Garnering Baseline Data, Insight & Attention: Exploring Trends at a Health System’s Level

Garnering Baseline Data, Insight & Attention:
Exploring Trends at a Health System’s Level

Emily Lecompte, Health Canada, First Nations Inuit Health Branch (FNIHB)
Bryde Fresque, Human Resources and Skills Development Canada (HRSDC), Horizontal Initiatives
Presented at the National Aboriginal Health Organization Conference
November 24th - 26th, 2009

Presentation Overview
• Background:
• Careers in the health care system
• First Nations, Inuit and Métis population: demographics
• Project Rationale
• Research Objectives
• Research Methodology
• Results: 2001 – 2006 Health Industry Census Statistics
• Aboriginal and non-Aboriginal health sector workers
• On- and Off-reserve tendencies for FNIM health sector workers
• Health industry in the Territories
• Health industry in B.C
• Health industry in the Prairies
• Health industry in Ontario
• Health industry in Quebec
• Health industry in the Atlantic
• Limitations
• Strengths

The Canadian Health Care Industry
BACKGROUND

• Some issues that have influenced the experience of ill-health
of First Nations, Inuit and Métis peoples:
Colonisation
Discrimination
Racism
Poverty
Displacement
Area of residence: Isolation
 Housing
Marginalised status

First Nations, Inuit and Métis in Canada

BACKGROUND
Canadian Aboriginal people now account for 3.8% of the national population
# of individuals

Year of Census

(Statistics Canada, 2008b; 2005)


PROJECT RATIONALE:
Accessing this information will help support the following:

a) Whether there is a need to allocate more monetary
resources to provide training to individuals working in the
health care industry;

b) Whether the government needs to integrate more
appropriate programs to address the health sector’s needs


PROJECT RATIONALE :
1. To bring in HRSDC as a partner in addressing government-wide
objectives related to the health care system
2. To allow AHHRI and HRSDC to verify if larger objectives of
increasing the number of First Nations, Inuit and Métis people in
the health sector are being achieved:
I. One of AHHRI’s objectives calls for system-wide change. Thus, we have
to bring together F/P/T partners to better address this mandate.
II. While the Census data on health occupations looks at the supply, mix
and distribution of health workers, health industry data will look at the
broader Pan-Canadian HHR Strategy (F/P/T).

RESEARCH OBJECTIVES

1. To examine characteristics of workers in the health care labour force in
order to better illustrate and explain trends in the Canadian health care
system;

2. To provide the first nation-wide portrait of the Aboriginal and non-
Aboriginal health workforce using 2001 and 2006 Census data;

3. To highlight nation-wide, provincial and territorial tendencies in the health
care field to better understand and predict future outcomes in the mix,
supply and distribution of health care workers;

4. To provide useful baseline information on the health care labour market to
health workers, community members, First Nations, Inuit and Métis
organizations, government departments, and academic institutions.


METHODOLOGY

Data source:
• Results from the long form questionnaires (20% data sample) of the 2001
and 2006 national censuses from Statistics Canada were utilized.
• The long form of the Census questionnaire is given to one in every five
households (20%) across Canada.
• Coded by 1997-North American Industry Classification System (NAICS)

Analytical techniques:
• Use of cross-sectional data
• Descriptive statistics are used to illustrate trends in the health care
workforce over two consecutive census periods (2001, and 2006).


2001 & 2006 Health Industry Census statistics
Census year FNIM Health Industry Non-Aboriginal Total people in the
workers Health Industry Canadian health
workers labour market
2001 FN: 14 710 (1.25%)
I: 755 (0.06%) 1 148 840 1 174 810
M: 9 565 (0.81%) (97.8%) (100%)

Total = 25 970 (2.21%)
2006 FN: 21 140 (1.46%)
I: 995 (0.069%) 1 405 495 1 445 055
M: 16 115 (1.11%) (97.3%) (100%)

Total = 39 560 (2.74%)

Health care and social assistance
(Statistics Canada 2009a; 2009b)

2001 & 2006 CENSUS STATISTICS & Distribution of AHHR
Geographic Supply & Distribution of AHHR
Geographic Supply
Distribution of Aboriginal Canadians in the health labour market:

On-Reserve Off-Reserve

# of People
# of People

NB: Health Canada fully recognizes that the Inuit people do not reside in on-reserve areas
however, Statistics Canada does not make this distinction and include both Inuit and Métis
people in on- and off-reserve areas of residence.


A snapshot of Canada’s
Health Labour Market



Aboriginal health sector workers in Nunavut, NWT, & Yukon:

# of People

Aboriginal workers in health
care & social assistance
2001 Census 140
+145
2006 Census 285



In the territories, the most popular major field of
study for Aboriginal and non-Aboriginal health
sector workers is health-related:

Census Census Position
Major field of study Major field of study
2001 2006 trends
Health professions & Health, parks,
related technologies 1500 recreation & fitness 1825 +325
Commerce, Business management
management & business 365 & Public 475 +110
administration administration
Social sciences & related Social Sciences and
fields 390 behavioural science 370 -20



Number of Aboriginal health sector in British Columbia:

# of People

2001 Census 725
+2 175
2006 Census 2 900



Major field of study of Aboriginal and non-
Aboriginal health sector workers in B.C.:
2001 2006 trends
91 610 112 285 + 20 675
related technologies recreation & fitness
Commerce, management Business management
18 225 21 865 + 3 640
& business administration & Public administration
17 490 19 480 + 1 990
fields behavioural science



Number of Aboriginal health sector workers in the Prairies:

# of People

2001 Census 1 170
+6 255
2006 Census 7 425



Aboriginal health sector workers in the Prairies:
2001 2006 trends
120 155 156 810 +36 655
24 190 30 635 +6 445
22 440 21 300 - 1 140



Number of Aboriginal health sector workers in Ontario:

# of People

2001 Census 740
+3 965
2006 Census 4 705



Aboriginal health sector workers in Ontario:
2001 2006 trends
236 425 300 225 +63 800
42 900 71 035 +28 135
55 960 62 285 +6 325



Number of Aboriginal health sector workers in Quebec:

# of People

2001 Census 195
+1 410
2006 Census 1 605



Aboriginal health sector workers in Quebec:
2001 2006 trends
135 450 179 715 +44 265
34 475 58 245 +23 770
39 485 48 400 +8 915



Number of Aboriginal health sector workers in the Atlantic:

# of People

2001 Census 190
+1 010
2006 Census 1 200



Major field of study of Aboriginal and non-Aboriginal
health sector workers in the Atlantic provinces:
2001 2006 trends
52 865 64 785 +11 920
13 905 17 700 +3 795
9 285 9 605 +320


Age distribution of health industry workers AHHR
Geographic Supply & Distribution of
Census Aboriginal

Age
2001 2006 Non-
Aboriginal

72 230 (6.3%) 90 710 (6.45%)
15 – 24 yrs.
1 710 (6.6%) 2 650 (6.7%)
631 250 (55%) 699 360 (49.75%)
25 – 44 yrs.
16 360 (63%) 22 115 (55.9%)
426 775 (37.15%) 585 455 (41.65%)
45 – 64 yrs.
7 715 (29.7%) 14 400 (36.4%)
18 585 (1.6%) 32 970 (2.3%)
65 yrs +
180 (0.7%) 395 (1%)
x / 1 148 840 x / 1 405 495
Total people
x / 25 970 x / 39 560


Geographic Supply & Distribution of AHHR
LIMITATIONS

• Cross-sectional data provides an idea of health labour market
workers at one point in time and does not provide monthly or
annual trends;
• Generalization of data: limited to Federal/Provincial/
Territorial levels due to concerns of confidentiality and
undercount of some Aboriginal communities and reserves;
• Difficult to draw conclusions about recruitment and retentions
of health sector workers over a 5 year span;
• Cannot know the from which institutional level health sector
workers were trained or educated (e.g. university or college)

STRENGTHS Geographic Supply & Distribution of AHHR

• This report provides a 1st snapshot of Canada’s health labour
market including its provinces and territories;
• This report provides baseline data that demonstrates emerging
trends in major fields of education which in turn affects the
health care system, its employees and those who access health
services
• Data is valuable to inform the planning, implementation and
evaluation of education and training programs and resources
that encourage First Nations, Inuit and Métis peoples to choose
health career paths.
• Baseline data can direct priorities in the planning of programs
and policy design that focus on careers and training in health
sciences and business administration.

Aboriginal Health Human Resource Initiative

Contact information
Emily Lecompte
Aboriginal Health Human Resource Initiative (AHHRI)
First Nations Inuit Health Branch (FNIHB), Health Canada
Emily_Lecompte@hc-sc.gc.ca

Bryde Fresque
Horizontal Initiatives
Aboriginal Affaires Directorate, HRSDC
Bryde.Fresque@hrsdc-rhdscc.gc.ca

Garnering Baseline Data, Insight & Attention: Exploring Trends at a Health System’s Level

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