Health System Matrix: Providing a perspective into the provincial health system
In the majority of conditions, the First Nations prevalence rate was stable or improved between 2008/09 and 2014/15 No Difference with Other Stable Rates Gap Lessened Gap Increased Residents or Lower Rates Breast Cancer Rh. Arthritis CKD Epilepsy CABG Stroke COPD Cancer 1 st Enc Dialysis Heart Failure Osteoarthritis Asthma Alzheimer’s/Dementia AMI Diabetes Osteoporosis Colorectal Cancer Angina Mood Anxiety PTCA* Hypertension* Prostate*
In 2014/15, First Nations had lower rates of attachment to GPs compared to Other Residents First Nations were overrepresented in emergency departments 4
5 First Nations experienced higher rates of hospitalizations for ambulatory care sensitive conditions
Indigenous Health and Well-being Update 6
7 Age Standardized Mortality and Life Expectancy Age Standardized Mortality Rate Decreased among BC First Nations in 2015 compared with 2005. Average life expectancy among First Nations in BC has improved slightly, since 2001-2005. At 75.1 years , compared to 83.3 years for other BC residents.
Closing the Gap The gap in youth suicide rate between Status First nation youth and other residents was reduced by 38 % . First Nations diabetes prevalence remains greater than non-First Nations in BC; however The gap decreased and exceeded the target. 8
Two-eyed Seeing “learning to see from one eye with the strengths of Indigenous knowledges & ways of knowing, & from the other eye with the strengths of Western knowledges & ways of knowing… learning to use both these eyes together, for the benefit of all.” Elder Albert Marshall (Mi’kmaw Nation).
Renewed population health and wellness indicators: the Framework
Office of the Chief Medical Officer Image: Royal BC Museum, Haida Pole 1966, Carvers: Henry Hunt and Tony Hunt, Haida Nation
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