Evidence map›Paper›PMID 41087139›Full record

ArticleCanadian family physician Medecin de famille canadien2025

Social and health determinants of wait times for primary care in Canada.

Bill Le, Saverio Stranges, Shehzad Ali

Erratum issuedAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Correction.Canadian family physician Medecin de famille canadien · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Bill LeGraduate student in the Department of Epidemiology and Biostatistics at Western University in London, Ont, at the time of the study. BLE22@uwo.ca.
Saverio StrangesProfessor and Chair of the Department of Epidemiology and Biostatistics and Professor in the Department of Family Medicine and the Department of Medicine at Western University.
Shehzad AliCanada Research Chair in Public Health Economics and is Associate Chair (Research) in the Department of Epidemiology and Biostatistics at Western University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify social and health determinants affecting wait times for primary care in Canada.

designSecondary analysis of national survey data.

settingCanada.

participantsCanadian Community Health Survey participants aged 18 years or older during the 2015, 2016, and 2019 cycles.

main outcome measuresWeighted summary statistics and a partial proportional odds regression model were used to assess relationships between patient-level social and health determinants and wait times for primary care (ranging from same-day appointments to waits of 1 month or longer).

resultsA weighted sample of 9,380,662 participants across the 3 survey cycles was used. Participants had a mean age of 49.7 years (standard deviation=17.5), 55.7% were female, and 74.7% were white. Approximately 57.4% of participants waited less than a week for care while 11.0% waited 1 month or longer. Factors associated with higher odds of waiting at least 1 month for a consultation were attaining only a high school diploma (adjusted odds ratio [aOR]=1.12, 95% CI 1.01 to 1.23) compared with having postsecondary education; identifying as Asian (aOR=1.42, 95% CI 1.20 to 1.67) or Black (aOR=1.57, 95% CI 1.16 to 2.13) compared with identifying as white; having "excellent" self-reported health status (aOR=1.10, 95% CI 1.02 to 1.19) compared with "good" self-reported health; lacking a regular primary care provider (aOR=1.47, 95% CI 1.27 to 1.71) compared with having a regular provider; or being classified as having multimorbidity (aOR=1.11, 95% CI 1.01 to 1.21) compared with having no chronic condition.

conclusionWait times for primary care were found to be associated with patient-level social and health determinants including race, education level, absence or presence of a regular health care provider, self-reported health status, and multimorbidity. Future research could investigate health system determinants of wait times to inform specific policy measures designed to reduce disparities in access to care.

Indexed as

Health Services AccessibilityPrimary Health CareSocial Determinants of HealthWaiting ListsAdolescentAdultAgedCanadaFemaleHealth SurveysHumansMaleMiddle AgedTime FactorsYoung Adult

Identifiers

PMID41087139
PMCPMC12519969

What OpenQuestion holds

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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.