A journal of best practices, policy and innovations in the administration of healthcare. For administrators, academics, insurers, suppliers and policy pundits. Edited by Dr. Peggy Leatt, University of North Carolina, Chapel Hill.

1. The Burden of Unhealthy Living in Ontario Douglas G. Manuel Insight
FIGURE 2.
Impact of eliminating five behavioural risks on life expectancy and
health-adjusted life expectancy in Ontario, 2007
In Conversation
10
9
informal caregiving are reduced
with improved health behaviour
warrants examination.
with
Chris
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References
7
Feeny, D., W. Furlong, M. Boyle
and G.W. Torrance. 1995. “Multi-
6
attribute Health Status Classification
Systems. Health Utilities Index.”
Years
5
Pharmacoeconomics 7(6): 490–502.
Power
4 Manuel, D.G., M.I. Creatore, L.C.
Rosella and D.A. Henry. 2009. What
3
Does It Take to Make a Healthy Province?
A Benchmark Study of Jurisdictions
2
in Canada and Around the World
with the Highest Levels of Health and
1
the Best Health Behaviours. Toronto,
ON: Institute for Clinical Evaluative
0
Sciences.
Smoking Unhealthy alcohol Physical inactivity Inadequate diet High stress All five risk factors
consumption
Manuel, D.G., R. Perez, C. Bennett, L.
Rosella, M. Taljaard, M. Roberts et al.
Life expectancy gain Health-adjusted life expectancy gain 2012. Seven More Years: The Impact of Ken Tremblay
Smoking, Alcohol, Diet, Physical Activity
and Stress on Health and Life Expectancy
in Ontario. Toronto, ON: Institute for
health behaviour at the population level, including evaluating Clinical Evaluative Sciences, Public Health Ontario.
the impact on current socio-economic disparities. It also gives
Wilkins, R., J.M. Berthelot and E. Ng. 2002. “Trends in Mortality by
individuals the means to evaluate the impact of their health Neighbourhood Income in Urban Canada from 1971 to 1996.” Health
behaviour on their own life expectancy using a life expectancy Reports 13(Suppl.): 45–72.
calculator (see http://www.rrasp-phirn.ca/risktools) – poten-
tially leading to behaviour change. About the Author
Douglas G. Manuel, MD, FRCPC, MSc, is a senior scientist at the
C
“ ntarians would gain 3.0 years of life
O Ottawa Hospital Research Institute and an adjunct scientist with apital Health in Halifax, Nova Scotia,
the Institute for Clinical Evaluative Sciences. He has a Canadian
expectancy by collectively reaching British Institutes of Health Research/Public Health Agency of Canada chair
is that province’s largest healthcare
Columbia’s goals.
” in applied public health sciences. He is an associate professor at
provider, operating nine hospitals and
the University of Ottawa and the University of Toronto. Dr. Manuel many health centres and community-
Next Steps is a co-lead with the Population Health Improvement Research based programs. With over 12,000 employees,
Future research should focus on the impact of health behav- Network and an associate scientist at the C.T. Lamont Primary physicians, learners and some 2,000 volunteers,
iours on the development of chronic diseases. Additionally, Health Care Research Centre, Élisabeth Bruyèr e Research Capital Health serves 400,000 people with an
Institute. He is also a senior medical advisor at Statistics Canada.
the hypothesis that demands on the healthcare system and He can be contacted by e-mail at dmanuel@ohri.ca. $800-plus million operating budget. It is also the
hub for specialist services for the balance of the
province and Atlantic Canada. At the helm as
president and chief executive officer (CEO) since
Looking for New Leaders?
2006 is Chris Power, a seasoned executive whose
career has spanned 30 years, several provinces and
a journey from front-line nursing to the C-suite.
Named three times as one of Canada’s Top 100
recruit them here Most Powerful Women in the Public Sector,
selected as one of Atlantic Canada’s Top 50 CEOs
and an award winner for excellence and innova-
tion by her peers, Power offered her insights to
jobs.Longwoods.com HQ’s Ken Tremblay earlier this year.
20 Healthcare Quarterly Vol.16 No.1 2013 Healthcare Quarterly Vol.16 No.1 2013