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Addressing Health Disparities in Hawaii County

Explore health disparities in Hawaii County, including higher death rates, lower life expectancy, and socioeconomic determinants. Learn about strategies to improve population health outcomes and access to quality healthcare.

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Addressing Health Disparities in Hawaii County

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  1. Health Disparities for Hawaii CountyHealth ConferenceAugust 13, 2010Sharon H. Vitousek, M.D.North Hawaii Outcomes Projectwww.nhop.org

  2. 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

  3. Health Disparities - Hawaii CountyHealth Outcomes

  4. 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

  5. Health Disparities - Hawaii County Why?

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

  7. 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

  8. Higher % population living under 200% of federal poverty

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

  10. Smoking

  11. Activity

  12. 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:

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

  14. 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

  15. Improving Population Health -- How? • Socioeconomic Determinants • Economic Development • Health sector: policy change & planning • Education/ Science sectors • Energy sector Improved Population HealthOutcomes • Health-Related Behaviors • Environmental AND Individual Strategies • Smoking cessation, physical activity, improved access to fruits & vegetables • Identifying and addressing problem drinking • HealthSystems • Primary Care Workforce Development • Grow our own, Policy, Broader Team, Redesign care delivery, Engage community

  16. 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

  17. Hawaii Island Healthcare Alliance • Island wide, voluntary, collaborative group of stakeholders • Goal to improve health & health care in Hawaii County by increasing healthcare workforce & financial sustainability of providers • Endorses: • Growing own providers, • Broader primary care team • Collaboration to align policy efforts, • Friends of the Future is 501(c )(3) Fiscal Agent

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