Evidence map›Paper›PMID 15362477›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique

Beyond access: who reports that health care is not being received when needed in a publicly-funded health care system?

Naomi M Kasman, Elizabeth M Badley

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  16. Association between chronic conditions and perceived unmet health care needs.Open medicine : a peer-reviewed, independent, open-access journal · 2012
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  20. Prescription drug insurance and unmet need for health care: a cross-sectional analysis.Open medicine : a peer-reviewed, independent, open-access journal · 2009
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Naomi M KasmanArthritis Community Research and Evaluation Unit, Department of Outcomes and Population Health, Toronto Western Hospital Research Institute and the University Health Network, Ontario.
Elizabeth M Badley

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the relationship between reporting that health care was not received when needed in Canada's publicly-funded health care system and contact with the health care system, and to explore whether there is a differential impact of specific chronic conditions.

methodsAnalyses were carried out on the 2000/2001 Canadian Community Health Survey. The proportion of survey respondents who reported that they had not received health care when it was needed was determined overall, and for individuals with selected socio-demographic, health status, and health care utilization characteristics, as well as stratified by various chronic conditions. Multivariate logistic regression was then employed to examine possible predictors of having reported that health care was not received when it was needed during the previous year.

resultsApproximately 13% of Canadians reported that health care was not received when they felt it was needed during the previous year. These individuals reported higher rates of health care utilization, worse health status, were more likely to have chronic health conditions (particularly conditions such as fibromyalgia, Crohn's disease, and chronic bronchitis for which there is no effective treatment), and were more likely to be female, younger, white, have higher education and lower income.

conclusionReporting that health care was not received when it was needed may not be related to accessibility but rather to a perceived failure of the system to meet the individual's needs.

Indexed as

AdolescentAdultAgedCanadaChronic DiseaseFemaleHealth Care SurveysHealth Services AccessibilityHealth Services Needs and DemandHealth StatusHumansLogistic ModelsMaleMiddle AgedNational Health ProgramsNeeds Assessment

Identifiers

PMID15362477
PMCPMC6976092

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.