doris grinspun rn, msn, phd, lld(hon), o.ont. chief executive officer registered nurses’...
TRANSCRIPT
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
CC: Tim Lenartowych, Director, RNAO
Josephine Mo, Executive Assistant