Primary Health Care and Chronic Illness Care in Canada Canadians Report on Quality and Outcomes Diane Watson CMWF & CHSRF Harkness Fellow June 2007
Mar 27, 2015
Primary Health Care and Chronic Illness Care in Canada
Canadians Report on Quality and Outcomes
Diane Watson
CMWF & CHSRF Harkness Fellow
June 2007
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Sept 2004: 10-Year Plan & HCC expanded mandate
Context: New Era in Accountability
Apr 2001: Royal Commission & Senate Committee
Feb 2003: First Minister’s Accord & Health Council of Canada (HCC)
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Context: New Era in Accountability
Health Council of Canada fosters accountability and transparency by assessing progress in improving the quality, effectiveness and sustainability of the health care system.– Monitor and report on reforms (2003)– Report on health & health outcomes (2004)
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Context: Rationale
First Ministers commitments and additional investments in sectors primarily outside of universally accessible, first $ coverage, medically necessary, physician & hospital services Thus, in areas where little national or comparable data. What does one do as the Director of Research and Analysis at the Health Council of Canada?
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Harkness Project: Why?
Purpose: To enable the Health Council to begin to report on experiences that Canadians, particularly those with chronic health conditions, have with primary health care as well as outcomes people attribute to those services. Objective: To develop and implement a population-based, pan-Canadian bilingual telephone survey.
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Harkness Project: How?
Pan-Canadian, bilingual telephone survey with Statistics Canada (response rates, publicly accessible)Theoretical framework – Treasury Board of Canada accountability
framework for primary health care and chronic illness care
Construct and face validity – national consultations with citizens, policy makers,
managers, providers Sample frame, sampling and link-ability– Canadian Community Health Survey
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Treasury Board of Canada: Accountability Framework
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Harkness Project: How?
Data collection, cleaning and documentation (February and March 2007)
Psychometric and descriptive analyses (April and May 2007)
Multivariate analyses (June 2007)
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Research ?’s
Activities
(Structure)
Multidisciplinary care
Multidisciplinary care
Outputs
(Process)
2nd prevention, coordination, continuity
coordination, continuity
Quality of PHC or chronic illness care
Immediate Outcomes
Knowledge of condition and activation
Adverse drug reaction resulting in visit
Intermediate Outcomes
Inappropriate place (ER) &
Acceptability
Confidence in health system
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Reports for Canadians
The following reports to Canadians will juxtapose information on the progress of health care renewal with adult experiences:
• PHC and home care (September 2007)• Chronic illness care (November 2007)• Prescription drugs (November 2007)
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Reports for Stakeholders
Supplemental reports for health care policy, administrative and practice communities: – Canadians experiences with primary health care – Canadians experiences with chronic illness care
Potential journal article:– The relationship between experiences with
primary health care and confidence in the health care system: The experience in Canada
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The Legacy, The Future & The Dream
The Legacy– Survey data are publicly available for secondary
use from Statistics Canada
The Future– The First Ministers have committed to a second,
similar survey to be conducted in February 2008. – Health Canada funding to support more learning
Working on the Dream