can we become healthier than minnesota? real talk for real action conference january 30 2009 david...
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Can We Become Healthier Than Minnesota?
Real Talk for Real Action Conference
January 30 2009
David Kindig University of Wisconsin School of Medicine and Public Health/Population Health InstituteCarried out under a grant from the Wisconsin
Partnership Program
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OUR COMPETITION AT #17 (down from #12 last year)
IN AMERICA’S HEALTH RANKINGS
Hawaii (#2) and Utah (#5) are,
well, not like us…
But Minnesota (#4),
Vermont (#1), and
Massachusetts (#9)???
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OVERALL HEALTH RANKING
1990 2003 2008
VERMONT 16 4 1
MINN 1 1 4
WISC 4 14 17
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PERCENT UNINSURED
2003 2008
VERMONT 9.7 10.7
MINNESOTA 7.8 8.8
WISCONSIN 8.4 8.5
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ADULT SMOKNG RATES
2003 2008
VERMONT 21.1 17.6
MINNESOTA 21.7 16.5
WISCONSIN 23.3 19.6
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PREVALENCE OF OBESITY
2003 2008
VERMONT 18.9 21.9
MINNESOTA 22.3 26.0
WISCONSIN 21.6 25.3
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PERCENT BINGE DRINKING
2003 2008
VERMONT 16.1 17.3
MINNESOTA 20.4 16.0
WISCONSIN 25.3 23.8
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CHILDREN IN POVERTY
2003 2008
VERMONT 12.2 10.9
MINNESOTA 8.4 13.7
WISCONSIN 12.0 15.7
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AIR POLLUTION
2003 2008
VERMONT 10.1 9.5
MINNESOTA 11.8 9.9
WISCONSIN 12.4 13.3
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HEALTH CARE COSTS
• PER CAPITA EXPENDITURES??
• % INCREASE IN EXPENDITURES?
• ACCEPTABLE RANGE OF REGIONAL
VARIATION?
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STRONG MEASURES, SOLID PARTNERSHIPS, REAL RESOURCES
“What is required is a coordinated effort across determinants between the public and private sectors, as well as financial resources and incentives to make it work”.
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Population %Excess deaths %
City of Milwaukee
570,547 11% 1330 28%
Rural Counties (n=52)
1,576,804 32% 1612 34%
Urban Counties (n=20)
2,841,084 57% 1840 38%
TOTAL 4,988,435 100% 4782 100%
Distribution of population and excess deaths in Wisconsin
*Values are annual averages based on data from AIM (1993-2002) and WISH (1995-2004)*Rural/urban definitions are based on those used by the Wisconsin Office of Rural Health
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MY PROPOSED HEALTHY WISCONSIN 2020 OVERALL GOALS
• MOVE FROM B- TO B+…SOLIDLY INTO THE TOP TEN…AND THEREFORE MAKE A SERIOUS CHALLENGE TO MINNESOTA
• MOVE FROM D TO C IN HEALTH DISPARITIES..A COMMITMENT TO MORE FAIRNESS IN OUR STATE
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Dialogues on Key Strategies to Improve our Health • Track A: Improving our health behaviors
– Room E: Physical activity, nutrition, and obesity– Room F: Alcohol use and addiction
• Track B: Mix of prevention and treatment– Room G: Health care quality and costs– Room H: Access to needed care
• Track C: Healthier social and economic climate– Room I: Remedying racial disparities– Room J: Improving the health of Milwaukee
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