2023-09-28 14:46:10 +00:00
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abstract: 'Reasonable access to health services without financial or other barriers
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is a primary objective of the Canadian health system. Notwithstanding
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such concern about accessibility of services, long waiting times for
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health services have been a prominent health policy issue in recent
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years. Using pooled data from four nationally representative Canadian
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Community Health Surveys (CCHSs, 2000/01, 2003, 2005 and 2010; n =
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266,962) we examine socioeconomic inequality in lengthy wait time (LWT)
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to health care among adults (aged 18-65) in Canada. The relative and
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absolute concentration indices (RC and AC, respectively) are used to
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quantify income-related inequality in LWT in Canada and for its
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provinces. Additionally, we decompose the RC and AC indices to identify
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factors affecting income-related inequality in LWT. Our descriptive
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results show that, on average, 5\% of Canadian adults experienced LWT to
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access health services in the past 12 months. While 3\% of the residents
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of British Columbia and Saskatchewan reported LWT to access health care
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services, this figure was 7\% in Quebec. Our findings also demonstrated
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that LWT was mainly concentrated among the poor in Canada {[}RC =
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-0.039; 95\% confidence interval (CI) -0.049 to -0.028 and AC = -0.067;
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CI -0.086 to -0.049]. The RC and AC suggested statistically significant
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pro-rich inequality of LWT in Nova Scotia, New Brunswick, Quebec,
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Manitoba, Saskatchewan and British Columbia. Decomposition analyses
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indicate that, besides income itself, health status (measured by a set
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of 15 chronic condition indicators), immigration status and geographical
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factors were the most important factors contributing to the
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concentration of LWT among the poor in Canada. These results provide
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some evidence that low-income individuals tend to have lengthier wait
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times for publicly-funded health care in Canada in comparison to their
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high-income counterparts. The observed negative gradient between income
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and long waiting time may be interpreted as evidence of socioeconomic
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inequity within Canadian health care system. Thus, further work is
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required to understand the mechanisms explaining the concentration of
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long wait time among the poor in Canada.'
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affiliation: 'Hajizadeh, M (Corresponding Author), Dalhousie Univ, Sch Hlth Adm, Fac
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Hlth Profess, Sir Charles Tupper Med Bldg,5850 Coll St, Halifax, NS, Canada.
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Hajizadeh, Mohammad, Dalhousie Univ, Sch Hlth Adm, Fac Hlth Profess, Sir Charles
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Tupper Med Bldg,5850 Coll St, Halifax, NS, Canada.'
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author: Hajizadeh, Mohammad
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author-email: m.hajizadeh@dal.ca
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author_list:
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- family: Hajizadeh
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given: Mohammad
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da: '2023-09-28'
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doi: 10.1007/s10198-017-0889-3
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eissn: 1618-7601
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files: []
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issn: 1618-7598
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journal: EUROPEAN JOURNAL OF HEALTH ECONOMICS
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keywords: 'Socioeconomic status; Wait time; Absolute and relative inequalities;
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Decomposition; Canada'
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keywords-plus: INEQUALITIES; CARE; EQUITY; SURGERY
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language: English
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month: APR
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number: '3'
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number-of-cited-references: '55'
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orcid-numbers: Hajizadeh, Mohammad/0000-0002-4591-8531
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pages: 369-383
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papis_id: ad23f9f8cf1b15735db7d04b76f85ecd
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ref: Hajizadeh2018doessocioeconomic
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times-cited: '9'
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title: Does socioeconomic status affect lengthy wait time in Canada? Evidence from
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Canadian Community Health Surveys
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000428253700006
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usage-count-last-180-days: '2'
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usage-count-since-2013: '15'
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volume: '19'
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web-of-science-categories: Economics; Health Policy \& Services
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year: '2018'
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