Improving health through upstream social interventions

Research, education, and policy change

Get Involved Impact

The Upstream Lab is a non-profit research lab based at MAP Centre for Urban Health Solutions, St. Michael’s Hospital in Toronto, Ontario, Canada. We are dedicated to improving health and well-being of the population through addressing issues related to social determinants of health.

Who We Are

What are the social determinants of health?

According to WHO, social determinants of health (SDOH) are non-medical factors that have an influence on our health, particularly the social and economic conditions in which people are born, grow, work, live and age. Some examples include income and social status, job insecurity, food insecurity, and education. SDOH also includes the wider system that can foster health inequity, such as discriminative policies and social norms, and historical trauma.

Our Research Streams

Integrating Health and Social Care

Interventions addressing social needs of individuals in healthcare settings.

Population Health Management

Interventions addressing social needs at community and policy levels.

Data to Enable a Learning Health System

Leveraging data and technology to improve the health systems.

Our Collaborators

Community Members

Our lab works with many incredible and diverse individuals who provided valuable insights on our projects. Get to know some of our wonderful community members.

A new national OurCare report led by Dr. @tara_kiran with input from close to 10,000 people in Canada highlights patient-led solutions to the worsening family doctor shortage and provides feedback on how to improve access to primary care. @MAP_Health

💡 Last chance to register! Join Drs. Thiago Trindade and Andrew Pinto for a discussion on integrating health & social care, SDOH interventions, and future SDOH research.

🗓️ Feb 29 🕛 12 pm ET


An incredible initiative led by my colleague @tara_kiran - creates a key standard for #primarycare for us to work towards

I had the privilege to serve on the Ontario advisory group. These findings inform many initiatives @upstreamlab is working on!

Join us for a conversation with Dr. Thiago Trindade, who brings over a decade of experience as a Family Physician in Brazil. Dr. Trindade will discuss interventions and the urgent need for integrating health and social care. 🗓️ Feb 29 🕛 12 pm ET

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