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Access the Abbreviated Report (PDF) Final Report Environmental Scan the Impacts, Including Social Benefits, of Accessibility and Social Inclusion for Persons with Disabilities Final Report Abbreviated Version (Version: July 31, 2019) Lead: Dr. Emile Tompa and Labour Economics Co-Investigator 1: Dr. Amirabbas Mofidi Economics and Public Health Co-Investigator 2: Dr. Arif Jetha Behavioural Sciences and Public Health Co-Investigator 3: Dr. Pam Lahey Rehabilitation Sciences Co-Investigator 4: Dr. Alexis Buettgen Critical Disability Studies This project was funded by Employment and Social Development Canada. All ideas, opinions and analyses in this report were developed by the authors and any errors in the report are solely the responsibility of the authors. 1 Final Report Table of Contents Executive Summary ........................................................................................................................ 5 Estimation of the Societal Benefits of an Accessible and Inclusive Canada .............................. 5 Literature that Informs the Model and Methods ......................................................................... 5 Development of a Conceptual Model ......................................................................................... 6 Execution of the Conceptual Model ........................................................................................... 7 Results of the Model Execution .................................................................................................. 7 Summary and Conclusions ......................................................................................................... 8 Glossary of Definitions and Acronyms........................................................................................... 9 Definitions of Key Terms ........................................................................................................... 9 List of Acronyms ........................................................................................................................ 9 Introduction ............................................................................................................................... 12 Key Research Question ............................................................................................................. 15 Definitions ........................................................................................................................................... 16 Conceptual Framework ............................................................................................................. 16 Methodology ............................................................................................................................. 19 Domain of Healthcare Expenses ......................................................................................................... 20 Domain of Out-of-Pocket Expenses .................................................................................................... 21 Domain of Output and Productivity .................................................................................................... 21 Domain of Quality of Life and Social Role Engagement ...................................................................... 23 Domain of Life Expectancy .................................................................................................................. 25 Domain of Informal Caregiving ........................................................................................................... 25 Domain of Children with Disabilities ................................................................................................... 27 Domain of Human Rights .................................................................................................................... 28 Domain of Transportation................................................................................................................... 29 Domain of Tourism.............................................................................................................................. 30 Domain of General Productivity ......................................................................................................... 31 Domain of Administration of Social Safety Net Programs .................................................................. 32 Domain of Pensions ............................................................................................................................ 32 Domain of Market Multiplier Effects .................................................................................................. 33 The Public Sector Perspective ............................................................................................................. 34 Results of the Execution of the Conceptual Model .................................................................. 36 Total Economic Benefits...................................................................................................................... 36 Averted Healthcare and Related Out-of-Pocket Expenses ................................................................. 37 2 Final Report Increases in Output and Productivity of Persons with Disabilities in the Labour Force ..................... 37 Increases in Quality of Life and Social Role Engagement of Persons with Disabilities ....................... 37 Spillover Effects ................................................................................................................................... 37 Market Multiplier Effects .................................................................................................................... 38 Sensitivity Analysis .............................................................................................................................. 38 Public Sector Perspective .................................................................................................................... 38 Summary and Conclusions ....................................................................................................... 39 Annex 1: Methodology Tables .................................................................................................. 40 Annex 2: Results Tables ........................................................................................................... 50 Project References ........................................................................................................................ 60 Figures List Figure 1. Domains in the cost of exclusion................................................................................... 18 Figure 2. Tax revenue estimation for tourism and market multiplier effects ............................... 35 Figure 3. The proportion of complaints received by the ground of discrimination in 2017 (Canadian Human Right Commission, 2017) ............................................................................... 46 Figure 4. Economic benefit by domain of an accessible and inclusive society ............................ 51 Figure 5. Tornado diagram presentation of input parameter sensitivity analysis (% of the GDP) 57 Figure 6. Categories of public sector revenues ............................................................................. 59 Tables List Table 1. Healthcare expenses associated with poverty, 2017 ....................................................... 40 Table 2. Out-of-pocket expenses for prescription and non-prescription drugs (2006 Canadian dollars) (Roy et al., 2016) ............................................................................................................. 40 Table 3. Out-of-pocket for the purchase and maintenance of aids and specialized equipment (2006 Canadian dollars) (Roy et al., 2016) ................................................................................... 40 Table 4. Out-of-pocket expenses for healthcare and social services (2006 Canadian dollars) (Roy et al., 2016) ................................................................................................................................... 41 Table 5. Out-of-pocket expenses for transportation (2006 Canadian dollars) (Roy et al., 2016) . 41 Table 6. Median pre-tax personal income of Canadian population aged 25 years and over, by disability status, severity, age group, and sex, 2017 (CSD, 2017) ............................................... 41 Table 7. Employment of Canadian population aged 15 to 64 years, by disability status, age group, severity, and sex, 2017 (CSD, 2017) ................................................................................. 42 Table 8. Unemployment of the Canadian population aged 15 to 64 years, by disability status, age group, severity, and sex, 2017 (CSD, 2017) ................................................................................. 42 Table 9. Canadian population aged 15 to 64 years who are not in the labour force, by disability status and severity, 2017 (CSD, 2017).......................................................................................... 42 Table 10. Health Utilities Index (HUI) for persons (15 years and over) with and without disabilities (CCHS 2014) .............................................................................................................. 43 Table 11. Number of persons (15 years and over) with and without disabilities (CCHS 2014) .. 43 Table 12. Comparison of the prevalence of persons (15 years and
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