The north is not all the same: comparing health system performance in 18 northern regions of Canada
We investigated the availability of health system performance indicator data in Canada’s 18 northern regions and the feasibility of using the performance framework developed by the Canadian Institute for Health Information [CIHI]. We examined the variation in 24 indicators across regions and factors...
Published in: | International Journal of Circumpolar Health |
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Taylor & Francis Group
2019
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Online Access: | https://doi.org/10.1080/22423982.2019.1697474 https://doaj.org/article/c2f9784d1fb84e13951951029ac0ce62 |
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ftdoajarticles:oai:doaj.org/article:c2f9784d1fb84e13951951029ac0ce62 2023-05-15T15:08:32+02:00 The north is not all the same: comparing health system performance in 18 northern regions of Canada T. Kue Young Susan Chatwood Carmina Ng Robin W. Young Gregory P. Marchildon 2019-01-01T00:00:00Z https://doi.org/10.1080/22423982.2019.1697474 https://doaj.org/article/c2f9784d1fb84e13951951029ac0ce62 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2019.1697474 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2019.1697474 https://doaj.org/article/c2f9784d1fb84e13951951029ac0ce62 International Journal of Circumpolar Health, Vol 78, Iss 1 (2019) northern canada health system performance ambulatory care sensitive conditions avoidable mortality quality Arctic medicine. Tropical medicine RC955-962 article 2019 ftdoajarticles https://doi.org/10.1080/22423982.2019.1697474 2022-12-31T13:31:34Z We investigated the availability of health system performance indicator data in Canada’s 18 northern regions and the feasibility of using the performance framework developed by the Canadian Institute for Health Information [CIHI]. We examined the variation in 24 indicators across regions and factors that might explain such variation. The 18 regions vary in population size and various measures of socioeconomic status, health-care delivery, and health status. The worst performing health systems generally include Nunavut and the northern regions of Québec, Manitoba and Saskatchewan where indigenous people constitute the overwhelming majority of the population, ranging from 70% to 90%, and where they also fare worst in terms of adverse social determinants. All northern regions perform worse than Canada nationally in hospitalisations for ambulatory care sensitive conditions and potentially avoidable mortality. Population size, socioeconomic status, degree of urbanisation and proportion of Aboriginal people in the population are all associated with performance. The North is far from homogenous. Inter-regional variation demands further investigation. The more intermediate pathways, especially between health system inputs, outputs and outcomes, are largely unexplored. Improvement of health system performance for northern and remote regions will require the engagement of indigenous leadership, communities and patient representatives. Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Nunavut Directory of Open Access Journals: DOAJ Articles Arctic Nunavut Canada International Journal of Circumpolar Health 78 1 1697474 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
northern canada health system performance ambulatory care sensitive conditions avoidable mortality quality Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
northern canada health system performance ambulatory care sensitive conditions avoidable mortality quality Arctic medicine. Tropical medicine RC955-962 T. Kue Young Susan Chatwood Carmina Ng Robin W. Young Gregory P. Marchildon The north is not all the same: comparing health system performance in 18 northern regions of Canada |
topic_facet |
northern canada health system performance ambulatory care sensitive conditions avoidable mortality quality Arctic medicine. Tropical medicine RC955-962 |
description |
We investigated the availability of health system performance indicator data in Canada’s 18 northern regions and the feasibility of using the performance framework developed by the Canadian Institute for Health Information [CIHI]. We examined the variation in 24 indicators across regions and factors that might explain such variation. The 18 regions vary in population size and various measures of socioeconomic status, health-care delivery, and health status. The worst performing health systems generally include Nunavut and the northern regions of Québec, Manitoba and Saskatchewan where indigenous people constitute the overwhelming majority of the population, ranging from 70% to 90%, and where they also fare worst in terms of adverse social determinants. All northern regions perform worse than Canada nationally in hospitalisations for ambulatory care sensitive conditions and potentially avoidable mortality. Population size, socioeconomic status, degree of urbanisation and proportion of Aboriginal people in the population are all associated with performance. The North is far from homogenous. Inter-regional variation demands further investigation. The more intermediate pathways, especially between health system inputs, outputs and outcomes, are largely unexplored. Improvement of health system performance for northern and remote regions will require the engagement of indigenous leadership, communities and patient representatives. |
format |
Article in Journal/Newspaper |
author |
T. Kue Young Susan Chatwood Carmina Ng Robin W. Young Gregory P. Marchildon |
author_facet |
T. Kue Young Susan Chatwood Carmina Ng Robin W. Young Gregory P. Marchildon |
author_sort |
T. Kue Young |
title |
The north is not all the same: comparing health system performance in 18 northern regions of Canada |
title_short |
The north is not all the same: comparing health system performance in 18 northern regions of Canada |
title_full |
The north is not all the same: comparing health system performance in 18 northern regions of Canada |
title_fullStr |
The north is not all the same: comparing health system performance in 18 northern regions of Canada |
title_full_unstemmed |
The north is not all the same: comparing health system performance in 18 northern regions of Canada |
title_sort |
north is not all the same: comparing health system performance in 18 northern regions of canada |
publisher |
Taylor & Francis Group |
publishDate |
2019 |
url |
https://doi.org/10.1080/22423982.2019.1697474 https://doaj.org/article/c2f9784d1fb84e13951951029ac0ce62 |
geographic |
Arctic Nunavut Canada |
geographic_facet |
Arctic Nunavut Canada |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health Nunavut |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health Nunavut |
op_source |
International Journal of Circumpolar Health, Vol 78, Iss 1 (2019) |
op_relation |
http://dx.doi.org/10.1080/22423982.2019.1697474 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2019.1697474 https://doaj.org/article/c2f9784d1fb84e13951951029ac0ce62 |
op_doi |
https://doi.org/10.1080/22423982.2019.1697474 |
container_title |
International Journal of Circumpolar Health |
container_volume |
78 |
container_issue |
1 |
container_start_page |
1697474 |
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1766339882393796608 |