Health Statistics Health Statistics InformationInformationon STC websiteon STC website
Calgary–DLI training–Dec 2003
Michel B. Séguin, Statistics Canada, 951-4262
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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