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Canadian Evaluation Society Vancouver 2003

Canadian Evaluation Society Vancouver 2003. Fit Between Health of Populations, Individual Citizens and Publicly Funded Health Services. Dr. Ronald A Dovell. Patterns of health determinants over the life course (independent variables). Health outcomes and

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Canadian Evaluation Society Vancouver 2003

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  1. Canadian Evaluation Society Vancouver 2003 Fit Between Health of Populations, Individual Citizens and Publicly Funded Health Services Dr. Ronald A Dovell

  2. Patterns of health determinants over the life course (independent variables) Health outcomes and distribution in a population (dependent variables) Policies and interventions at the individual and societal levels Adpated from: Kindig and Stoddart AJPH, 2003

  3. Population Health Key Elements Stronger Evidence / Knowledge Development Measure Population Health Status • GOALS • Improve health of populations • Decrease health status inequities Multiple Strategies • Base • Decisions • On Evidence • health status • determinants • interventions Increase Upstream Investments Public Involvement Accountability for Outcomes Analyze Determinants of Health Intersectoral Collaboration Analysis of Health Issue Priority Setting Taking Action Evaluating Results Population Health Key Elements Generic Process Steps

  4. Raphael, 2003

  5. Deaths in British Columbia: Year 2000

  6. Cost by Diagnostic Category, Canada 1998

  7. Top Five Risk Factors Data: World Health Report, 2002 DALY = disability adjusted life years

  8. Consistency of measurement

  9. Safety practices Tobacco Alcohol

  10. N = 13,278 custom calculation from the HBSC survey, World Health Organization

  11. N = 13,278 custom calculation from the HBSC survey, World Health Organization

  12. Logistic Regression of Four Behavioural Variables Been drunk tasted alcohol use of bike helmet use of seat belt Nagelkerke R square: .564 Note: The odds ratio for smoking and consuming hashish or marijuana = 61 N = 13,278 custom calculation from the HBSC survey, World Health Organization

  13. Society and Health: Where are We Now? Social Determinants of Health “Individual Lifestyle Choices” Individual Health and Illness Raphael, 2003

  14. Iceberg(s) Model Seat belts Tobacco Alcohol Observe and Measure Context and Determinants Dovell, RA Population Health Conference, 2002

  15. Iceberg(s) Model Seat belts Tobacco Alcohol Observe and Measure Patterns of determinants Dovell, RA Population Health Conference, 2002

  16. Social context Safety Alcohol Tobacco

  17. Social context Safety Alcohol Data linkage Tobacco

  18. Population Health

  19. Health as a resource to achieve aspirations!! ron.dovell@interiorhealth.ca

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