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Tuesday, 29 May 2012

Health indicators – who is the best?

The CIHI report https://secure.cihi.ca/free_products/health_indicators_2012_en.pdf  introduced in the previous blog provides the richness of information that can be a guidance for health improvement.  Of course, improvement to what is a good question since currently immortality is a fantasy.  So here are the best of the health regions, best province and how much better could the worst of the provinces and regions do if they were to get to the best practices in Canada.  Except for the one rate to celebrate, the territories were omitted from the analysis and oftentimes have poorer health indicators than the worst health region.  PEI is treated as a single health region as well as a province.

Best region and rate
Best province and rate
Improvement if worst province could align with the best
Improvement if the worst region could align with the best
Age standardized mortality (per 100,000 population)
Richmond BC (155)
BC  (244)
a reduction of 66 or 21% of the current rate)
a reduction of 211 or 58% of the current rate
Potential years of life lost
Richmond BC 2707
Ontario 4182
A reduction of 1849 or of 31%
A reduction of 5017 or of 65% of the current rate
Cancer incidence

Alberta 399.8
186.6 or 32%

Youth body mass index (25 or greater)

BC 16.4
Reduction of 15.8 or 52% of the current level

High blood pressure

Yukon, NWT and Nunavut with ranges of 9-11.6
Current highest level is 24.6% of population

Injury hospitalization per 100,000 population
Central ON 306
Ontario 407
302 or 48% reduction to be achieved
A reduction of 790 or 71% of the current rate
Acute myocardial infarction hospitalization
South Vancouver Island BC 118
BC 163
157 or a 48% reduction
260 or a reduction of 69%

BC 17.4
5.8 or a 25% reduction

5+ fruits or vegetables per day

Quebec 50.4%
21.8% or a 76% increase required

Potentially avoidable mortality
Richmond BC 113
BC 172
46 or a 20% reduction
159 or a 58% reduction
Avoidable mortality from preventative causes
Richmond BC 70
Ontario 110
33 or a 23% reduction
114 or a 61% reduction

The point here is consistently the better to do provinces are 25% better than those that are not so well off, and the better health region are a whopping 3 times worse off than those that are well off.  To which the reminder must be issued that the rates for the territories are often worse that the poorest of the health regions on many indicators.

In Canada, inequity is alive.  The CIHI report begins to at least unmask some of the disparities that are in place at home.  

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