Health Equity Resources for LHINs 1-8

Health Disparities Bob Gardner August 2010 © The Wellesley Institute September 2, 2010 www.wellesleyinstitute.com 1

• there is a clear gradient in health in which people with lower income, education or other indicators of social inequality and exclusion tend to have poorer health • plus major differences between women and men • in addition, there are systemic disparities in access to and quality of care within the healthcare system • not just unfair, but health disparities make it more difficult to achieve provincial priorities such as ALCs, ER, diabetes, etc, and contribute to avoidable costs • that’s why enhancing health equity has become a clear priority – from the Province to LHINs to many providers • and that’s why we need tools and approaches to build equity into effective system and service planning © The Wellesley Institute www.wellesleyinstitute.com 2

inequality in how long people live • difference btwn life expectancy of top and bottom income decile = 7.4 years for men and 4.5 for women + inequality in how well people live: • more sophisticated analyses add the pronounced gradient in morbidity to mortality → taking account of quality of life and developing data on health adjusted life expectancy • even higher disparities btwn top and bottom = 11.4 years for men and 9.7 for women (Statistics Canada Health Reports Dec 09) © The Wellesley Institute www.wellesleyinstitute.com

• these and further resources on policy directions to enhance health equity, health reform and the social determinants of health are available on our site at http://wellesleyinstitute.com • my email is bob@wellesleyinstitute.com • I would be interested in any comments on how useful this resource was and how you would improve it © The Wellesley Institute www.wellesleyinstitute.com 8

Health Equity Resources for LHINs 1-8

by Wellesley Institute on Sep 02, 2010

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