Future Trends: Health Professions and Careers

Presented to Labour Market Conference July 2014 Pamela Cawley Dean of Health Sciences Douglas College

Health Care

O Total spending on health care in Canada was projected to reach $200 billion in 2011 and in 2013 health care spending reached 211 billion.

Overview of System Drivers

O Population Age O O Well elderly/knowledgeable Chronic conditions O Population Knowledge O Quantified Self O Population Culture: Transformational

Overview of System Drivers

O Models of Care O Curative, Preventative, Restorative, Integrative O O Less time in institutions (hospital care) Increase in community and interprofessional care

Overview of System Drivers

O O O O Health Conditions O O Mental Health and substance challenges Chronicity Technology Changing Health Care Provider Workforce Regulation/credentialing

Future Health Care Providers Knowledge, Skills, Abilities O O O Education O O Across the spectrum – certificates, diplomas, degrees, post graduate Science base plus a broader knowledge Emotional Intelligence O O O O Communication, interpersonal, interprofessional Life long learning Intellectual/innovative curiosity Adaptability Technology

CIHI Health Professions

Twenty Seven Health Care Professions studied on an ongoing basis http://www.cihi.ca/

O O O O O O O O O CIHI Classified Health Care Providers Audiologists Chiropractors Dental – dentists, dental hygienists, assistants Dietitians Environmental and Public Health Health Information Management Pharmacist Physician Psychologists O O O O O O O O O Nursing: RN, RPN, Nurse Practitioner, LPN, Health Care Support Worker Medical Laboratory Technologists Medical Physicists Medical Imaging Midwives Occupational Therapists Physiotherapists Optometry: Optometrists, Opticians Respiratory Therapists

Future Health Care Provider Trends….2025 O Physicians/Physicians Assistants O O O Anticipate a change in ration from 1.8/1000 to 1.4 per 1000 Greatest shift in family practice Geographical disparity

Future Health Care Provider Trends….2025 O Nursing O O Range of the term “nurse” difficult for public and consumer – wide range of knowledge, skills and abilities 2010 data 269,000 Registered Nurses (degree as entry to practice or 7.7 nurses per 1,000 population). Males in nursing has remained steady over the years – approximately 6%

Future Health Care Provider Trends….2025 O O O O Shift to increased range – LPN’s HCSW (various titles)-regulation changing. Salaries increased significantly over 10 year period for nurses in practice – 55 – 90K – producing an issue with nurses going into education and research RPN Nurse Practitioner

Future Health Care Provider Trends….2025 O Supply and Demand O O Vast majority of health care professions are demonstrating an adequate rate of supply and demand Professions increasing by 50% or more: physiotherapists (53%), pharmacists (54%), dietitians (56%), (81%), optometrists (58%), chiropractors (75%), respiratory therapists medical physicists (83%), occupational therapists (88%), dental hygienists (102%) , social workers (163%)

Future Health Care Provider Trends….2025 O Supply and Demand O Average age in vast majority of health care provider roles is 35 – 45 yrs. of age. Physicians, RPNs, RNs and Med Lab Tech at the top end of age in workforce (55 yrs. Plus) O Percentage of workforce that is part time remains steady – may be choice or availability (22% of workforce) with an increase in GP’s, dentists, psychologists, and dental hygienists.

Future Health Care Provider Trends….2025 O Emerging Trends O O Health Technology/analytics/big data – emerging market: electronic health records, privacy, data security Biomedical Engineering and Innovation O Simulation O Health Business/Policy/Insurance

Future Health Care Provider Trends….2025 O Emerging Trends O O O Community Based Care – Pharmacy Chronicity/Disability specialists Health and Wellness Markets Kinesiology/Physiotherapy O O O Fitness Specialist Public Health and Safety Rural and Cultural/Global Health