Methodological report

The objective of this jurisdictional review is to gather up-to-date and reliable publicly available and peer-reviewed literature detailing how provincial/territorial public health systems in Canada are organized, governed, financed, and supported in terms of their workforce. Between 2020 and 2021, using the strategy presented below, study team members conducted searches for specific topics of interest. Literature meeting the inclusion criteria was abstracted using a standardized data…

In Quebec, the deprivation index was created first and foremost to overcome the lack of socioeconomic data in most administrative databases.

Developing an ecological proxy was the only way to monitor social inequalities related to important health issues such as mortality, hospitalization and the use of health services. The proxy’s main purpose is to assign area-based socioeconomic information to every individual by linking the geography of the census with the one…

In 2011, the Canadian National Household Survey (NHS) replaced the long-form census, introducing a potential bias regarding the small-scale use of NHS data and having an incidence on the deprivation index update.

This document outlines the methodological scenarios that were tested in order to update the 2011 deprivation index.

For two decades, the reduction of social inequalities in health has been on the health policy and guidance agenda in Québec. Moreover, current monitoring activities make it possible to track social determinants of health, population health status and the use of health and social services over time and space (regionally). In spite of these achievements, Québec does not have a plan for the systematic monitoring of social inequalities in health, although the existence of these inequalities is…

In the early 1990s the indicator disability-adjusted life years (DALY) was developed in response to a need for data used in health decision-making on an international scale. Since then, a number of countries have used this indicator to produce territorial estimates.

This indicator is of interest insofar as it considers both mortality and loss of functional health. It also allows for comparison of estimates produced for various health conditions and to rank their impacts on the health…

This document falls within the framework of the analysis project on the health of official language minority communities in Quebec led by the INSPQ, in collaboration with the Community Health and Social Services Network (CHSSN) and the Ministère de la Santé et des Services sociaux. This report focuses on the validity of the “language spoken at home” variable present in death records as they currently exist. This information is important since we use it to attribute a language status to the…

This document is intended for public health actors who, given their role as health promoters, are interested in how public policy can act as a lever for action that affects population health and its determinants. More specifically, this document seeks to meet the needs of public health actors acting as expert advisors to decision makers during the promotion, adoption, and implementation of public policies. Fulfilling this role requires them to synthesize knowledge about how effective public…

Since its creation in the late 1990s, the Québec index of material and social deprivation has been widely utilized in the field of public health for purposes that range from health monitoring and policy development to evaluation of services and resource allocation. More recently, a Canadian version of the index has been produced and used at that level.

There are provincial, regional, and local versions of the Québec index. Four revisions have been made over the years, in conjunction…

This publication presents the findings of a health survey carried out in 2003 among households of Iiyiyiu Aschii1. A similar survey had been undertaken in the region by Santé Québec in 1991 (Santé Québec, 1994). Ten years later, the Public Health Department of the Cree Board of Health and Social Services of James Bay (CBHSSJB) urgently required a new picture of its population’s state of health. The purpose of the 2003 survey was to gather up-to-date information on the region’s main health…

The Nunavik Inuit Health Survey conducted in 2004 allowed the gathering of significant information on the physical, psychological and social health of the Inuit population. The survey was only possible thanks to the participation of a great number of individuals in planning and carrying it out. The main objective of the present report is to describe in detail the various steps of the survey to provide readers and future database users with a better understanding of its design, data…