Subjective unmet need and utilization of health care services in Canada: What are the equity implications?

Social Science & Medicine, Год журнала: 2009, Номер 70(3), С. 465 - 472

Опубликована: Ноя. 15, 2009

Язык: Английский

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Exploration of the Relationship Between Household Food Insecurity and Diabetes in Canada

Diabetes Care, Год журнала: 2009, Номер 32(12), С. 2218 - 2224

Опубликована: Авг. 31, 2009

OBJECTIVE To determine the household food insecurity (HFI) prevalence in Canadians with diabetes and its relationship management, self-care practices, health status. RESEARCH DESIGN AND METHODS We analyzed data from aged ≥12 years (n = 6,237) cycle 3.1 of Canadian Community Health Survey, a population-based cross-sectional survey conducted 2005. The HFI was compared that those without diabetes. relationships between management services, status were examined for Ontarians 2,523). RESULTS more prevalent among individuals (9.3% [8.2–10.4]) than (6.8% [6.5–7.0]) not associated services but physical inactivity (odds ratio 1.54 [95% CI 1.10–2.17]), lower fruit vegetable consumption (0.52 [0.33–0.81]), current smoking (1.71 [1.09–2.69]), unmet care needs (2.71 [1.74–4.23]), having been an overnight patient (2.08 [1.43–3.04]), mood disorder (2.18 [1.54–3.08]), effects stroke (2.39 [1.32–4.32]), satisfaction life (0.28 [0.18–0.43]), self-rated general (0.37 [0.21–0.66]) mental (0.17 [0.10–0.29]) health, higher self-perceived stress (2.04 [1.30–3.20]). odds individual whom diagnosed at age <40 (3.08 [1.96–4.84]). CONCLUSIONS is increased likelihood unhealthy behaviors, psychological distress, poorer health.

Язык: Английский

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Socioeconomic Status and Utilization of Health Care Services in Canada and the United States

Medical Care, Год журнала: 2009, Номер 47(11), С. 1136 - 1146

Опубликована: Окт. 23, 2009

Building on Andersen's behavioral model for the utilization of health care services, we examined factors associated with physician and hospital services among adults in Canada United States, a focus socioeconomic status (enabling resources framework).Using 2002-2003 Joint Canada/United States Survey Health, conducted country-specific multivariate logistic regressions predicting doctor contacts/visits overnight hospitalizations past year, controlling predisposing characteristics, enabling resources, several representing perceived need care. All analyses were appropriately weighted to yield nationally representative results.Several measures status-having regular medical doctor, education, and, US income insurance coverage-were contacts or visits both countries, along various factors. However, these same not either country. Instead, only individual's characteristics (eg, age sex) his/her predicted States. Insurance coverage became significant predictor when count data analyzed via Poisson regression.Given our particular outcome measures, exhibited similar patterns utilization, played no explanatory role. relative Canadian adults, found disparities adults-between those more less, between without-after adjusting needs characteristics.

Язык: Английский

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Investigating Unmet Health Needs in Primary Health Care Services in a Representative Sample of the Greek Population

International Journal of Environmental Research and Public Health, Год журнала: 2013, Номер 10(5), С. 2017 - 2027

Опубликована: Май 17, 2013

Unmet health care needs are determined as the difference between services judged necessary and actually received, stem from barriers related to accessibility, availability acceptability. This study aims examine prevalence of unmet identify socioeconomic status factors that associated with needs. A cross-sectional was conducted in Greece 2010 involved data 1,000 consenting subjects (>18 years old). Multiple binary logistic regression analysis applied investigate predictors determine relation socio-demographic characteristics acceptability barriers. Ninety nine participants (9.9%) reported during 12 months prior research. The most frequently self-reported reasons were cost lack time. Youth, parenthood, physician consultations, poor mental increased likelihood Women less likely report accessibility than Educational differences evident individuals primary secondary education significantly more compared those tertiary education. pose a significant challenge system, especially given difficult current financial situation Greece. It is believed will continue increase, which widen inequalities access.

Язык: Английский

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Gender Inequalities in Access to Health Care among Adults Living in British Columbia, Canada

Women s Health Issues, Год журнала: 2015, Номер 26(1), С. 74 - 79

Опубликована: Сен. 15, 2015

Язык: Английский

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Subjective perceptions of unmet need for health care in Europe among social groups: Findings from the European social survey (2014) special module on the social determinants of health

European Journal of Public Health, Год журнала: 2017, Номер 27(suppl_1), С. 82 - 89

Опубликована: Янв. 4, 2017

Unmet need can be defined as the individually perceived subjective differences between services judged necessary to deal with health problems and actually received. This study examines what factors are associated unmet need, well how reasons for distributed across socioeconomic demographic groups in Europe.Multilevel logistic regression models were employed using data from 7th round of European Social Survey, on people aged 25–75. Self-reported measured whether respondents had been unable get medical consultation or treatment last 12 months. Reasons grouped into three categories: availability, accessibility acceptability. Health status was by self-reported health, non-communicable diseases depressive symptoms.Two-thirds all due waiting lists appointment availability. Females young age reported more need. We found no educational inequalities, while financial strain an important factor types care Europe. All use poor Low physician density high out-of-pocket payments availability.Even though coverage is universal many welfare states, appeared a major determinant citizens’ access care. may suggest that higher income able bypass lists. states should, therefore, intensify their efforts reducing barriers receiving

Язык: Английский

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Disability and unmet health care needs in Canada: A longitudinal analysis

Disability and health journal, Год журнала: 2014, Номер 8(2), С. 173 - 181

Опубликована: Окт. 13, 2014

Язык: Английский

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Equity in access to care in the era of health system reforms in Turkey

Health Policy, Год журнала: 2018, Номер 122(6), С. 645 - 651

Опубликована: Март 22, 2018

Язык: Английский

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Factors Affecting Physician Performance: Implications for Performance Improvement and Governance

Healthcare policy, Год журнала: 2009, Номер 5(2), С. e141 - e160

Опубликована: Ноя. 17, 2009

Background: a physician' s personal and professional characteristics constitute only one, not necessarily the most important, determining factor of clinical performance.our study assessed how physician, organizational systemic factors affect family physicians' performance.Method: our examined 532 practitioners who were randomly selected for peer assessment by College Physicians surgeons ontario.a series multivariate regression analyses impact physician (e.g., demographics, certification) on performance scores in five areas: acute care, chronic conditions, continuity care referrals, well records.a second regressions simultaneous effects practice volume, hours worked, solo practice) northern location, community size, physician-to-population ratio).Results: had three key findings: (a) significantly influence but do appear to be nearly as important previously thought; (b) have significant after are controlled; (c) varying across different dimensions performance.Conclusions: We discuss implications results improvement governance insofar both need consider broader environmental context medical practice.

Язык: Английский

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The prevalence and determinants of unmet health care needs in Turkey

Health Policy, Год журнала: 2021, Номер 125(6), С. 786 - 792

Опубликована: Апрель 21, 2021

Язык: Английский

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