ArticleHealthcare policy = Politiques de sante2008
Does Equity in Healthcare Use Vary across Canadian Provinces?
Article in Healthcare policy = Politiques de sante, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
52 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Health outcomes, health services utilization, and costs consequences of medicare uninsurance among migrants in Canada: a systematic review.BMC health services research · 2023Pooled it
- Socioeconomic inequalities in primary-care and specialist physician visits: a systematic review.International journal for equity in health · 2021Pooled it
- Understanding the social determinants of health among Indigenous Canadians: priorities for health promotion policies and actions.Global health action · 2015Pooled it
- Preferred roles in treatment decision making among patients with cancer: a pooled analysis of studies using the Control Preferences Scale.The American journal of managed care · 2010Pooled it
- Article
- 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
- Where should we go - Estimating travel times for modelling accessibility to 24-hour emergency departments in Canada.Scientific data · 2024Article
- From office to digital primary care services: analysing income-related inequalities in utilization.International journal for equity in health · 2024Article
- Outcomes in Clinical Subgroups of Patients With Alcohol-Related Hospitalizations.JAMA network open · 2024Article
- Moms in motion: Predicting healthcare utilization patterns among mothers in Newfoundland and Labrador.PloS one · 2024Article
- Disparities in access to primary care are growing wider in Canada.Healthcare management forum · 2023Article
- Indicators of integrating oral health care within universal health coverage and general health care in low-, middle-, and high-income countries: a scoping review.BMC oral health · 2023Article
- Inequities in Rural and Urban Health Care Utilization Among Individuals Diagnosed With Inflammatory Bowel Disease: A Retrospective Population-Based Cohort Study From Saskatchewan, Canada.Journal of the Canadian Association of Gastroenterology · 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
- Early-stage economic analysis of research-based comprehensive genomic sequencing for advanced cancer care.Journal of community genetics · 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
- Region of birth differences in healthcare navigation and optimisation: the interplay of racial discrimination and socioeconomic position.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
- Association of timing of birth with mortality among preterm infants born in Canada.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Primary Care and Access to Mental Health Consultations among Immigrants and Nonimmigrants with Mood or Anxiety Disorders: Soins de première ligne et accès aux consultations en santé mentale chez les immigrants et les non-immigrants souffrant de troubles de l'humeur ou anxieux.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
For over 30 years, Canadian provinces have provided universal public insurance for hospital and physician care; however, evidence points to persisting socio-economic inequity in healthcare use. Because provinces hold the responsibility for planning and funding most publicly insured health services, there is some variation in health system characteristics. In the context of such variation, this study systematically investigated equity in healthcare use across the provinces. Drawing on the 2003 Canadian Community Health Survey, the author applied the indirect standardization approach to create an index of needs-adjusted inequity in the probability, total and conditional number of GP, specialist, hospital and dentist visits. Results reveal some variation in inequity across provinces; however, national trends show pro-rich inequity in the probability of a GP, specialist and dentist visit, and no significant evidence of inequity in inpatient care. Aside from income, the main socio-economic factors associated with inequity are education, complementary insurance for prescription drugs and dental care and, in some cases, region of residence. When total (and conditional) number of visits are examined, the pro-rich inequity in GP care disappears in all provinces. Differences in the extent of and contributors to inequity that are observed across the provinces suggest a need for more in-depth provincial policy analyses.
Identifiers
19377331PMC2645154What OpenQuestion holds
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.