Thursday, 1 March 2012
Determinants of Health – good resources showing how bad Canada is doing
There are innumerable resources on Determinants of Health. One came up on a Twitter recently through Health Evidence.ca based on a 2010 report that is well worth reading SDOH The Canadian Facts
The report by Juha Mikkonen and coauthored by a strong Canadian advocate for population health in Dennis Raphael looks at Canada’s positioning globally on a variety of indicators regarding Determinants. There is a cutting and poignant introduction by another Canadian icon, Monique Bégin, whose sojourn as the federal Minister of Health produced the Canada Health Act among other noteworthy accomplishments.
The document does not reflect well on the Canadian track record and even less so on the US record. Some key highlights comparing the two countries with the best of the rest of the 28 OECD countries
Gini coefficient – Denmark 0.23 Canada 0.32 US 0.38
International education testing scores: Luxembourg 1st Canada 4th US 10th
Employment protection Turkey 1st Canada 26th US 28th
Child Poverty Denmark 3.5% Canada 15% US 22%
Public expenditures on children Iceland 1st US 20th Canada 27th
Social assistance levels as % of median household income
UK 1st Canada 22nd US 27th
Percentage of GDP spent on health care France 8.9% Canada 7.0% US 7.0%
Gender Gap in wages Belgium 9% US 19% Canada 21%
An interesting read, lots of good data and punctuated by the authors recommended policy solutions. A definite addition to the national resources accumulating on Canada’s relative performance on addressing determinants of health.