Evidence map›Paper›PMID 15686152›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique

Health services use of Manitoba First Nations people: is it related to underlying need?

Patricia J Martens, Doreen Sanderson, Laurel Jebamani

Open access · bronzeAbstract 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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
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

23 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Characterizing the cascade of care for hepatitis C virus infection among Status First Nations peoples in Ontario: a retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  3. Acute health care among Indigenous patients in Canada: a scoping review.International journal of circumpolar health · 2021
    Article
  4. Article
  5. Prevalence and Incidence of Rheumatoid Arthritis in Canadian First Nations and Non-First Nations People: A Population-Based Study.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Likelihood of coronary angiography among First Nations patients with acute myocardial infarction.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014
    Article
  11. Association of modality with mortality among Canadian Aboriginals.Clinical journal of the American Society of Nephrology : CJASN · 2012
    Article
  12. Article
  13. Is it worthwhile to invest in home care?Healthcare policy = Politiques de sante · 2011
    Article
  14. Article
  15. Adverse outcomes among Aboriginal patients receiving peritoneal dialysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010
    Article
  16. Access to health care among status Aboriginal people with chronic kidney disease.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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

3 authors at 3 institutions in 1 country.

Patricia J MartensManitoba Centre for Health Policy, Department of Community Health Sciences, University of Manitoba, 4th Floor, Room 408, 727 McDermot Avenue, Winnipeg, MB R3E 3P5. Pat_Martens@cpe.umanitoba.ca
Doreen Sanderson
Laurel Jebamani
Assembly of Manitoba Chiefs · CAManitoba Health · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare health status and health services use of Registered First Nations to all other Manitobans (AOM). If the Canadian health care system is meeting underlying need, those experiencing the greatest burden of morbidity and mortality should show the highest rates of health service use.

methodsRegistered First Nations' (n = 85,959) hospitalization and physician visit rates were compared to rates of all other Manitobans (n = 1,054,422) for fiscal year 1998/99. The underlying "need" for health care was measured using premature mortality (PMR), an age- and sex-adjusted rate of death before age 75. Data were derived from Manitoba's Population Health Research Data Repository, linked to federal Status Verification System files to determine Registered First Nations status.

resultsRegistered First Nations' PMR was double the rate of all other Manitobans (6.61 vs. 3.30 deaths per thousand, p < 0.05). Registered First Nations ambulatory physician visit rates (6.13 vs. 4.85 visits per person, p < 0.05), hospital separation rates (0.348 vs. 0.156 separations per person, p < 0.05) and total days of hospital care (1.75 vs. 1.05 days per person, p < 0.05) were higher than AOM rates. Consultation rates (first visit to a specialist) were slightly higher for Registered First Nations (0.29 vs. 0.27 visits per person, p < 0.05), and overall specialist visit rates were lower (0.895 vs. 1.284 visits per person, p < 0.05) compared with AOM.

conclusionAlthough hospitalization and ambulatory physician visit rates for First Nations reflect their poorer health status, consult and specialist rates do not reflect the underlying need for health care services.

Indexed as

Health Services Needs and DemandAmbulatory CareFemaleHealth ServicesHealth StatusHospitalizationHumansIndians, North AmericanMaleManitobaMedicineSpecialization

Identifiers

PMID15686152
PMCPMC6976124
OpenAlexW1578309308

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.