Health care utilization in Canada: Twenty-five years of evidence
Health care utilization in Canada: Twenty-five years of evidence
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DOI：
10.3138/cpp.34.1.065
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发表时间：
2008-03-01
影响因子：
3.1
通讯作者：
MacMinn, William J.
中科院分区：
文献类型：
--
作者：
Curtis, Lori J.;MacMinn, William J.
大量的文献将社会经济地位（SES）与健康和医疗保健利用联系起来。最近的轶事证据表明，加拿大人认为他们获得医疗保健的机会正在减少。本研究描述了1978年至2003年间加拿大公共健康保险（医生、专家和医院）提供的服务的医疗保健利用模式。SES和利用率之间的关系，控制健康和人口统计学特征，研究是否随着时间的推移发生了变化的公平利用。结果表明，高级行政人员在利用方面的不平等是明显的，似乎在与系统的初步接触中比在访问次数中更相关。专家的服务特别成问题，而且随着时间的推移变得越来越成问题。
A plethora of literature links socioeconomic status (SES) to health and health care utilization. Recent anecdotal evidence indicates that Canadians believe their access to health care is diminishing. This study describes health care utilization patterns for services provided under public health insurance (physicians, specialists, and hospitals) in Canada between 1978 and 2003. The relationship between SES and utilization, controlling for health and demographic characteristics, is examined to investigate whether changes in the equity of utilization have occurred over time. Results indicate that SES inequities in utilization are apparent, appearing to be more relevant in initial contact with the system than in the number of visits. Specialists' services are particularly problematic and becoming more so over time.