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The 2019 RHA Indicators Atlas

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The 2019 RHA Indicators Atlas Manitoba Centre for Health Policy The 2019 RHA Indicators Atlas Autumn 2019 Randy Fransoo, PhD Alexandrea Anderson, BSc Scott McCulloch, MA Alyson Mahar, PhD Heather Prior, MSc Jessica Jarmasz, PhD The Need To Know Team Ina Koseva, MSc Susan Burchill, BMus This report is produced and published by the Manitoba Centre for Health Policy (MCHP). It is also available in PDF format on our website at: http://mchp-appserv.cpe.umanitoba.ca/deliverablesList.html Information concerning this report or any other report produced by MCHP can be obtained by contacting: Manitoba Centre for Health Policy University of Manitoba Max Rady College of Medicine Rady Faculty of Health Sciences 408-727 McDermot Avenue Winnipeg, Manitoba, Canada R3E 3P5 Tel: (204) 789-3819 Fax: (204) 789-3910 Email: [email protected] How to cite this report: Fransoo R, Mahar A, The Need To Know Team, Anderson A, Prior H, Koseva I, McCulloch S, Jarmasz J, Burchill S. The 2019 RHA Indicators Atlas. Winnipeg, MB. Manitoba Centre for Health Policy.Autumn 2019. Legal Deposit: Manitoba Legislative Library National Library of Canada ISBN 978-1-896489-97-1 ©Manitoba Health This report may be reproduced, in whole or in part, provided the source is cited. 1st printing (Autumn 2019) This report was prepared at the request of Manitoba Health, Seniors and Active Living (MHSAL), a department within the Government of Manitoba, as part of the contract between the University of Manitoba and MHSAL. It was supported through funding provided by MHSAL to the University of Manitoba (HIPC 2017/2018–24). The results and conclusions are those of the authors and no official endorsement by MHSAL was intended or should be inferred. Data used in this study are from the Manitoba Population Research Data Repository housed at the Manitoba Centre for Health Policy, University of Manitoba, and were derived from data provided by MHSAL, as well as the Winnipeg Regional Health Authority, Diagnostic Services Manitoba, Vital Statistics Agency, and Statistics Canada. Strict policies and procedures were followed in producing this report to protect the privacy and security of the Repository data. Health and Social Outcomes Associated with Alcohol Use in Manitoba About the Manitoba Centre for Health Policy The Manitoba Centre for Health Policy (MCHP) is located along with its rigorous academic standards, enables MCHP within the Department of Community Health Sciences, to contribute to the health policy process. MCHP undertakes Max Rady College of Medicine, Rady Faculty of Health several major research projects, such as this one, every Sciences, University of Manitoba. The mission of MCHP is year under contract to Manitoba Health, Seniors and Active to provide accurate and timely information to healthcare Living. In addition, our researchers secure external funding decision-makers, analysts and providers, so they can offer by competing for research grants. We are widely published services which are effective and efficient in maintaining and internationally recognized. Further, our researchers and improving the health of Manitobans. Our researchers collaborate with a number of highly respected scientists rely upon the unique Manitoba Population Research Data from Canada, the United States, Europe, and Australia. Repository (Repository) to describe and explain patterns We thank the Research Ethics Board on the Bannatyne of care and profiles of illness and to explore other factors Campus at the University of Manitoba, for their review of that influence health, including income, education, this project. MCHP complies with all legislative acts and employment, and social status. This Repository is unique in regulations governing the protection and use of sensitive terms of its comprehensiveness, degree of integration, and information. We implement strict policies and procedures orientation around an anonymized population registry. to protect the privacy and security of anonymized data Members of MCHP consult extensively with government used to produce this report and we keep the provincial officials, healthcare administrators, and clinicians to develop Health Information Privacy Committee informed of all work a research agenda that is topical and relevant. This strength, undertaken for Manitoba Health, Seniors and Active Living. The Manitoba Centre for Health Policy Data Insight Informing Solutions www.mchp.ca i The 2019 RHA Indicators Atlas ii Manitoba Centre for Health Policy Rady Faculty of Health Sciences University of Manitoba Acknowledgements Acknowledgements The authors wish to acknowledge the contributions of the many individuals whose efforts and expertise made this report possible. We apologize to anyone whom we have inadvertently neglected to mention. Members of The Need To Know Team are co-authors of this report: • RHA members: Jody Allan, Michelle Gaber, Dr. Randy Gesell, Bruce Krentz, Lorraine Larocque, Nancy McPherson, Ales Morga, Katherine Podaima, Joy Tetlock, Jo-Ann Welham, Ayn Wilcox (DSM/Shared Health) and Breann Zelenitsky. • MHSAL members: Kristin Anderson, Nathan Hoeppner, Rachel McPherson, Ciara Shattuck and Heather Sparling. • Manitoba Centre for Health Policy (MCHP) members: Charles Burchill, Dr. Elaine Burland, Dr. Alan Katz and Dr. Selena Randall. • We also acknowledge the CEOs of all Regional Health Authorities (RHAs) in Manitoba, and MHSAL, for their ongoing support for the work of The Need To Know Team. Dr. Dan Chateau, Oke Ekuma, Nkiru Eze, Dr. Alan Katz, Dr. William Leslie, Jeff Valdivia, and Maryam Razzaq from MCHP also contributed to this project. Dr. Marni Brownell, Dr. Noralou Roos, Dr. Chelsea Ruth, and Mark Smith provided valuable feedback on the report, and Dr. Jennifer Enns was the editor. Jennifer Pepneck wrote the 4-page summary and coordinated publicity. Ruth-Ann Soodeen and Cara Jonasson contributed to report preparation and production. Dr. I fan Kuo from the College of Pharmacy provided invaluable support regarding the lists of prescription drugs used for various chronic diseases in this report. Dr. Paul Van Caeseele and Shannon Bernard from Cadham Provincial Laboratory and Dr. Carla Loeppky from MHSAL were instrumental in developing indicators of HIV and Hepatitis C. Dr. Sande Harlos, Dr. Chris Green and Sarah Prowse from the Winnipeg RHA, as well as Dr. Marni Brownell, Dr. Nathan Nickel, and Yao Nie from MCHP contributed to the Appendix 3: Disaggregation of Income Quintile 1 in Winnipeg. We acknowledge the University of Manitoba Health Research Ethics Board for their review of the proposed research project. The Health Information Privacy Committee (HIPC) is kept informed of all MCHP deliverables. The HIPC number for this project is HIPC 2017/2018–24. We also acknowledge MHSAL, as well as Diagnostic Services Manitoba, the Winnipeg Regional Health Authority, and the Vital Statistics Agency for the use of their data. www.mchp.ca iii The 2019 RHA Indicators Atlas iv Manitoba Centre for Health Policy Rady Faculty of Health Sciences University of Manitoba Table of Contents Table of Contents About the Manitoba Centre for Health Policy i Acknowledgements iii List of Tables ix List of Figures xi Acronyms xv Executive Summary xvii Major Findings and Implications xvii Key Findings by Chapter xviii Chapter 2: Demographics xviii Chapter 3: Population Health Status and Mortality xviii Chapter 4: Physical Illness xix Chapter 5: Physician and Nurse Practitioner Services xix Chapter 6: Quality of Primary Care xix Chapter 7: Hospital Services xix Chapter 8: High-Profile Surgical and Diagnostic Services xx Chapter 9: Use of Personal Care Homes (PCHs) xx Chapter 10: Maternal and Child Health xx Appendix 1 xx Chapter 1: Introduction and Methods 1 1.1 Background 1 1.2 The Collaborative Networks Involved 1 1.3 The Geographical Boundaries Used in This Report 2 1.4 What’s in This Report? 13 1.5 The Indicators – Key Concepts 13 1.6 The Graphs: Order of the Regions and Sub-Areas 15 1.7 Data Sources and Years of Data Used 16 1.8 Differences from the 2013 RHA Indicators Atlas Report 16 1.9 Rates and Prevalence, Adjusted Rates, and Statistical Analyses 16 Rates and Prevalence 16 Adjusted Rates 17 Age Calculations 17 Statistical Analyses 17 Results by Income Quintile 18 1.10 Putting Evidence into Action 18 Chapter 2: Demographics 19 Key Findings in Chapter 2 19 Introduction 19 2.1 Population Pyramids 22 2.2 Socioeconomic Factor Index (SEFI) 28 2.3 Material Deprivation Index 29 2.4 Social Deprivation Index 31 Chapter 3: Population Health Status and Mortality 33 Key Findings in Chapter 3 33 Introduction 33 3.1 Total Mortality Rates 34 3.2 Causes of Death 35 3.3 Premature Mortality Rates (PMR) 37 www.mchp.ca v The 2019 RHA Indicators Atlas 3.4 Causes of Premature Death 39 3.5 Male Life Expectancy 41 3.6 Female Life Expectancy 43 3.7 Potential Years of Life Lost (PYLL) 45 3.8 Suicide Rates 46 3.9 Unintentional Injury Causing Death 47 3.10 Potentially Avoidable Death Rates 48 3.11 Types of Potentially Avoidable Deaths 49 Chapter 4: Physical Illness 51 Key Findings in Chapter 4 51 Introduction 52 Section A: Chronic Physical Illness 53 4.1 Hypertension Prevalence 53 4.2 Hypertension Incidence 54 4.3 Arthritis Prevalence 55 4.4 Total Respiratory Morbidity (TRM) Prevalence 56 4.5 Diabetes Prevalence 57 4.6 Diabetes Incidence 59 4.7 Ischemic Heart Disease (IHD) Prevalence 60 4.8 Ischemic Heart Disease (IHD) Incidence 61 4.9 Osteoporosis Prevalence 62 4.10 Congestive Heart Failure (CHF) Prevalence 63 Section B: Chronic Infectious Disease 64 4.11 Hepatitis C Virus (HCV) Prevalence 64 4.12 Human Immunodeficiency
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