Transcript Context: New Era in Accountability

Primary Health Care
and Chronic Illness Care in Canada
Canadians Report on Quality and Outcomes
Diane Watson
CMWF & CHSRF Harkness Fellow
June 2007
Context: New Era in Accountability
Feb 2003: First Minister’s Accord &
Health Council of Canada (HCC)
Sept 2004: 10-Year Plan &
HCC expanded mandate
Apr 2001: Royal Commission
& Senate Committee
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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
Page 3
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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 Multidisciplinary
care
care
Outputs
(Process)
2nd prevention,
coordination,
continuity
Immediate
Outcomes
Knowledge of
condition and
activation
Intermediate
Outcomes
coordination,
continuity
Quality of PHC
or chronic
illness care
Adverse drug
reaction
resulting in visit
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
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