p. 362.
    • Põlluste K, M Kaarna M, R. Lepnurm & Merisalu E, 2002. Health Executives of Estonia Assess the Quality of Health Services, International Conference ISQua, Nov 5-8, Paris.
    • R. Dobson & R. Lepnurm, 2002. A Structural Equation Model of a Motivation Pathway for Physicians Wishing to Reallocated Time, Canadian Health Economics and Research Association Conference, May 21, Halifax, NS. Abstract in Change and Stability in the Canadian Health Care System, p. 16.
    • R. Lepnurm, 1995. Competition & Two-Tier Health Care in Estonia. Abstract (p. 40) in 100 Years of Independent Chair of Public Health at the University of Tartu, April 21, Tartu, Estonia.
    • R. Lepnurm & H. Henderson, 1993. The Objectives of Payment Systems: Saskatchewan Doctors Speak Out. Presented at the Canadian Health Economics Research Association. University of Regina, August 26-28. Published Proceedings by Canadian Plains Research Center, 1994, University of Regina, pp. 220-245.
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    Refeered Articles

    • R. Lepnurm, R.T. Dobson, D. Voigts, M. Lissel, L.L. Stamler.  (2012).  What matters most to patients when they assess quality of care, Journal of Hospital Administration, Journal of Hospital Administration, Vol 1(2): 7-16 URL:http://dx.doi.org/10.5430/jha.v1n2px
    • R. Lepnurm, R.T., Dobson, L.L. Stamler, D. Persaud, D.L. Keegan, & B. Brownbridge, (2012).  The contribution of work environment to nurses' assessments of the qulity of patient care.  Healthcare Management Forum, 25, 70-79.  URL://dx.doi.org/10.1016/j.hcmf.2012.04.002
    • R. Lepnurm, W.S. Lockhart and D.L. Keegan, (2009).  A Measure of Daily Distress in Practicing Medicine, Can J Psychiatry, 2009;54(3):170-180.

    Invited Presentation, Proceedings & Abstracts

    • Estonian "Tiger" Leaps bring better health to the nation, Journal of the British Estonian Association, 2012; 3(5): 5-6.
    • R. Lepnurm, R.T. Dobson, L.L. Stamler, D.L. Keegan, Which supervisory and leadership factors are most important to quality of care in the Saskatoon Health Region?  Abstract and Poster, National Leadership Conference, Canadian College of Health Leaders, June 3-5, 2012 Halifax.
    • R. Lepnurm, R.T. Dobson, L.L. Stamler, D.L. Keegan, Which organizational culture factors most influence quality of care in the Saskatoon Health Region?  Abstract and Poster, National Leadership Conference, Canadian College of Health Leaders, June 3-5, 2012 Halifax.
    • D.D. Persaud, R.Lepnurm, R.T. Dobson and C. Simms.  Dynamic Learning Culture and the Sustainability of Health Care Systems,  Proceedings, The Sustainability Challenge: Organisational Change and  Transformational Vision’ Ashridge Business School, Berkhamsted, Herts, UK, 10-12 June 2011.
    • R. Lepnurm, R.T. Dobson, D.D. Persaud, and D.L. Keegan. Modeling the Effect of Management on Quality of Care, Abstract and Poster, National Leadership Conference, Canadian College of Health Leaders, Whistler British Columbia, June 6-8, 2011.
    • R.T. Dobson,  R. Lepnurm, D.D. Persaud and D.L. Keegan; The Importance of Management on Satisfaction with Performance of Duties, Abstract and Poster, National Leadership Conference, Canadian College of Health Leaders, Whistler British Columbia, June 6-8, 2011.
    • R. Lepnurm, J. Morrison, L.L. Stamler,  D.L.Keegan, B. Brownbridge Treading lightly during the ongoing Managing Quality Study in the Saskatoon Health Region, Poster, Health Care Quality Summit, Regina April 20-21, 2011.
    • R. Lepnurm, Eesti Arst-tervishoiu olulisemate küsimuste teadvustaja, Juhtkiri, (Estonian Medical Association Journal – Forum for important health system issues)  Eesti Arst Nr.7-8: 459-460, 2010.
    • R. Lepnurm, L. Stamler, D. Persaud and R. Dobson (2010) The Importance of Supervision and Leadership on Quality of Care. Abstract and Poster. National Healthcare Leadership Conference, Winnipeg, June 6-8.
    • Stamler, L.L., Lepnurm, R., Jeffery, C., & Morrison, J. (2009).  "Quality care in hospitals:  Baseline data and Implications for Clinical Practice". Paper. Canadian Association of Schools of Nursing Research Conference - Interrelationships Between Theory, Research, and Practice:  A Systematic Approach in Nursing, Moncton, NB, May 6.