promoting health equity in health care systems: leveling the field

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Promoting Health Equity in Health Care Systems: Leveling the Field Dr. Julie Kryzanowski PHPC Professional Development Day June 9, 2013

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Promoting Health Equity in Health Care Systems: Leveling the Field. Dr. Julie Kryzanowski PHPC Professional Development Day June 9, 2013. Health Disparity by Neighbourhood Income Study. Life Expectancy in Saskatoon Health Region, Saskatchewan, Canada for 1997-2006. - PowerPoint PPT Presentation

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Page 1: Promoting Health Equity in Health Care Systems:  Leveling the Field

Promoting Health Equity in Health Care Systems: Leveling the

Field

Dr. Julie KryzanowskiPHPC Professional Development Day

June 9, 2013

Page 2: Promoting Health Equity in Health Care Systems:  Leveling the Field

Health Disparity by Neighbourhood Income Study

Life Expectancy in Saskatoon Health Region, Saskatchewan, Canada for 1997-2006.

Page 3: Promoting Health Equity in Health Care Systems:  Leveling the Field

Background

• Update on 2006 ‘Health Disparity by Neighbourhood Income Study’

• Historical perspective on health equity over time in SHR (e.g., 1995-2011 for some indicators)

• Also assesses role of health sector in promoting health equity

• To be released near end 2013

Health Equity Over Time Report

Page 4: Promoting Health Equity in Health Care Systems:  Leveling the Field

Some Preliminary Results

Health Equity Over Time Report

Page 5: Promoting Health Equity in Health Care Systems:  Leveling the Field

Some Preliminary ResultsAge and sex adjusted Lorenz curve for physician visits for diabetes in Saskatoon, Saskatchewan, Canada for 1996-2009.

Health Equity Over Time Report

Page 6: Promoting Health Equity in Health Care Systems:  Leveling the Field

An Uphill Battle

Impacts of Poverty on Marginalized Groups

Advantage

Health

Page 7: Promoting Health Equity in Health Care Systems:  Leveling the Field

Three Levels of Health Equity Action

Response to Health Disparity Reports

Page 8: Promoting Health Equity in Health Care Systems:  Leveling the Field

Health Equity in Population & Public Health

Response to Health Disparity Reports

Page 9: Promoting Health Equity in Health Care Systems:  Leveling the Field

CHEP Good Food Inc.•community kitchens •children’s nutrition •Good Food Box, •local food

QUINT Development Corporation•affordable housing initiatives •small business development and loans •employment and educational support

Saskatoon Health Region•Mothers' Centre •Kids' First •Building Health Equity Program

Good Food Junction Co-op•neighbourhood-owned grocery store with good food at reasonable costs

University of Saskatchewan•community-engaged teaching and learning•community-based scholarship and research

www.station20west.org

1. Building Health Equity Program

Page 10: Promoting Health Equity in Health Care Systems:  Leveling the Field

Two-year-old immunization coverage for measles, mumps and rubella (MMR) by neighbourhood group, Saskatoon Health Region, 2007-2011 Health Care Equity Audit

Cycle

2. HCEA and Performance Monitoring

Page 11: Promoting Health Equity in Health Care Systems:  Leveling the Field

www.saskatoonpoverty2possibility.ca

3. Saskatoon Poverty Reduction Partnership

Page 12: Promoting Health Equity in Health Care Systems:  Leveling the Field

• Extensive research and reporting on the SDOH has been used by Saskatoon Health Region’s Population and Public Health (PPH) to understand health disparities

• Much health equity action has come from disparities analysis and has involved community partners

• Remember: Evidence, Action, Equity!

Conclusion

Page 13: Promoting Health Equity in Health Care Systems:  Leveling the Field

Questions?

Dr. Julie KryzanowskiDeputy Medical Health Officer

[email protected]

Cristina UgoliniManager, Public Health Observatory

[email protected]

Tanya Dunn-PierceManager, Health Promotion Department

[email protected]

Acknowledgements