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Mid-West Toronto Profile

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Mid-West Toronto Profile Mid-West Toronto Sub-Region Profile September 19, 2016 This report was prepared by the following individuals: Thivya Sornalingam, Cynthia Damba, Ranjeeta Jhaveri, Mohamedraza Khaki, Myuri Elango Pandian, Kinga Byczko (Toronto Central LHIN Health Analytics and Innovation Team); Daniel Laidsky (Reconnect MHA Services). If you have any questions about this, please contact: Ranjeeta Jhaveri ([email protected]) and Cynthia Damba ([email protected]) 2 Table of Contents • Section 1 - Introduction to the Report and Mid-West Toronto sub-region………4 • Section 2 - Population Characteristics…………………………………………….11 • Section 3 – Health Status………………………..………………………………….29 • Section 4 – Health Service Use…………………….………………………………37 • Section 5 – Primary Care and Prevention………………………..……………….72 • Appendix A– Additional Information on Population Demographics……………..84 • Appendix B - Methodology for Identifying Primary Care Physicians……...…….90 3 Section 1. Introduction to the Report and Mid-West Toronto Sub-Region 4 Planning at the Sub-Region Level • One of the key Strategic Priorities that underpins the goals of the Toronto Central LHIN strategic plan is Taking a Population Health Approach, which will direct how we plan, prioritize, fund, and partner with other organizations to target the needs of the population and the sub-populations within. • This begins with a strong understanding of what our current and future patients’ needs and wants are in order to improve their health status and experience with health care. This information will help to identify neighbourhoods and population segments that may need targeted interventions to achieve the desired and equitable outcomes reflected in our goals. • A population based approach integrates the full spectrum of health care delivery – from preventing disease (e.g. health promotion) to treatment (e.g. tertiary care). Health is greatly influenced by the social determinants of health – including our environment, our social status, education, employment, gender and culture. The profiles illustrate the diversity of the population of the Toronto Central LHIN, and form a basis of understanding of the variations in populations that can impact our health outcomes. 5 Data Sources, Considerations and Report Structure • Data was obtained from multiple sources for the report and years of data may vary as they are based on the most recent year available for the particular database. There may be minor differences in rates and numbers reported for different indicators due to rounding, use of different data sources and/or timing of data extraction. • As we get more information, we will update indicators or add new indicators. • Sub-regions are built from Statistics Canada Census Tracts. • The report is divided out into 5 sections and some are further sub-divided into sub-sections. Each section starts with a summary of the highlights and then information for individual selected indicators. • For each indicator, information is presented at LHIN, sub-region and wherever possible at neighbourhood level. The top 2 or 3 rates for neighbourhoods which indicate greater health risk in the summary slides are highlighted in pink. • Similar slide decks are being prepared for each of the Sub-regions and will be posted on the Toronto Central LHIN website. Additional informational information on Sub-regions is available on Toronto Central LHIN website: 6 http://www.torontocentrallhin.on.ca/forhsps/crosssectortables.aspx About the Mid West Toronto Sub-Region UHN Casa Loma The Annex Chinatown Davenport Perth CHC COSTI • Bounded by Eglinton Ave. West and St. Clair Ave. West to the north, the Canadian National Railway to the west, Lake Ontario to the south, Winnett Ave. (north) and Yonge St. (south) to the east. • The region contains 19 City of Toronto neighbourhoods, with Yonge St. Clair being split between North and Mid-West sub-regions, and Waterfront Communities-The Island being split with Mid-East sub-region. 7 Mid-West Toronto Neighbourhoods (2016) Population (2011) 305,989 (26.6% of Toronto Central LHIN) Males: 48.9% Females: 51.1% % Children and Youth (ages 0-19): 14.4% % Seniors (ages 65+): 12.8% 8 Source: Census of Canada, Statistics Canada, 2011 Health Service Providers in Toronto Central LHIN (As of July 2016) HSP mappings are based on primary office locations. HSPs may have multiple sites. In addition, HSPs in one sub- region may provide services for people in other sub-regions or LHINs. Sub-Regions **Primary Care Physicians are defined by a basket of service methodology developed by MOHLTC. General practice Private Primary Care Total HSPs (ex physicians are considered primary Sub-Region CCAC CHC CMHA CSS Hospital LTC Hospital Physicians** FP/GP) care providers if they either 1) belong to a Physician Enrollment West Toronto 4 8 5 3 0 9 155 29 Model (PEM) or 2) satisfied specific Mid-West Toronto 5 20 13 5 0 12 534 55 billing requirements (Appendix A). These numbers are estimates and North Toronto 1 2 3 10 3 0 3 217 21 do not include PCPs in CHCs. Mid-East Toronto 4 24 15 3 0 4 199 50 Numbers will be updated East Toronto 2 5 10 2 1 8 236 28 Toronto Central 9 1 17 60 53 16 1 36 1341 184 LHIN Mid-West Toronto Sub-Region Hospital LTC CMH&A CSS CHC 1. Centre for Addiction and Mental 1. Belmont House 1. Accommodation Information and 1. Canadian Hearing Society 1. Access Alliance Multicultural Health 2. Castleview Wychwood Towers Support Inc. (AIS) 2. Canadian Red Cross Society, Health and Community 2. Hospital for Sick Children 3. Cedarvale Terrace 2. Barbra Schlifer Commemorative Ontario Zone Services 3. Sinai Health System 4. Fairview Nursing Home Clinic 3. City of Toronto, Long-Term Care 2. Central Toronto Community 4. University Health Network 5. Hellenic Care for Seniors (Toronto) 3. Consumer/Survivor Information Homes and Services Division Health Centres 5. Women's College Hospital Inc. Resource Centre of Toronto 4. Hellenic Home for the Aged Inc. 3. Centre Francophone de 6. Maynard Nursing Home 4. COSTI - Immigrant Services 5. Native Canadian Centre of Toronto 7. Mon Sheong Home for the Aged 5. Cross Toronto Community Toronto 4. Davenport-Perth 8. Rose of Sharon (Ontario) Development Corporation, Fresh 6. Second Mile Club of Toronto Neighbourhood and Retirement Community Start (The) Community Health Centre 9. St. George Care Community 6. Eden Community Homes 7. Senior Adult Services in the 5. Planned Parenthood of 10. The Kensington Health Centre 7. George Herman Memorial Annex, Toronto Toronto 11. The O'Neill Centre Long Term Care Foundation 8. Society of Sharing: Inner-City Facility 8. Houselink Community Homes Inc. Volunteers 12. Vermont Square Long Term Care 9. Madison Community Services 9. St. Clair West Services for Facility 10. Native Child and Family Services Seniors of Toronto 10. St. Hilda's Towers Inc. 11. Opportunity for Advancement 11. St. Matthew's Bracondale House 12. Schizophrenia Society of Ontario 12. Volunteer Centre of Toronto (The) 13. West Toronto Support Services 13. Sistering - A Woman's Place for Senior Citizens and the 14. St. Christopher House (The) Disabled Inc. 15. St. Stephen's Community House 16. Transition House Incorporated 17. Trinity Square Café Inc. 18. YMCA of Greater Toronto 19. Young Women's Christian Association of Greater Toronto (YWCA) 20. Youthdale Treatment Centres Total: 5 Total: 12 Total: 20 Total: 13 Total: 5 HSP mappings are based on primary office locations. HSPs may have multiple sites. In addition, HSPs in one sub-region may provide services for people in other sub-regions or LHINs. 10 Section 2. Population Characteristics A) Population Demographics B) Cultural and Socioeconomic Diversity Additional detailed information is available in Appendix A 11 Key Highlights – Population Demographics and Diversity • Mid-West Toronto has the third highest proportion of children and youth (ages 0-19 years) in 2011 (14.4% ) among the sub-regions. Most neighbourhoods have a lower than average proportion of children in their neighbourhoods. Weston- Pellam Park, Caledonia-Fairbank, and Keelesdale-Eglinton West have the highest proportion of children of neighbourhoods in Mid-West sub-region. • Overall, 12.8% of the Mid-West Toronto population is over 65 years (2011). This is below the Toronto Central LHIN average population (13.1%). Most neighbourhoods have a higher than average proportion of seniors in their neighbourhoods. Casa Loma and Wychwood have the highest proportion of seniors in the Mid-West sub-region. • Majority of the neighbourhoods in Mid-West Toronto have a lower proportion of seniors living alone relative to the Toronto Central LHIN average (34.1%).Percentage of total population of seniors living alone is highest in Bay Street Corridor, Kensington-Chinatown and Annex. • In Mid-West Toronto, Bay Street Corridor, University and Casa Loma have the highest proportion of recent immigrants (arrived between 2006-2011). The top three countries of recent immigrants in Mid-West Toronto are China, Other places in Europe and Philippines. The most heavily represented visible minorities relative to Toronto Central LHIN are East Asian and Latin American. The most common languages spoken at home other than English include Portuguese, Spanish and Cantonese. • The proportion of visible minority in the Mid-West Toronto sub-region is slightly higher (35.2%) compared to Toronto Central LHIN (34%). • Kensington-Chinatown has the highest level of marginalization and highest proportion of low-income residents among the Mid-West Toronto neighbourhoods. 12 2a) Population Demographics
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