Doris Grinspun RN, MSN, PhD, LLD(hon), O.ONT. Chief Executive Officer Registered Nurses’ Association of Ontario (RNAO) NURSING: A SOCIAL FORCE Delivery.

Doris Grinspun RN, MSN, PhD, LLD(hon), O.ONT.

Chief Executive Officer

Registered Nurses’ Association of Ontario (RNAO)

NURSING: A SOCIAL FORCE

Delivery System Reform

Nov. 3, 2015: Canada-US Health Summit 2015

US Sweden France Denmark

Belgium Canada Spain (2012)

Australia (2012)

Slovenia Slovak Republic

Chile Mexico0%

2%

4%

6%

8%

10%

12%

14%

16%

18%16.4%

11.0% 10.9% 10.4% 10.2% 10.2%8.9% 8.8% 8.7%

7.6% 7.4%6.2%

Total Health Expenditure as a Share of GDP (2013 OECD)

Per Capita Health Expenditures: Public and Private (OECD 2013, US$ at PPP)

US

Sweden

Denmark

Canada

BelgiumFra

nce

Australia

(2012)

Spain (2

012)

Slove

nia

Slova

k Republic

Chile

Mexico

$0$1,000$2,000$3,000$4,000$5,000$6,000$7,000$8,000$9,000

$10,000

$4,197

$4,126

$3,841

$3,074$3,311

$3,247

$2,614

$2,099 $1,783 $1,492$749 $536

$4,516

$779

$713 $1,277

$944 $877

$1,251 $829

$728

$519 $874 $513

PrivatePublic

Public Social Expenditure as a Share of GDP (2014 OECD)

Belgium

Denmark

SwedenSpain

SloveniaOECD US

Australia

Slovak Republic

Canada

Chile (2

013)

Mexico (2

012)0%

5%

10%

15%

20%

25%

30%

35%30.7% 30.1%

28.1% 26.8%23.7%

21.6%19.2% 19.0% 18.4% 17.0%

10.0%7.9%

Life Expectancy at Birth

Australi

aSp

ain

Sweden

France

Canad

a

Belgium

Chile

Denmark

Slove

nia USCuba

Slova

k Republic

Mexic

oBraz

il

Nicarag

ua

Bolivia

50

55

60

65

70

75

80

85 83 83 82 82 8280 80 80 80 79 78

76 75 75 74

68

World Health Organization: Global Health Observatory Data Repository

Infant Mortality

Icelan

dJap

an

Sweden

Spain

Slove

nia

Denmark

Australi

a

France

Canad

a (2011)

Slova

k Republic

US (2012)

Chile (2

012)

Mexic

o02468

101214

1.8 2.1 2.7 2.7 2.9 3.5 3.6 3.64.8 5.5 6

7.4

13

Infant mortality (both sexes, per 1000 births)OECD 2012

MEDICARE’s PERFORMANCE:Before Medicare (1960s) the US & Canada spent about 7% of

each country’s GDP in health care. In 2013...

• Canada 10.2% of GDP

• All Canadians insured

• Important health indicators, such as infant mortality, are better in Canada than the U.S.

U.S. 16.4% of GDP

33 million uninsured in America (uninsured rate dropped by 2.9 percentage points in 2014 after

Patient Protection and Affordable Care Act introduced)

HOW CAN WE REDESIGN OUR HEALTH SYSTEM TO BE PERSON-CENTRED & PRODUCE THE BEST RESULTS?

RNAO ECCO: Enhancing Community Care

Public Trust

For More Information

Doris Grinspun, CEO, RNAO

[email protected]

CC: Tim Lenartowych, Director, RNAO

[email protected]

Josephine Mo, Executive Assistant

[email protected]