Health Statistics Health Statistics InformationInformationon STC websiteon STC website

Calgary–DLI training–Dec 2003

Michel B. Séguin, Statistics Canada, 951-4262

michel.seguin@statcan.ca

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Presentation outlinePopulation Health Surveys

• National Population Health Survey (NPHS)• Canadian Community Health Survey (CCHS)• Canadian Health Examination Survey (CHES)

Health Indicators• Health indicators• Comparable Health Indicators

CancerVital StatisticsResidential Care FacilitiesAnalysis

– Health Reports– Annual Reports

Canadian Institute for Health Information

Population Health Surveys

Understand the determinants of healthsCollect data on the economic, social,

demographic,Occupational and environmental

correlates of healthAid in the development of public policy;

Population Health Surveys

NPHS Household

Longitudinal & X-sectional(National & Provincial)

NPHS North

Longitudinal & X-sectional(Territories)

NPHS Institutions

Longitudinal & X-sectional (-C3)(National)

HEALTH SURVEYS

NPHS Household

Longitudinal(National & Provincial)

NPHS North

Longitudinal(Territories)

NPHS Institutions

Longitudinal(National)

CCHS

Cross-sectional(Provinces + Territories)

HEALTH SURVEYS

1994-1999

Since 2000

Canadian Community Health Survey

Created to collect data at the Health Region Level

Cross-sectional survey

Canadian Community Health Survey (CCHS)

Year 1100,000+ respondentsstratified by Health

RegionQuestionnaire content

– common content– optional content– sub-sample content

Estimates for Health Regions, Provinces, Terrritories and Canada

Year 230,000 respondentsStratified by provinceQuestionnaire content

– focus content – general content– 60+ minutes

Estimates for Provinces and Canada (excluding territories)

Canadian Community Health Survey

Cycle 1.1: Large sampleCycle 1.2: Mental HealthCycle 2.1: Large sampleCycle 2.2: NutritionCycle 3.1: Large sampleCycle 3.2: Aging population (TBD)

Health Indicators Product Background

May 1999 - consensus conference Spring 2000 – published in STC/CIHI

annual reports December 2001- first e-pub release Total of 7 releases – last in Nov. 2003Next release is June 2004ongoing consultations and data

releases

What are Health Indicators?

measures of health status, the health system, and factors which influence health

based on comparable definitions and methods

broadly available – disseminated electronically at the national, provincial and regional level

HEALTH STATUS

HealthConditions

HumanFunction

Well-Being Deaths

DETERMINANTS OF HEALTH

HealthBehaviours

Living &Working

Conditions

PersonalResources

EnvironmentalFactors

HEALTH SYSTEM PERFORMANCEAcceptability Accessibility Appro-

priatenessCompetence

Continuity Effectiveness Efficiency Safety

COMMUNITY/HEALTH SYSTEMCHARACTERISTICS

Community CharacteristicsHealthSystem

Other

Health Indicators framework

Health Indicators - integrating many data sources

Statistics Canada: – vital statistics and

cancer registry (admin. data)

– health surveys: NPHS, CCHS, other

– Census– labour force survey– crime statistics– other

Canadian Institute for Health Information: – provincial health

ministries, – Health Canada– hospital morbidity

database – discharge abstract

database, – other

Health Indicators - sub-provincial focus Priority on health region level datadefined provincially

– administrative areas

inconsistent in size and composition– population size, land area and

characteristics very different– peer groups defined

boundaries change – major challenge

Peer groups

need to compare health region data with ‘like’ regions

grouping of HRs with similar socio-economic characteristics – concept based on 24 variables

working paper available

new peer groups based on 2001 Census available in November 2003

Health Indicators E-pub releases to date

free electronic publication – catalogue no. 82-221-XIE/F – http://www.statcan.ca/english/freepub/82-221-XIE/

free.htm

available on STC & CIHI web-sites – integrated and dynamic product

integrated and dynamic product– accumulating content– ‘seamless’ links between sites – next release : June 2004

Comparable Health Indicators

Following the First Ministers’ Meeting in 2000

Agreed that all Provinces and Territories would report on Health in September 2002

Identified 14 areas of comparable health status and health system performance indicators

Health statusLife expectancy Infant mortality Low birth rate

Self-reported health Health outcomes

Change in life expectancy Improved quality of life

Reduced burden of disease, illness and injury Quality of service

Waiting times for key diagnostic and treatment services Patient satisfaction

Hospital re-admission for selected conditions Access to 24/7 first contact health services

Home and community care services Public health surveillance and protection Health promotion and disease prevention

Residential CareFacilities

No data released since 1999Requests dealt through custom

tabulationsNext release on the Internet and

CANSIM planned for early summer 2004

Will provide historical dataWork being done with Census in

defining Residential Care Facilities

AnalysisHealth Reports

– Still available as a quarterly report– Uses many sources as input to research– Still have to subscribe but available through

Depositary Services ProgramAnnual Reports (STC)

– Supplement to the Annual Reports– Free on the Internet site– Made available by article and the full

publication is released after– Different theme each year

CIHI Annual Reports

Other products and services

Custom ProductsRemote Access Research Data CentresHealth information on the Community

profilesHealth Information on Canadian StatisticsVital Statistics Shelf Tables will be

transferred to CANSIM and Electronic Publications over the next year

HOW TO ACCESS HEALT INFOON STC SITE

Go to www.statcan.caOn the first page, click on “Our

products and services”Under “Browse our Internet

Publications”, click on FREEClick on “Health” or “Population and

Demography” for Vital Statistics information

Health information on CIHI Site

URL for CIHI Internet Site

http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=home_e