Appendix 1 – Consultation results: health issues and indicators
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| Health Issue | Indicator areas reported via consultations |
|---|---|
| Aboriginal Health | Accessibility (i.e. mother tongue, proximity / availability of community services, childhood immunizations) |
| Addictions | |
| Domestic violence / abuse | |
| Environmental health (i.e. contaminants, climate) | |
| Health behaviours (i.e. sexual health practices, consumption of country food) | |
| Health conditions (i.e. lung cancer, breast cancer, COPD, injury by intentional / unintentional, co-infections) | |
| Infant mortality / live births | |
| Living and working conditions (i.e. housing, crime rates, water quantity / quality, adequate sewage) | |
| Suicide | |
| Wait times for health procedures | |
| Abuse / Violence | Child abuse / neglect |
| Domestic / spousal abuse | |
| Seniors abuse (under care) | |
| Access to Care | Access to 24/7 primary care provider |
| Access to general practitioner | |
| Access to specialist | |
| Access to medical records / test results | |
| Availability of long-term care beds | |
| Doctors accepting new patients | |
| Awareness of available health services (prevention, health promotion, specialist) | |
| Number of legislated health professionals | |
| Readmission for medically complex patients | |
| Spending on / cost of non-covered services (medications, home care) | |
| Wait time (ACSC, ER, CT/MRI scans, surgery: cancer, cardiac bypass, cataract) | |
| Allergies | Food allergies |
| Non-food allergies | |
| Appropriateness of Care | C-Sections |
| Implementation of best practices / standardized clinical pathways | |
| Induced labour | |
| Non-urgent ER visits (treatable in community based PHC practices) | |
| Proper prescribing / process of care | |
| Tonsillectomies | |
| Built Environment / Healthy Communities | Access to affordable / reliable transportation |
| Crime rates | |
| Falls prevention | |
| Neighbourhood sprawl | |
| Neighbourhood walkability | |
| Perception of safety / security | |
| Usage of walking / cycling / public transit | |
| Cancer screening | Colorectal |
| Prostate | |
| Cardiovascular Health | Cholesterol levels |
| Incidence (Atrial fibrillation, CVD, heart disease, PVD, hyperlipidemia) | |
| Length of stay for cardiac care | |
| Medication use | |
| Changes Made to Improve Health | Barriers |
| Motivation | |
| Possible changes | |
| Childhood development | Breastfeeding dose / exclusivity |
| Breastfeeding duration | |
| Breastfeeding initiation | |
| Early childhood development | |
| Parental preparation (positive parenting) | |
| Reaching growth/development milestones | |
| Community-Based Care | Availability |
| Clinics | |
| Homecare access / public coverage | |
| Homecare utilization | |
| Hospital discharges to community based organizations | |
| Infection rate | |
| Interdisciplinary care | |
| Length of stay | |
| Presence of family caregiver | |
| Efficiency | Average ALC days per ALC separation |
| Continuity of care / number of transfers | |
| Expected vs. actual length of stay | |
| Long-term care patients in acute-care beds | |
| Number of days pre-surgery (i.e. hip/knee replacement) | |
| Optimal use of day surgery | |
| Use of electronic health records | |
| Environmental Factors | Air quality / pollution |
| Biomonitoring (i.e. concentrations of contaminants in the blood) | |
| Climate (i.e. Heat deaths, diseases [Lyme] that may be sensitive to climate change) | |
| Congenital anomalies | |
| Environmentally friendly households / practices | |
| Exposure to environmental contaminants (i.e. radon in home) | |
| Heavy metals (body burden) | |
| Level of heavy industry in the area | |
| Neurodevelopmental disorders | |
| Perceived environment indicators | |
| Pesticide use | |
| Public transit participation | |
| Smog advisories | |
| Sun safety behaviours | |
| Water quality | |
| Water borne diseases and deaths | |
| Functional Limitation / Impairment | Access to dental care providers |
| Amount spent on preventative, diagnostic, and therapeutic measures | |
| Cataracts | |
| Current oral health | |
| Health expectancy: DALE / DFLE / HALE (at regional level) | |
| Functional / developmental disability | |
| Glaucoma | |
| Hearing problems | |
| Vision problems | |
| Health Care Human Resources | Interprofessional teams |
| Mental health of health care workers | |
| Number of nurses and other health care professionals | |
| Health Care Outcomes | 5 year cancer remissions |
| 30-day mortality (Congestive Heart Failure) | |
| Burden | |
| Never events | |
| Patient perception of quality of / satisfaction with care | |
| Perceived health following an intervention | |
| Place of death (for health care utilization / needs at end of life | |
| Readmission - (Asthma, CHF, COPD, Diabetes & Unplanned) | |
| Unplanned returns to OR per separation day | |
| Years incident-free after major chronic disease event | |
| Mental Health | Addiction |
| Admissions for MH conditions more appropriately served in community | |
| Anxiety disorders | |
| ER visits for mental health diagnosis | |
| Family-member perception of care | |
| Happiness | |
| Mood disorders (i.e. depression) | |
| Morbidity (DALY, QUALY) | |
| Psychological distress | |
| Readmission | |
| Satisfaction with Life | |
| Suicide | |
| Utilization of services | |
| Well-being index | |
| Nutrition | Food security |
| Meat / fish / grain / dairy consumption | |
| Nutrient intake (i.e. calcium, salt) | |
| Nutrition related biomarkers | |
| Quality of FVC module | |
| Total consumption | |
| Obesity | Child / youth / adult obesity |
| Waist circumference (measured / self-reported) | |
| Patient Safety | Hospital selected mortality rate |
| In-hospital infection (i.e. MRSA, VRE, C-Diff, ESBL) | |
| In-hospital hip fractures per separation day | |
| Incidence of adverse events experienced by patients in hospital | |
| Medication reconciliation | |
| Perception of safety / trust in hospitals or medical professionals | |
| Post-operative / surgical site infection | |
| Surgical misadventures | |
| Patient-Centered Planning | Co-morbidity (diabetes & hypertension) |
| Continuity of care | |
| Reasons for admission (top 5-10) | |
| Physical / Sedentary Activity | Active transportation |
| Affordability of sports equipment and activities | |
| Physical activity other than during leisure time (i.e. at work) | |
| Playing video games | |
| Reading | |
| Using computer | |
| Watching TV / videos | |
| Product Safety | Food borne communicable disease |
| Food contaminants | |
| Pharmaceutical / Drug adverse reactions | |
| Therapeutic and other marketed health products | |
| Unintentional poisonings | |
| Reproductive Health | Abortions |
| Access to appropriate maternal / prenatal care | |
| Condom Use | |
| Deliveries associated with assisted reproductive technology | |
| Failure to conceive after trying for one year or more | |
| Foetal Alcohol Syndrome | |
| Health behaviours of mother (i.e. smoking / drinking) | |
| High birth weight | |
| Induced labour | |
| Number of sexual partners | |
| Perinatal complications (post-partum haemorrhage, resuscitation) | |
| Pre-conception maternal BMI | |
| Small for gestational age | |
| STI Incidence | |
| Transfers | |
| Unplanned pregnancies | |
| Respiratory Health | Chronic obstructive pulmonary disease (COPD) |
| Lung cancer | |
| Other chronic diseases related to the respiratory system | |
| Seniors / Aging | Accurate prescribing |
| Elder abuse | |
| Falls | |
| Hospitalizations | |
| Institutionalization rate | |
| Medication use (potential overuse / inappropriate use) | |
| Osteoporosis | |
| Seniors living alone | |
| Social Health Determinants | Education |
| Employment | |
| Social capital | |
| Social desirability / peer pressure | |
| Social policy | |
| Social support | |
| Volunteering | |
| Socioeconomic Deprivation | Disability limiting access to food stores |
| Health services care gaps (by population) | |
| Healthy food basket cost | |
| Homelessness or relative homelessness | |
| Housing (affordability, crowding, conditions) | |
| Illiteracy / innumeracy | |
| Income related food security | |
| Lack of transportation limiting access to food stores | |
| Precarious employment | |
| Proximity of stores selling healthy and affordable food | |
| Workforce Health | Absenteeism |
| Availability and use of employer health benefits | |
| Coverage and use of employee and family assistance programs | |
| Decision latitude at work | |
| Health supports at work | |
| Overtime | |
| Shift work | |
| Unpaid labour (housework, caregiving) | |
| Work stress | |
| Workers' Compensation Claims | |
| Workplace safety (i.e. accident / injury rates) | |
| Youth Health | Increase/Decrease in teen drinking and driving |
| Teen drinking | |
| Teen pregnancy | |
| Teen substance abuse |
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