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Promoting Health Equity in Health Care Systems: Leveling the Field. Dr. Julie Kryzanowski PHPC Professional Development Day June 9, 2013. Health Disparity by Neighbourhood Income Study. Life Expectancy in Saskatoon Health Region, Saskatchewan, Canada for 1997-2006.
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Promoting Health Equity in Health Care Systems: Leveling the Field Dr. Julie Kryzanowski PHPC Professional Development Day June 9, 2013
Health Disparity by Neighbourhood Income Study Life Expectancy in Saskatoon Health Region, Saskatchewan, Canada for 1997-2006.
Health Equity Over Time Report Background • Update on 2006 ‘Health Disparity by Neighbourhood Income Study’ • Historical perspective on health equity over time in SHR (e.g., 1995-2011 for some indicators) • Also assesses role of health sector in promoting health equity • To be released near end 2013
Health Equity Over Time Report Some Preliminary Results
Health Equity Over Time Report Some Preliminary Results Age and sex adjusted Lorenz curve for physician visits for diabetes in Saskatoon, Saskatchewan, Canada for 1996-2009.
Impacts of Poverty on Marginalized Groups An Uphill Battle Advantage Health
Response to Health Disparity Reports Three Levels of Health Equity Action
Response to Health Disparity Reports Health Equity in Population & Public Health
1. Building Health Equity Program CHEP Good Food Inc. •community kitchens •children’s nutrition •Good Food Box, •local food QUINT Development Corporation •affordable housing initiatives •small business development and loans •employment and educational support Saskatoon Health Region •Mothers' Centre •Kids' First •Building Health Equity Program Good Food Junction Co-op •neighbourhood-owned grocery store with good food at reasonable costs University of Saskatchewan •community-engaged teaching and learning •community-based scholarship and research www.station20west.org
2. HCEA and Performance Monitoring Two-year-old immunization coverage for measles, mumps and rubella (MMR) by neighbourhood group, Saskatoon Health Region, 2007-2011 Health Care Equity Audit Cycle
3. Saskatoon Poverty Reduction Partnership www.saskatoonpoverty2possibility.ca
Conclusion • Extensive research and reporting on the SDOH has been used by Saskatoon Health Region’s Population and Public Health (PPH) to understand health disparities • Much health equity action has come from disparities analysis and has involved community partners • Remember: Evidence, Action, Equity!
Acknowledgements Questions? Dr. Julie Kryzanowski Deputy Medical Health Officer Julie.Kryzanowski@saskatoonhealthregion.ca Cristina Ugolini Manager, Public Health Observatory Cristina.Ugolini@saskatoonhealthregion.ca Tanya Dunn-Pierce Manager, Health Promotion Department Tanya.Dunn-Pierce@saskatoonhealthregion.ca