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Table 2 Health and healthcare performance indicators: descriptions, estimates, Canadian averages, and data sources [12-16]

From: Correlates of health and healthcare performance: applying the Canadian health indicators framework at the provincial-territorial level

Indicator

Description

Provincial & Territorial value Range

Canadian average (95% C.I.)

Data source

Health status'Tier'

    

• Well-being

    

Self-rated health (excellent or very good) [+]

Percentage of the population aged 12 and over who rate their own health status as either excellent or very good

53.2–66.2%

61.4 (61.0–61.8)

Statistics Canada, CCHS 2000–01

• Health conditions

    

Body mass index higher than 27 [-]

Body weight in kilograms divided by the squared value of the height in meters with values greater than 27 (overweight) for those aged 20 to 64

29.0–42.8 kg/m2

31.9 (31.4–32.3)

Statistics Canada, CCHS 2000–01

Asthma rate [-]

Percentage of the population aged 12 and over who report that they have been diagnosed by a health professional as having asthma

3.6–9.2%

8.4 (8.2–8.6)

Statistics Canada, CCHS 2000–01

Diabetes rate [-]

Percentage of the population aged 12 and over who report that they have been diagnosed by a health professional as having diabetes

1.9–5.8%

4.1 (4.0–4.3)

Statistics Canada, CCHS 2000–01

• Human function

    

Functional health (perfect of very good) [+]

Percentage of the population aged 12 and over reporting measures of overall functional health, based on eight dimensions of functioning (vision, hearing, speech, mobility, dexterity, feelings, cognition and pain)

66.3–84.9%

80.5 (80.1–80.8)

Statistics Canada, CCHS 2000–01

• Deaths

    

Life expectancy [+]

Life expectancy at birth calculated in years for overall population

69.4–80.4 years

79.6 (79.6–79.7)

Statistics Canada

Healthcare performance'Tier'

    

• Acceptability

    

Satisfied with family doctor [+]

Population aged 15 and above who report being very or somewhat satisfied with the most recent family doctor or other physician care received

88.3–93.5%

91.4 (90.7–92.0)

Statistics Canada, CCHS 2003

Satisfied with health care services [+]

Population aged 15 and above who report being very or somewhat satisfied with health care services received in the past 12 months

74.2–88.6%

84.9 (84.3–85.6)

Statistics Canada, CCHS 2003

Satisfied with community health care [+]

Population aged 15 and above who report being very or somewhat satisfied with community health care received in the past 12 months

78.0–91.9%

83.0 (81.4–84.6)

Statistics Canada, CCHS 2003

• Accessibility

    

Screening mammography [+]

Women aged 50 to 69 who reported having had a mammogram for routine screening within the past 2 years

36–54%

52

Statistics Canada, CCHS 2000/01

Pap smear [+]

Women aged 18 to 69 who reported having had a Pap smear test for routine for routine screening within the past 3 years

65–81%

73

Statistics Canada, CCHS 2000/01

Difficulties accessing routine care [-]

Population aged 15 and above who report difficulties accessing routine or on-going care, among those who required care at any time of day

12.2–20.4%

16.4 (15.3–17.5)

Statistics Canada, CCHS 2003

Difficulties accessing health information [-]

Population aged 15 and above who report difficulties accessing health information or advice, among those who required care at any time of day

12.3–17.8%

15.8 (14.7–16.9)

Statistics Canada, CCHS 2003

• Appropriateness

    

Vaginal birth after Caesarean section [+]

Proportion of women who have previously had a caesarean section who give birth via vaginal delivery in an acute care hospital

12.5–60.7%

26.7 (26.2–27.2)

CIHI, Discharge abstract database

Caesarean sections [-]

Proportion of women delivering babies in acute care hospitals by caesarean section (stillbirths are excluded from denominator due to database characteristic)

9.2–27.9%

22.5 (22.3–22.6)

CIHI, Hospital mortality database

• Effectiveness

    

In-hospital 30-day stroke mortality [-]

Risk-adjusted rate of all-cause in-hospital death occurring within 30 days of first admission to an acute care hospital with a diagnosis of stroke (aged 20 to 105 years)

15.5–24.2%

18.7

CIHI, Hospital mortality database

Pneumonia readmission rate [-]

Risk-adjusted rate of unplanned readmission following discharge for pneumonia (aged 15 to 84 years) within 28 days of index episode; based on three years of pooled data

2.7–6.9%

3.2

CIHI, Discharge abstract database

Ambulatory care sensitive conditions [-]

Age-standardized inpatient acute care hospitalization rate for conditions where appropriate ambulatory care prevents or reduces the need for hospitalization, per 100,000 population

243–1,114

346 (344–348)

CIHI, Hospital mortality database

Pneumonia & influenza hospitalizations [-]

Age-standardized acute care hospitalization rate for pneumonia and influenza, per 100,000 population aged 65 and older

482–2566

768 (760–777)

CIHI, Hospital mortality database

• Safety

    

Hip fracture hospitalizations [-]

Age-standardized hospitalization rate for fracture of the hip, per 100,000 population aged 65 and older

495–660

554 (547–561)

CIHI, Hospital mortality database

• Other: health surveillance

    

Chlamydia [-]

Number of cases of genital chlamydia reported, per 100,000 population

89.14–2514.29

149.19

CIDPC, 2000

Hepatitis C [-]

Number of cases of hepatitis C reported, per 100,000 population

9.74–156.67

60.42

CIDPC, 2000

  1. [-] implies that lower levels of the indicator are preferred; [+] implies that higher levels of the indicator are preferred
  2. CCHS: Canadian Community Health Survey
  3. CIHI: Canadian Institute for Health Information
  4. CIDPC: Centre for Infectious Disease Prevention and Control, Health Canada