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A Vision of Health & Health Care  in Northern Ontario  March 31, 2010 Hon. Carolyn Bennett, M.D., M.P.
Geography is no excuse for inequality… Allan Rock Minister of Health 1998
Rural Health in Rural Hands Strategic Directions for Rural, Remote, Northern and Aboriginal Communities 2002  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Canadian legacy:  HEALTH trumps health CARE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goal of Medicare…  ,[object Object],[object Object],[object Object]
The Tyranny of the Acute ,[object Object]
Canadian Institute for    Advanced Research ,[object Object],[object Object],[object Object],[object Object]
Fleeing the Medical Model, Embracing the Medicine Wheel
Humbling reality ,[object Object],[object Object]
Process …. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Real Strategies –  What, by when, and how ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sustainability of Health Care System  ,[object Object],[object Object]
Health as % GDP ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Boom, Bust and Echo ,[object Object],[object Object]
Boom, Bust and Echo ,[object Object],[object Object]
Boom, Bust and Echo ,[object Object],[object Object],[object Object]
`Hospital` vs Health Care Centre ,[object Object],[object Object],[object Object],[object Object],[object Object]
What services  ? ,[object Object],[object Object],[object Object],[object Object]
What Health Human Resources ? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Grey Tsunami ? R.O.M.P. Collingwood April 24, 2008 Dr. Carolyn Bennett  M.P. The Grey  Tsunami ?
Age-Friendly  Rural And Remote Communities:  A Guide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Age-Friendly  Rural And Remote Communities:  A Guide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Age-Friendly Rural And Remote Communities
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],SOCIETY OF RURAL PHYSICIANS OF CANADA NATIONAL RURAL HEALTH STRATEGY: SUMMARY
[object Object],[object Object],[object Object],[object Object],SOCIETY OF RURAL PHYSICIANS OF CANADA NATIONAL RURAL HEALTH STRATEGY: SUMMARY
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SOCIETY OF RURAL PHYSICIANS OF CANADA NATIONAL RURAL HEALTH STRATEGY: SUMMARY
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SOCIETY OF RURAL PHYSICIANS OF CANADA GOALS FOR A PAN-CANADIAN RURAL HEALTH STRATEGY
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SOCIETY OF RURAL PHYSICIANS OF CANADA GOALS FOR A PAN-CANADIAN RURAL HEALTH STRATEGY
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SOCIETY OF RURAL PHYSICIANS OF CANADA SOLUTIONS…
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SOCIETY OF RURAL PHYSICIANS OF CANADA SOLUTIONS…
Health Care or a Real System for Health ,[object Object],[object Object]
Re-orienting Health Systems from Health  Care  to Health
Rx:  Civil society insisting on healthy public policy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Citizens have to ‘get it’ ,[object Object],[object Object],[object Object]
“ Health is Politics”   ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
CYNICISM
Political Will  to do the right thing ,[object Object],[object Object]
Values... Versus public opinion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Values... Versus public opinion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Literacy Quiz version 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ What we have here is a failure to communicate” Cool Hand Luke 1967
The solutions are complex ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Literacy Quiz version 2 Empowerment Pulling  Healthy Public Policy Putting the Public back into Public Health
Public Health 101
1.Do you think we should have a: ,[object Object],[object Object]
2. Would you prefer: ,[object Object],[object Object],[object Object]
3. Would you prefer that wait-times were reduced by: ,[object Object],[object Object]
4. Should we invest in: ,[object Object],[object Object]
5. Should we: ,[object Object],[object Object]
6. Is the best approach to food security: ,[object Object],[object Object]
7. Governments should boast about: ,[object Object],[object Object]
teachable moments ,[object Object],[object Object],[object Object],[object Object]
Beyond borders….  SARS as a teachable moment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Social Determinants of Health    vs Choose Health (modifiable risks)
The Causes of the Causes Versus The Causes
Evolution of the Healthy Canadians Tree
 
Progress ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Communiqué FMM September 2004 ,[object Object]
Health Goals for Canada ,[object Object],[object Object],[object Object],[object Object],[object Object]
Next step ,[object Object],[object Object],[object Object]
Changing the way we do things.. Managing for results….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
With the Public Health Map Generator, you can produce high quality, detailed maps of  your own  health data, in combination with extensive geography from our spatial data warehouse…
GIS User ******* The Public Health Map Generator is a secure, web-based mapping application, accessible only to clients registered with the GIS Infrastructure at the Public Health Agency of Canada. All of the Infrastructure’s services, including the Public Health Map Generator, are available at  no cost  to all public health professionals in Canada.
“ The mobilization of shame” Irwin Cotler Management 101 “ If it’s measured it gets noticed, if it’s noticed it gets done”
Scotland – Honourable Andy Kerr ,[object Object],[object Object],[object Object],[object Object]
Process …. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Structure  Gridlock  horizontal – departments vertical - jurisdiction
Structure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Population Health:  Keeping Canadians healthy…. ,[object Object],[object Object],[object Object],[object Object],[object Object]
International WHO NGO Advisory Group  Health Promotion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mahler ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research….Learning Culture ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research Practice Policy
Research Practice Policy KT
Research Practice Policy KT Political will
Research Practice Policy KT Political   will Applied research
Research Practice Policy ENGAGED CITIZENS KT Political   will Applied research
Health  in Cuba 2009
Infant mortality 20 x 1000 new born American Region 4,7 x1000 newborn Cuba
Dispensarizacion ,[object Object],[object Object]
Pride in their results ,[object Object],[object Object],[object Object],[object Object],[object Object]
Integration of Health Professional Education & Community ,[object Object],[object Object],[object Object]
POLICLINICO UNIVERSITARIO PLAZA DE LA  REVOLUCIÓN
Actividades con la comunidad ,[object Object],[object Object],[object Object],[object Object],[object Object]
Polyclinics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
No time for pessimists
[object Object],[object Object]
Sir Michael Marmot ,[object Object]

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Bennett (Keynote Health & Health Care Northern Ontario 2010)