Evidence map›Paper›PMID 28425893›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2017

An examination of perceived health care availability and unmet health care need in the City of Toronto, Ontario, Canada.

Jongnam Hwang, Sara J T Guilcher, Kathryn E McIsaac, Flora I Matheson, Rick Glazier, Patricia O'Campo

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

6 authors.

Jongnam HwangDepartment of Health Promotion, Daegu University, Gyeongsan, Korea. hwangjo@daegu.ac.kr.
Sara J T Guilcher
Kathryn E McIsaac
Flora I Matheson
Rick Glazier
Patricia O'Campo

Funding

CIHR 96566CIHR MOP-84439
6 · The paper itself

Abstract

objectivesAlthough timely access to health care is a top priority, a burgeoning body of research highlights the important role of neighbourhood environments on unmet health care needs. This study aimed to examine an association between perceptions of neighbourhood availability of health care services and experience of unmet health care needs by gender in an urban city setting.

methodsA total of 2338 participants from the Neighbourhood Effects on Health and Well-being (NEHW) study, between 25 and 64 years of age and dwelling in the City of Toronto, Ontario, Canada, were included in the analyses. Four different logistic regression models stratified by gender were used to examine the relationship between neighbourhood health care availability and unmet health care need as well as the impact of neighbourhood perception of health care availability on the three different types of unmet needs.

resultsPerceived health care availability was associated with higher likelihood of experiencing unmet health care needs in both women and men (women = OR: 1.58, 95% CI: 1.09-2.28; men = OR: 1.92, 95% CI: 1.23-2.99). In addition, perceived health care availability was associated with barrier- and wait times-related unmet health care need among women (OR: 1.83, 95% CI: 1.13-2.97; OR: 1.93, 95% CI: 1.10-3.40 respectively), and personal choice- and wait times-related unmet need among men (OR: 1.99, 95% CI: 1.10-3.58).

conclusionIndividuals' perception of health care availability plays a crucial role in the experience of unmet health care needs, suggesting the importance of community-based policy development for improving physical conditions and the social aspect of health care services.

Indexed as

Attitude to HealthHealth Services AccessibilityHealth Services Needs and DemandAdultCitiesFemaleHumansLogistic ModelsMaleMiddle AgedOntarioResidence Characteristics

Identifiers

PMID28425893
PMCPMC6972417

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.