Equity from the Start: The way ahead in Ontario. alPHa Toronto October 22, 2009 Michael M. Rachlis MD MSc FRCPC www.michaelrachlis.com. Outline. There are serious inequalities in health status which are related to disparities in the social determinants of health and health care services
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
alPHa Toronto October 22, 2009
Michael M. Rachlis MD MSc FRCPC
Source: Wolfson M, Rowe G, Gentleman JF, Tomiak M. Career earnings and death, a longitudinal analysis of older Canadian men. J Gerontol 1993; 48(suppl):167-179.
From: R Glazier. Neighbourhood environments and resources for healthy living http://www.ices.on.ca/file/TDA_Chp2.pdf
Age and sex adjusted
Diabetes prevalence rates
2.8 – 4.0
4.1 – 5.0
5.1 – 6.0
6.1 – 6.5
6.5 – 7.6
“To a great extent, attempts to separate the relative contribution of these factors risks presenting an incomplete picture of the complex inter-relationship between racial and ethnic minority status, socioeconomic differences, and discrimination in the United States.”
US Institute of Medicine. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care 2003
Health Disparities Task Group of the Federal Provincial Territorial Advisory Committee on Population Health and Health Security. Health Disparities: Roles of the Health Sector. 2004. http://www.phac-aspc.gc.ca/ph-sp/disparities/pdf06/disparities_discussion_paper_e.pdf
Health inequalities between different groups in Ontario are pervasive and deadly. They rob Ontario of productive citizens and raise the costs of our health care system. The presence of such significant inequalities amidst plenty makes me ashamed for myself and my country.
“To provide scientific and technical advice and support to the health care system and the Government of Ontario in order to protect and promote the health of Ontarians and recue health inequities.”
OAHPP First legislative object