Health Equity Resources for LHINs 77-82

Target Investment for Equity Impact Bob Gardner August 2010 August 27, 2010

target services to specific areas or populations:
those facing the harshest disparities – to raise the worst off fastest
or most in need of specific services
or the worst barriers to equitable access to high-quality services
this requires sophisticated analyses of the bases of disparities:
i.e. is the main problem language barriers, lack of coordination among providers, sheer lack of services in particular neighbourhoods, etc.
which requires good local research and detailed information – speaks to great potential of community-based research to provide rich local needs assessments and evaluation data
involvement of local communities and stakeholders in planning and priority setting is critical to understanding the real local problems
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several LHINs have identified vulnerable populations – recent immigrants, people with concurrent disorders, homeless
e.g. the North York West region within Central LHIN has been identified as high need – diverse population, high % of racialized population, high risk factors, lack of access to primary care
or disadvantaged neighbourhoods facing concentrated health and social problems
in Toronto and other cities: people without health insurance – primarily immigrant/refugees – are especially vulnerable:
many community initiatives to provide access
Women’s College Network on Noninsured is forum for coordination
recently held research conference showing critical barriers to access and good care and resulting adverse health outcomes for vulnerable people
August 27, 2010

a critical equity challenge in an increasingly diverse society is language
was clear in hospital equity plans in Central
identified as critical issue in hospital equity plans and other Toronto Central planning -> major project to develop more systematic coordinated approach to interpretation in downtown hospitals
other LHINs could hook up to this – or at least keep it on horizon
could also link into Healthcare Interpreters Network
another critical barrier to equitable access is remoteness and transportation
have been innovative community-based and volunteer transportation
highlights key role of LHINs in enabling such critical supports for health and in supporting cross-sectoral collaborations

solid evidence that enhancing primary care is one of key ways to improve care of disadvantaged
lack of access to primary care has been identified as a key issue for Prov and LHINs
recognizing that most of primary care levers are outside LHIN mandate -> need to collaborate
concentrate new investments or coordination initiatives in particular regions or neighbourhoods, or in particular populations such as refugees or uninsured
LHINs are all about integration and coordination:
will be experimenting and innovating with enhanced coordination and partnerships for primary care
with different kinds of community-based service delivery and on-the-ground coordination
-> locate these innovations in high-need areas

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 [email_address]
I would be interested in any comments on how useful this resource was and how you would improve it

Health Equity Resources for LHINs 77-82

by Wellesley Institute on Aug 27, 2010

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Health Equity Resources for LHINs 77-82 — Presentation Transcript