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Statistics from the Canadian Community Health Survey (CCHS). Margaret Parlor President National ME/FM Action Network Erika Halapy Epidemiologist. Canada. Population 35 M Government-provided health care Responsibilities divided between:
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Statistics from the Canadian Community Health Survey (CCHS) Margaret Parlor President National ME/FM Action Network Erika Halapy Epidemiologist
Canada • Population 35 M • Government-provided health care • Responsibilities divided between: • Provinces – health care delivery, social services, education... • Federal government - statistics, health research funding, health care to special populations, national social programs...
Topics 1. Ontario Business Case Project 2. Models 3. The CCHS 4. The statistics
Ontario Business Case project • Put evidence together for the Ontario government about why/how to support people with ME/FM/MCS • 4 supporting documents • Statistical review • Social impact review • Clinical review • Architectural requirements http://meao.ca/events-dec5.html
Assessment of Ontario services • There is a void of services with a few tiny islands of assistance. • There is a body of knowledge and practice -- when Ontarians are able to access it, it makes an extraordinary difference in their lives. • The province needs to focus on 2 Pillars - direct health services and policy shifts
Pillars Bio Psycho Social
Canadian Community Health Survey • Conducted by Statistics Canada • Sample of ordinary Canadians • Excludes under 12s, armed forces, remote areas, residents of facilities • “We are interested in long term conditions, which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional. Do you have ...” (list)
CCHS sample size over time (thousands) blue bar indicates CFS,FM & MCS were included
Prevalence Thousands, Canada, 2010
Impairment Need help with tasks, %, Canada, 2010
Health care utilization (1) 10+ Consultations with family doctor in past year, %, Canada, 2010
Health care utilization (2) 5+ consultations with specialist or other doctor in past year, %, Canada 2010
Reported unmet health care needs %, Canada, 2010
Low income Household income < $15k, %, Canada, 2010
Very weak sense of community belonging %, Canada, 2010
Food insecurity %, Canada, 2010
Messages Statistics show need to move up the maturity scale - there are benefits for patients and for taxpayers Statistics suggest the scope of the work required Statistics can be used to set objectives & monitor progress: “managing by outcomes”