Socio-economic status and the utilisation of physicians' services: Results from the Canadian National Population Health Survey

Social Science and Medicine

Volumn 51, Issue 1, 2000, Pages 123-133

  Dunlop, Sheryl ^a   Coyte, Peter C ^b,d,e,f   McIsaac, Warren ^c,d  

^a 59 Kirby St PO Box 46   (Australia)

^b UNIVERSITY OF TORONTO   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

^d MOUNT SINAI HOSPITAL   (Canada)

^e SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^f ST MICHAEL'S HOSPITAL   (Canada)

Author keywords

Canada; Primary and specialist services; Socio economic status; Utilisation

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CANADA; EDUCATION; FEMALE; HEALTH CARE UTILIZATION; HEALTH SURVEY; HUMAN; MALE; MEDICAL SPECIALIST; PHYSICIAN; PRIMARY MEDICAL CARE; SOCIAL STATUS; STATISTICAL ANALYSIS;

ADOLESCENT; ADULT; AGED; CANADA; CHILD; FAMILY PRACTICE; FEMALE; HEALTH SERVICES; HUMANS; LEAST-SQUARES ANALYSIS; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; REFERRAL AND CONSULTATION; SOCIOECONOMIC FACTORS; SPECIALTIES, MEDICAL; UNIVERSAL COVERAGE;

EID: 0034016245     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0277-9536(99)00424-4     Document Type: Article

References (31)

1. Andersen R.M. Revisiting the behavioural model and access to medical care: does it matter? Journal of Health and Social Behaviour. 36:1995;1-10.
2. Arling G. Interaction effects in a multivariate model of physician visits by older people. Medical Care. 23:1985;361-371.
3. Beck R.G. Economic class and access to physicians services under public medical care insurance. International Journal of Health Services. 3:1973;341-355.
4. Birch S., Eyles J., Newbold K.B. Equitable access to health care: methodological extensions to the analysis of physician utilization in Canada. Health Economic. 2:1993;87-101.
5. Broyles R.W., Manga P., Binder D.A., Angus D.E., Charette A. The use of physician services under a national health insurance scheme: an examination of the Canada Health Survey. Medical Care. 21:1983;1037-1054.
6. Cox D.R., Snell E.J. The Analysis of Binary Data. 2nd ed. 1990;Chapman and Hall, London.
7. Enterline P.E., Salter V., McDonald A.D., McDonald J.C. The distribution of medical services before and after 'free' medical care: the Quebec experience. New England Journal of Medicine. 289:1973;1174-1178.
8. Fylkesnes K. Determinants of health care utilization: visits and referrals. Scandinavian Journal of Social Medicine. 21:1993;40-50.
9. Haynes R. Inequalities in health and health service use: evidence from the General Household Survey. Social Science & Medicine. 33:1991;361-368.
10. Hayward R.A., Bernanrd A.M., Freeman H.E., Corey C.R. Regular source of ambulatory care and access to health services. American Journal of Public Health. 81:1990;434-438.
11. Hosmer D.W., Lemeshow S. Applied Logistic Regression. 1989;John Wiley & Sons, New York.
12. Hulka B.S., Wheat J.R. Patterns of utilization: the patient perspective. Medical Care. 23:1985;438-458.
13. Katz S.J., Hofer T.P., Manning W.G. Physician use in Ontario and the United States: the impact of socioeconomic status and health status. American Journal of Public Health. 86:1996;520-524.
14. Kenkel J.L. Introductory Statistics for Management and Economics. 2nd ed. 1984;Duxbury, Boston.
15. Kohn R., White K.L. Health care: an international study. Report of the World Health Organisation/International Collaborative Study of Medical Care Utilisation. 1976;Oxford University Press, Oxford.
16. Langley G.R., MacLellan A.M., Sutherland H.J., Till J.E. Effect of non-medical factors on family physicians' decisions about referral for consultation. Canadian Medical Association Journal. 147:1992;659-666.
17. Liberatos P., Fink B.G., Kelsey J.L. The measurement of social class in epidemiology. Epidemiologic Reviews. 10:1988;87-121.
18. Manga P., Broyles R.W., Angus D.E. The use of hospital and physician services under a National Health Insurance program: an examination of the Canadian Health Survey. Proceedings of the 2nd Canadian Conference on Health Economics. 1984;University of Regina, Saskatchewan.
19. Manga P., Broyles R.W., Angus D.E. The determinants of hospital utilization under a universal public insurance program in Canada. Medical Care. 25:1987;658-670.
20. McIsaac W.J., Goel V., Naylor C.D. Socio-economic status and visits to physicians by adults in Ontario, Canada. Journal Health Services Research Policy. 2:1997;94-102.
21. Ministry of Health, Ontario, 1992. Highlights Report, 1990. User's Guide, vol. 2. Microdata Manual. Ottawa.
22. Mustard C.A., Frohlich N. Socioeconomic status and the health of the population. Medical Care. 33:1995;DS43-DS54.
23. Newacheck P.W., Hughes D.C., Stoddard J.J. Children's access to primary care: differences by race, income, and insurance status. Pediatrics. 97:1996;26-32.
24. Patrick D.L., Bergnen M. Measurement of health status in the 1970's. Annual Review of Public Health. 11:1990;165-183.
25. Piperno A., Di Orio F. Social differences in health and utilization of health services in Italy. Social Science & Medicine. 31:1990;305-312.
26. Pope G.C. Medical conditions, health status and health service utilization. Health Service Research. 22:1988;857-877.
27. Logistic Regression Examples using the SAS System. 1995.
28. Shah C.P. Public Health and Preventive Medicine in Canada. 3rd ed. 1994;University of Toronto Press, Toronto.
29. Statistics Canada, 1994. NPHS Public Use Documentation.
30. Stewart M.J. Access to health care for economically disadvantaged Canadians: a model. Canadian Journal of Public Health. 81:1990;450-455.
31. Wolinsky F.D., Coe R.M., Miller D.K., Prendergast J.M., Creel M.J., Chavez M.N. Health services utilization among the non-institutionalized elderly. Journal of Health and Social Behaviour. 24:1983;325-337.