garnering baseline data, insight & attention: exploring trends at a health system’s level

Garnering Baseline Data, Insight & Attention: Exploring Trends at a Health System’s Level

Emily Lecompte, Health Canada, First Nations Inuit Health Branch (FNIHB)

Bryde Fresque, Human Resources and Skills Development Canada (HRSDC), Horizontal Initiatives

Presented at the National Aboriginal Health Organization Conference

November 24th - 26th, 2009

• Background: • Careers in the health care system• First Nations, Inuit and Métis population: demographics

• Project Rationale• Research Objectives• Research Methodology• Results: 2001 – 2006 Health Industry Census Statistics

• Aboriginal and non-Aboriginal health sector workers• On- and Off-reserve tendencies for FNIM health sector workers • Health industry in the Territories• Health industry in B.C• Health industry in the Prairies• Health industry in Ontario• Health industry in Quebec• Health industry in the Atlantic

• Limitations

• Strengths

Presentation Overview

BACKGROUND

•Some issues that have influenced the experience of ill-health of First Nations, Inuit and Métis peoples:

Colonisation

Discrimination

Racism

Poverty

Displacement

Area of residence: Isolation

Housing

Marginalised status

The Canadian Health Care Industry

BACKGROUND

Canadian Aboriginal people now account for 3.8% of the national population

First Nations, Inuit and Métis in Canada

(Statistics Canada, 2008b; 2005)

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Year of Census

PROJECT RATIONALE:

Accessing this information will help support the following:

a) Whether there is a need to allocate more monetary resources to provide training to individuals working in the health care industry;

b) Whether the government needs to integrate more appropriate programs to address the health sector’s needs


PROJECT RATIONALE :

1. To bring in HRSDC as a partner in addressing government-wide objectives related to the health care system

2. To allow AHHRI and HRSDC to verify if larger objectives of increasing the number of First Nations, Inuit and Métis people in the health sector are being achieved:

I. One of AHHRI’s objectives calls for system-wide change. Thus, we have to bring together F/P/T partners to better address this mandate.

II. While the Census data on health occupations looks at the supply, mix and distribution of health workers, health industry data will look at the broader Pan-Canadian HHR Strategy (F/P/T).


RESEARCH OBJECTIVES

1. To examine characteristics of workers in the health care labour force in order to better illustrate and explain trends in the Canadian health care system;

2. To provide the first nation-wide portrait of the Aboriginal and non-Aboriginal health workforce using 2001 and 2006 Census data;

3. To highlight nation-wide, provincial and territorial tendencies in the health care field to better understand and predict future outcomes in the mix, supply and distribution of health care workers;

4. To provide useful baseline information on the health care labour market tohealth workers, community members, First Nations, Inuit and Métis organizations, government departments, and academic institutions.


METHODOLOGY

Data source:

• Results from the long form questionnaires (20% data sample) of the 2001 and 2006 national censuses from Statistics Canada were utilized.

• The long form of the Census questionnaire is given to one in every five households (20%) across Canada.

• Coded by 1997-North American Industry Classification System (NAICS)

Analytical techniques:

• Use of cross-sectional data

• Descriptive statistics are used to illustrate trends in the health care workforce over two consecutive census periods (2001, and 2006).


2001 & 2006 Health Industry Census statistics

Census year FNIM Health Industry workers

Non-Aboriginal Health Industry

workers

Total people in the Canadian health

labour market

2001 FN: 14 710 (1.25%)

1 148 840(97.8%)

1 174 810(100%)

I: 755 (0.06%)

M: 9 565 (0.81%)

Total = 25 970 (2.21%)

2006 FN: 21 140 (1.46%)

1 405 495(97.3%)

1 445 055(100%)

I: 995 (0.069%)

M: 16 115 (1.11%)

Total = 39 560 (2.74%)


Health care and social assistance(Statistics Canada 2009a; 2009b)

Geographic Supply & Distribution of AHHRGeographic Supply & Distribution of AHHR

On-Reserve Off-Reserve

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NB: Health Canada fully recognizes that the Inuit people do not reside in on-reserve areas, however, Statistics Canada does not make this distinction and include both Inuit and Métis people in on- and off-reserve areas of residence.

2001 & 2006 CENSUS STATISTICS

Distribution of Aboriginal Canadians in the health labour market:

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A snapshot of Canada’s Health Labour Market


Aboriginal health sector workers in Nunavut, NWT, & Yukon:


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Aboriginal workers in health care & social assistance

2001 Census 140+145

2006 Census 285


http://upload.wikimedia.org/wikipedia/commons/e/e6/Northern_Canada_map.svg

In the territories, the most popular major field of study for Aboriginal and non-Aboriginal health sector workers is health-related:


Major field of studyCensus

2001Major field of study

Census 2006

Position trends

Health professions & related technologies 1500

Health, parks, recreation & fitness 1825 +325

Commerce, management & business administration

365Business management & Public administration

475 +110

Social sciences & related fields 390

Social Sciences and behavioural science 370 -20


http://upload.wikimedia.org/wikipedia/commons/e/e6/Northern_Canada_map.svg

Number of Aboriginal health sector in British Columbia:



2001 Census 725+2 175

2006 Census 2 900

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Major field of study of Aboriginal and non-Aboriginal health sector workers in B.C.:



Census 2006

Position trends

Health professions & related technologies

91 610Health, parks, recreation & fitness

112 285 + 20 675


18 225Business management & Public administration

21 865 + 3 640

Social sciences & related fields

17 490Social Sciences and behavioural science

19 480 + 1 990



Number of Aboriginal health sector workers in the Prairies:



2001 Census 1 170+6 255

2006 Census 7 425

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Census 2006

Position trends



156 810 +36 655



30 635 +6 445



21 300 - 1 140

Major field of study of Aboriginal and non-Aboriginal health sector workers in the Prairies:


Number of Aboriginal health sector workers in Ontario:



2001 Census 740+3 965

2006 Census 4 705

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Major field of study of Aboriginal and non-Aboriginal health sector workers in Ontario:



Census 2006

Position trends



300 225 +63 800



71 035 +28 135



62 285 +6 325


Number of Aboriginal health sector workers in Quebec:



2001 Census 195+1 410

2006 Census 1 605

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http://upload.wikimedia.org/wikipedia/commons/c/c0/Canada_carte_du_Quebec.png



Census 2006

Position trends



179 715 +44 265



58 245 +23 770



48 400 +8 915


Major field of study of Aboriginal and non-Aboriginal health sector workers in Quebec:


http://upload.wikimedia.org/wikipedia/commons/c/c0/Canada_carte_du_Quebec.png

Number of Aboriginal health sector workers in the Atlantic:



2001 Census 190+1 010

2006 Census 1 200

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Census 2006

Position trends



64 785 +11 920



17 700 +3 795



9 605 +320


Major field of study of Aboriginal and non-Aboriginal health sector workers in the Atlantic provinces:


Geographic Supply & Distribution of AHHRAge distribution of health industry workers

Census

Age2001 2006

15 – 24 yrs. 72 230 (6.3%) 90 710 (6.45%)

1 710 (6.6%) 2 650 (6.7%)

25 – 44 yrs. 631 250 (55%) 699 360 (49.75%)

16 360 (63%) 22 115 (55.9%)

45 – 64 yrs. 426 775 (37.15%) 585 455 (41.65%)

7 715 (29.7%) 14 400 (36.4%)

65 yrs +18 585 (1.6%) 32 970 (2.3%)

180 (0.7%) 395 (1%)

Total peoplex / 1 148 840 x / 1 405 495

x / 25 970 x / 39 560

Non-Aboriginal

Aboriginal


• Cross-sectional data provides an idea of health labour market workers at one point in time and does not provide monthly or annual trends;

• Generalization of data: limited to Federal/Provincial/ Territorial levels due to concerns of confidentiality and undercount of some Aboriginal communities and reserves;

• Difficult to draw conclusions about recruitment and retentions of health sector workers over a 5 year span;

• Cannot know the from which institutional level health sector workers were trained or educated (e.g. university or college)

Geographic Supply & Distribution of AHHR

LIMITATIONS

STRENGTHS

• This report provides a 1st snapshot of Canada’s health labour market including its provinces and territories;

• This report provides baseline data that demonstrates emerging trends in major fields of education which in turn affects the health care system, its employees and those who access health services

• Data is valuable to inform the planning, implementation and evaluation of education and training programs and resources that encourage First Nations, Inuit and Métis peoples to choose health career paths.

• Baseline data can direct priorities in the planning of programs and policy design that focus on careers and training in health sciences and business administration.

Geographic Supply & Distribution of AHHR

Contact information

Emily Lecompte

Aboriginal Health Human Resource Initiative (AHHRI)

First Nations Inuit Health Branch (FNIHB), Health Canada

[email protected]

Bryde Fresque

Horizontal Initiatives

Aboriginal Affaires Directorate, HRSDC

[email protected]

Aboriginal Health Human Resource Initiative

mailto:[email protected]






garnering baseline data, insight & attention: exploring trends at a health system’s level

Health & Medicine