Evidence map›Paper›PMID 28906235›Full record

ArticleHealthcare policy = Politiques de sante2017

Is Canadian Healthcare Affordable? A Comparative Analysis of the Canadian Healthcare System from 2004 to 2014.

Lesley J J Soril, Ted Adams, Madeleine Phipps-Taylor, Ulrika Winblad, Fiona Clement

Open access · bronzeAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Healthcare policy = Politiques de sante, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 3% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The financial impact of cancer on Canadian young adults.Journal of cancer survivorship : research and practice · 2023
    Article
  5. Article
  6. Impact on cardiac surgery volume of a comprehensive partnership with Integrated Health Solutions.Canadian journal of surgery. Journal canadien de chirurgie · 2020
    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

5 authors at 4 institutions in 4 countries.

Lesley J J SorilPhD Candidate, Department Community Health Sciences, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, AB.
Ted AdamsStaff Physician, Liverpool Women's Hospital NHS FT, Department of Obstetrics and Gynaecology, Liverpool, UK.
Madeleine Phipps-TaylorHarkness Fellow, University California Berkley, School of Public Health, Berkley, CA.
Ulrika WinbladResearch Group Leader, Health Services Research, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Fiona ClementDepartment Community Health Sciences, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, AB.
O'Brien Institute · AUHarley-Davidson (United States) · USUniversity of Liverpool · GBUppsala University · SE

Funding

CIHR
6 · The paper itself

Abstract

objectiveTo compare cost-related non-adherence (CRNA), serious problems paying medical bills and average annual out-of-pocket cost over time in five countries.

methodsRepeated cross-sectional analysis of the Commonwealth Fund International Health Policy survey from 2004 to 2014. Responses were compared between Canada, the UK, Australia, New Zealand and the US.

resultsCompared to the UK, respondents in Canada, Australia and New Zealand were two to three times and respondents in the US were eight times more likely to experience CRNA; these odds remained stable over time. From 2004 to 2014, Canadian respondents paid US $852-1,767 out-of-pocket for care. The US reported the largest risks of serious problems paying for care (13-18.5%), highest out-of-pocket costs (US $2,060-3,319) and greatest rise in expenditures.

interpretationOver the 10-year period, financial barriers to care were identified in Canada and internationally. Such persistent challenges are of great concern to countries striving for equitable access to healthcare.

Indexed as

Costs and Cost AnalysisAdolescentAdultAgedAustraliaCanadaCross-Sectional StudiesFemaleHealth ExpendituresHealth Services AccessibilityHumansMaleMiddle AgedNew ZealandSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID28906235
PMCPMC5595213
OpenAlexW2754072751

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.