ArticleBMC health services research2007
Equity in health services use and intensity of use in Canada.
Article in BMC health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Socioeconomic inequalities in primary-care and specialist physician visits: a systematic review.International journal for equity in health · 2021Pooled it
- Health service brokerage to improve primary care access for populations experiencing vulnerability or disadvantage: a systematic review and realist synthesis.BMC health services research · 2019Pooled it
- Magnitude of childhood immunization and its associated factors in Sub-Saharan Africa: A mixed effect count regression analysis.PloS one · 2026Article
- Income-Related Inequities in Primary and Specialist Care Among First Nations Peoples Living Off-Reserve in Canada.Journal of racial and ethnic health disparities · 2024Article
- From office to digital primary care services: analysing income-related inequalities in utilization.International journal for equity in health · 2024Article
- Disparities in access to primary care are growing wider in Canada.Healthcare management forum · 2023Article
- "A Band-Aid Solution": Policy Maker and Primary Care Provider Perspectives on the Value of Attachment Incentives.Healthcare policy = Politiques de sante · 2023Article
- Predictors of prostate cancer survivors' engagement in self-management behaviors.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023Article
- Equity in healthcare utilization in Canada's publicly funded health system: 2000-2014.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- A better normal in Canada will need a better detection system for emerging and re-emerging respiratory pathogens.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Do changes in primary care service use over time differ by neighbourhood income? Population-based longitudinal study in British Columbia, Canada.International journal for equity in health · 2022Article
- Food insecurity, home ownership and income-related equity in dental care use and access: the case of Canada.BMC public health · 2022Article
- Associations of At-Risk Drinking, Current Smoking, and Their Co-Occurrence With Primary Care Service Utilization.American journal of health promotion : AJHP · 2022Article
- Activating Partnership Assets to Produce Synergy in Primary Health Care: A Mixed Methods Study.Healthcare (Basel, Switzerland) · 2021Article
- Inequality in hospitalization due to non-communicable diseases in Sweden: Age-cohort analysis of the Uppsala Birth Cohort Multigenerational Study.SSM - population health · 2021Article
- Changes in the top 25 reasons for primary care visits during the COVID-19 pandemic in a high-COVID region of Canada.PloS one · 2021Article
- Does healthcare inequity reflect variations in peoples' abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries.International journal for equity in health · 2020Article
- Patterns and predictors of registration and participation at a supportive care program for prostate cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- Article
- General practice for the poor and specialist services for the rich: inequality evidence from a cross-sectional survey on Hangzhou residents, China.International journal for equity in health · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Canadian health care system has striven to remove financial or other barriers to access to medically necessary health care services since the establishment of the Canada Health Act 20 years ago. Evidence has been conflicting as to what extent the Canadian health care system has met this goal of equitable access. The objective of this study was to examine whether and where socioeconomic inequities in health care utilization occur in Canada.
methodsWe used a nationally representative cross-sectional survey, the 2000/01 Canadian Community Health Survey, which provides a large sample size (about 110,000) and permits more comprehensive adjustment for need indicators than previous studies. We separately examined general practitioner, specialist, and hospital services using two-part hurdle models: use versus non-use by logistic regression, and the intensity of use among users by zero-truncated negative binomial regression.
resultsWe found that lower income was associated with less contact with general practitioners, but among those who had contact, lower income and education were associated with greater intensity of use of general practitioners. Both lower income and education were associated with less contact with specialists, but there was no statistically significant relationship between these socioeconomic variables and intensity of specialist use among the users. Neither income nor education was statistically significantly associated with use or intensity of use of hospitals.
conclusionOur study unveiled possible socioeconomic inequities in the use of health care services in Canada.
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Registered trials
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.