wow-inequalities/02-data/intermediate/wos_sample/a0b4136dbe33a23ff7a2596f21873b4c-hajizadeh-mohammad/info.yaml

102 lines
3.5 KiB
YAML
Raw Normal View History

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