101 lines
3.5 KiB
YAML
101 lines
3.5 KiB
YAML
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
|
|
type: article
|
|
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'
|