Health Disparities for Hawaii County Health Conference August 13, 2010 Sharon H. Vitousek, M.D. North Hawaii Outcomes Project www.nhop.org.

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Presentation transcript:

Health Disparities for Hawaii County Health Conference August 13, 2010 Sharon H. Vitousek, M.D. North Hawaii Outcomes Project www.nhop.org

Health Disparities - Hawaii County   Health Outcomes Higher Death rates All causes Heart disease Stroke Overall cancer Infant Mortality Traffic-related Suicide Lower life expectancy Higher teen birth rates Higher confirmed child abuse rates Higher self-reported fair/poor health status

Health Disparities - Hawaii County Health Outcomes

Can we make this the same as others just Hawaii county and state no data table under pls – OK

PLS insert infant mortality - OK

Health Disparities - Hawaii County Geographic – Hawaii County Economic higher death rates with lower income Education Higher death rates with lower education Ethnic: Genetic & Cultural, Socioeconomic Higher CVD death rates --Hawaiian, Filipino Lower cancer screening rates– Hawaiian Lower rates of control - diabetes & blood pressure

Health Disparities - Hawaii County Why? Can you please insert a ggraph for the indicators in yello??

Framework for Population Health Institute of Medicine Social and Physical Environment Social, Economic & Physical Environment (Socioeconomic Determinants) Health-Related Behaviors Health Systems (Access to Care & Quality) Population Health Outcomes

Health Disparities - Hawaii County Social and Economic Determinants Higher unemployment Lower income per capita Higher % population living under 200% of federal poverty More children living in poverty Higher income inequality

Higher % population living under 200% of federal poverty

Health Disparities - Hawaii County Health Related Behaviors Smoking Binge drinking (Obesity) (Adults getting no exercise)

Smoking

Can you mke this the same take out north hawaii? - OK

Activity

Health Disparities - Hawaii County  Health Systems Access: Higher uninsured Lower ratio of physicians per 1,000 population Higher percent of population without a personal doctor Lower percent of female population receiving prenatal care Utilization & Cost: Higher acute care hospitalizations per 1,000 population Quality:  

Consequences of Inadequate Access to Primary Healthcare Source: Institute of Health Improvement, John Wasson, M.D. 32

Consequences of Inadequate Access Delayed Care & Increased suffering Higher ER utilization Higher hospital utilization Increased costs Less focus on Prevention- Life style Less recommended screening Poorer outcomes

Improving Population Health -- How? Socioeconomic Determinants Economic Development Health sector: policy & planning Education/ Science sector Energy sector Health-Related Behaviors Environmental AND Individual Strategies Smoking cessation, physical activity, nutrition Identifying and addressing problem drinking Health Systems Primary Care Workforce Development Grow our own, Policy, Broader Team, Redesign care delivery, Engage community Improved Population Health Outcomes

Consequences of Improved Access Timely Care & Decreased suffering Lower ER utilization Lower hospital utilization Decreased costs More focus on prevention & life style More recommended screening Better outcomes & Quality of Life Improved productivity/business environment Improved community wellbeing

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