Garnering Baseline Data, Insight & Attention: Exploring Trends at a Health System’s Level
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Transcript of 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
• 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
Presentation Overview
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
The Canadian Health Care Industry
BACKGROUND
Canadian Aboriginal people now account for 3.8% of the national population
First Nations, Inuit and Métis in Canada
(Statistics Canada, 2008b; 2005)
# o
f in
div
idu
als
Year of Census
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
The Canadian Health Care Industry
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).
The Canadian Health Care Industry
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 tohealth workers, community members, First Nations, Inuit and Métis organizations, government departments, and academic institutions.
The Canadian Health Care Industry
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).
The Canadian Health Care Industry
2001 & 2006 Health Industry Census statistics
Census year FNIM Health Industry workers
Non-Aboriginal Health Industry
workers
Total people in the Canadian health
labour market
2001 FN: 14 710 (1.25%)
1 148 840(97.8%)
1 174 810(100%)
I: 755 (0.06%)
M: 9 565 (0.81%)
Total = 25 970 (2.21%)
2006 FN: 21 140 (1.46%)
1 405 495(97.3%)
1 445 055(100%)
I: 995 (0.069%)
M: 16 115 (1.11%)
Total = 39 560 (2.74%)
The Canadian Health Care Industry
Health care and social assistance(Statistics Canada 2009a; 2009b)
Geographic Supply & Distribution of AHHRGeographic Supply & Distribution of AHHR
On-Reserve Off-Reserve
# o
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eo
ple
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.
2001 & 2006 CENSUS STATISTICS
Distribution of Aboriginal Canadians in the health labour market:
# o
f P
eo
ple
Health care and social assistance(Statistics Canada 2009a; 2009b)
The Canadian Health Care Industry
A snapshot of Canada’s Health Labour Market
Health care and social assistance(Statistics Canada 2009a; 2009b)
Aboriginal health sector workers in Nunavut, NWT, & Yukon:
The Canadian Health Care Industry
# o
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ple
Aboriginal workers in health care & social assistance
2001 Census 140+145
2006 Census 285
Health care and social assistance(Statistics Canada 2009a; 2009b)
In the territories, the most popular major field of study for Aboriginal and non-Aboriginal health sector workers is health-related:
The Canadian Health Care Industry
Major field of studyCensus
2001Major field of study
Census 2006
Position trends
Health professions & related technologies 1500
Health, parks, recreation & fitness 1825 +325
Commerce, management & business administration
365Business management & Public administration
475 +110
Social sciences & related fields 390
Social Sciences and behavioural science 370 -20
Health care and social assistance(Statistics Canada 2009a; 2009b)
Number of Aboriginal health sector in British Columbia:
The Canadian Health Care Industry
Aboriginal workers in health care & social assistance
2001 Census 725+2 175
2006 Census 2 900
# o
f P
eo
ple
Health care and social assistance(Statistics Canada 2009a; 2009b)
Major field of study of Aboriginal and non-Aboriginal health sector workers in B.C.:
Major field of studyCensus
2001Major field of study
Census 2006
Position trends
Health professions & related technologies
91 610Health, parks, recreation & fitness
112 285 + 20 675
Commerce, management & business administration
18 225Business management & Public administration
21 865 + 3 640
Social sciences & related fields
17 490Social Sciences and behavioural science
19 480 + 1 990
The Canadian Health Care Industry
Health care and social assistance(Statistics Canada 2009a; 2009b)
Number of Aboriginal health sector workers in the Prairies:
The Canadian Health Care Industry
Aboriginal workers in health care & social assistance
2001 Census 1 170+6 255
2006 Census 7 425
# o
f P
eo
ple
Health care and social assistance(Statistics Canada 2009a; 2009b)
The Canadian Health Care Industry
Major field of studyCensus
2001Major field of study
Census 2006
Position trends
Health professions & related technologies
120 155Health, parks, recreation & fitness
156 810 +36 655
Commerce, management & business administration
24 190Business management & Public administration
30 635 +6 445
Social sciences & related fields
22 440Social Sciences and behavioural science
21 300 - 1 140
Major field of study of Aboriginal and non-Aboriginal health sector workers in the Prairies:
Health care and social assistance(Statistics Canada 2009a; 2009b)
Number of Aboriginal health sector workers in Ontario:
The Canadian Health Care Industry
Aboriginal workers in health care & social assistance
2001 Census 740+3 965
2006 Census 4 705
# o
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ple
Health care and social assistance(Statistics Canada 2009a; 2009b)
The Canadian Health Care Industry
Major field of study of Aboriginal and non-Aboriginal health sector workers in Ontario:
Major field of studyCensus
2001Major field of study
Census 2006
Position trends
Health professions & related technologies
236 425Health, parks, recreation & fitness
300 225 +63 800
Commerce, management & business administration
42 900Business management & Public administration
71 035 +28 135
Social sciences & related fields
55 960Social Sciences and behavioural science
62 285 +6 325
Health care and social assistance(Statistics Canada 2009a; 2009b)
Number of Aboriginal health sector workers in Quebec:
The Canadian Health Care Industry
Aboriginal workers in health care & social assistance
2001 Census 195+1 410
2006 Census 1 605
# o
f P
eo
ple
Health care and social assistance(Statistics Canada 2009a; 2009b)
Major field of studyCensus
2001Major field of study
Census 2006
Position trends
Health professions & related technologies
135 450Health, parks, recreation & fitness
179 715 +44 265
Commerce, management & business administration
34 475Business management & Public administration
58 245 +23 770
Social sciences & related fields
39 485Social Sciences and behavioural science
48 400 +8 915
The Canadian Health Care Industry
Major field of study of Aboriginal and non-Aboriginal health sector workers in Quebec:
Health care and social assistance(Statistics Canada 2009a; 2009b)
Number of Aboriginal health sector workers in the Atlantic:
The Canadian Health Care Industry
Aboriginal workers in health care & social assistance
2001 Census 190+1 010
2006 Census 1 200
# o
f P
eo
ple
Health care and social assistance(Statistics Canada 2009a; 2009b)
Major field of studyCensus
2001Major field of study
Census 2006
Position trends
Health professions & related technologies
52 865Health, parks, recreation & fitness
64 785 +11 920
Commerce, management & business administration
13 905Business management & Public administration
17 700 +3 795
Social sciences & related fields
9 285Social Sciences and behavioural science
9 605 +320
The Canadian Health Care Industry
Major field of study of Aboriginal and non-Aboriginal health sector workers in the Atlantic provinces:
Health care and social assistance(Statistics Canada 2009a; 2009b)
Geographic Supply & Distribution of AHHRAge distribution of health industry workers
Census
Age2001 2006
15 – 24 yrs. 72 230 (6.3%) 90 710 (6.45%)
1 710 (6.6%) 2 650 (6.7%)
25 – 44 yrs. 631 250 (55%) 699 360 (49.75%)
16 360 (63%) 22 115 (55.9%)
45 – 64 yrs. 426 775 (37.15%) 585 455 (41.65%)
7 715 (29.7%) 14 400 (36.4%)
65 yrs +18 585 (1.6%) 32 970 (2.3%)
180 (0.7%) 395 (1%)
Total peoplex / 1 148 840 x / 1 405 495
x / 25 970 x / 39 560
Non-Aboriginal
Aboriginal
Health care and social assistance(Statistics Canada 2009a; 2009b)
• 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)
Geographic Supply & Distribution of AHHR
LIMITATIONS
STRENGTHS
• 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.
Geographic Supply & Distribution of AHHR
Contact information
Emily Lecompte
Aboriginal Health Human Resource Initiative (AHHRI)
First Nations Inuit Health Branch (FNIHB), Health Canada
Bryde Fresque
Horizontal Initiatives
Aboriginal Affaires Directorate, HRSDC
Aboriginal Health Human Resource Initiative