Major Health Issues in Nova Scotia: An Environmental Scan

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Table of Contents Executive Summary ........................................................................................ i Introduction.....................................................................................................1 Methods.......................................................................................................... 3 Limitations........................................................................................................... 3 Current Major Health Issues in Nova Scotia................................................. 5 Demographics...................................................................................................... 5 Mortality ............................................................................................................. 6 ModifiableRiskFactorsforChronicDisease......................................................... 7 Injury................................................................................................................... 8 DeterminantsofHealthandHealthDisparities .................................................... 8 HealthSystemIssues ........................................................................................... 9 ComparisonstoCanada ..................................................................................... 10 Summary of Major Health Issues ................................................................. 11 Current Areas of Research Related to the Major Health Issues...................12 Summary........................................................................................................14 Appendices ....................................................................................................15 Appendix1:DetailedNotesAboutLiteratureSearchStrategies ......................... 16 Appendix2:InventoriesofCurrentResearchRelatedtoIdentifiedMajorHealth Issues ................................................................................................................ 19 IntegratedChronicDiseasePrevention:AnnotatedInventoryofReviews .......... 27 InjuryPrevention:AnnotatedInventoryofReviews........................................... 33 ChronicDiseaseManagement:AnnotatedInventoryofReviews ....................... 41 EmphasizingPrimaryHealthCare:AnnotatedInventoryofReviews .................. 50 RecruitmentandRetentionofHealthHumanResources:AnnotatedInventoryof Reviews ............................................................................................................. 53 OptionsforExpandingContinuingCare:AnnotatedInventoryofReviews ......... 57 References .....................................................................................................59
Introduction The NSHRF is updating its health research priorities. The objective of this initiative is to maximize the impact of the health research enterprise on informed decision making through the focused and efficient use of NSHRF resources. The research priorities process has four phases: Process Identification and Information Gathering, Consultations, Priority Identification, Priority Implementation. This process is designed to be inclusive, respectful, fair, and transparent in order to respect the diversity of constituents that the NSHRF serves. As part of the Information Gathering phase a number of background documents are being prepared. These documents are considered "living documents" and are posted on the NSHRF website as they are completed for your information, feedback, input and suggestions. If readers feel that information is missing, incorrect or misrepresented from any of the background documents, or the process, they are asked to submit that information to the NSHRF up to and including November 2, 2009 for consideration as priorities are established. Please email any comments or additional information to Linda Waterhouse (Linda.Waterhouse@gov.ns.ca). The Nova Scotia Health Research Foundation (NSHRF) was created by the Health Research Foundation Act and is required under this act to foster health research throughout the province by assisting, collaborating with and funding individuals and organizations conducting health research. According to its legislated mandate the NSHRF must support research that is consistent with the priorities identified by health boards, government, institutions and individuals. Previous priorities of the NSHRF focused on capacity building and support for students. Recent changes in both the internal and external environments have led to the need to establish new priorities to address these challenges and as a result, the NSHRF plans to establish new health research priorities. In support of an upcoming process to identify research priorities, NSHRF contracted Pyra Management Consulting Services Inc. to conduct an environmental scan to identify major health issues using epidemiological and demographic data specific to Nova Scotia, and for the major health issues identified, create an inventory of existing relevant systematic reviews and quality research. For the purpose of the scan, the term “health issue” refers to disease burden as well as surgical interventions, and also includes system level concerns as well as risk factors and the determinants of health. This report provides the results of the environmental scan. Beginning with an overview of the methods used for the scan, the report offers an overview of major health issues impacting Nova Scotia and an inventory of research reviews related
Page 1 and 2: Major Health Issues in Nova Scotia:
Page 3 and 4: Health Status Over 5000 Nova Scotia
Page 5: There appears to be a lack of integ
Page 9 and 10: Methods To identify current major h
Page 11 and 12: Current Major Health Issues in Nova
Page 13 and 14: Modifiable Risk Factors for Chronic
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Page 17 and 18: Summary of Major Health Issues Base
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References 1. Corpus Sanchez Intern
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