Exploring the influence of income and geography on access to services for older adults in British Columbia: A multivariate analysis using the Canadian community health survey (Cycle 3.1)

Canadian Journal on Aging

Volumn 30, Issue 1, 2011, Pages 69-82

  Allan, Diane E ^a   Funk, Laura M ^a   Reid, R Colin ^b   Cloutier Fisher, Denise ^a  

^a UNIVERSITY OF VICTORIA   (Canada)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

British Columbia; CCHS 3.1; health care access; health services; income; older adults; rural

Indexed keywords

AGED; ARTICLE; CANADA; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE SURVEY; HEALTH SERVICE; HEALTH STATUS; HUMAN; INCOME; MALE; MULTIVARIATE ANALYSIS; RURAL HEALTH CARE; RURAL POPULATION; STATISTICAL MODEL; URBAN POPULATION; UTILIZATION REVIEW;

AGED; BRITISH COLUMBIA; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HEALTH STATUS; HUMANS; INCOME; LOGISTIC MODELS; MALE; MULTIVARIATE ANALYSIS; RURAL HEALTH SERVICES; RURAL POPULATION; URBAN HEALTH SERVICES; URBAN POPULATION;

EID: 79957463751     PISSN: 07149808     EISSN: 17101107     Source Type: Journal    
DOI: 10.1017/S0714980810000760     Document Type: Article

References (46)

1. Allan, D.E., & Cloutier-Fisher, D. (2006). Health services utilization of older adults in British Columbia: Making sense of geography. Canadian Journal on Aging, 25, 219-232 . (Pubitemid 44146918)
2. Allan, D., & Penning, M.J. (2001). Regionalization and health service utilization among older adults: Rural-urban differences. Paper presented at the World Congress of Gerontology, Vancouver, British Columbia .
3. Andersen, R.M., & Newman, J.F. (1973). Societal and individual determinants of medical care utilization in the United States. Milbank Memorial Fund Quarterly, 51, 95-124 .
4. Bay, K.S., & Maher, M. (1989). Utilization of hospital services by cardiovascular patients, Alberta, Canada. American Journal of Public Health, 79, 759-764 . (Pubitemid 19142918)
5. Brunner, E., & Marmot, M. (2002). Social organization, stress, and health. In M. Marmot, & R.G. Wilkinson (Eds.), Social determinants of health (pp. 17-43). Oxford : Oxford University Press .
6. Buske, L. (2000). Availability of services in rural areas. CMAJ, 18, 162 .
7. Centre for Health Services and Policy Research. (2002). The British Columbia health atlas (1st ed.). Vancouver, British Columbia, Canada : Centre for Health Services and Policy Research .
8. Chappell, N.L., Gee, E., McDonald, L., & Stone, M. (2003). Aging in contemporary Canada. Toronto, Ontario, Canada : Prentice Hall .
9. Cloutier-Fisher, D., Penning, M., Zheng, C., & Druyts, E. (2006). The devil is in the details: Trends in avoidable hospitalization rates by geography in British Columbia, 1990-2000. BMC Health Services Research, 6, 104 .
10. Cloutier-Fisher, D., & Skinner, M. (2006). Leveling the playing field? Exploring the implications of managed competition for voluntary sector providers of longterm care in small town Ontario. Health & Place, 12, 97-109 . (Pubitemid 41509078)
11. Cott, C.A., Gignac, M.A.M., & Badley, E.M. (1999). Determinants of self rated health for Canadians with chronic disease and disability. Journal of Epidemiology & Community Health, 53, 731-736 . (Pubitemid 29486182)
12. Coyte, P., Evans, R., Barer, S., & Marmor, T. (1995). Why are some people healthy and others not? The determinants of health of populations. Canadian Journal of Economics, 28, 928-941 .
13. Dansky, K.H., Brannon, D., Shea, D., Vasey, J., & Dirani, R. (1998). Profiles of hospital, physician, and home health service use by older persons in rural areas. Gerontologist, 38, 320-330 . (Pubitemid 28285149)
14. Dorly, J., Deeg, H., & Bath, P.A. (2003). Self-rated health, gender, and mortality in older persons: Introduction to a special section. Gerontologist, 43, 369-371 . (Pubitemid 36718411)
15. Evans, R.G., & Stoddart, G.L. (1990). Producing health, consuming health care. Social Science & Medicine, 31, 1347-1363 .
16. Evashwick, C., Rowe, G., Diehr, P., & Branch, L. (1984). Factors explaining the use of health care services by the elderly. Health Services Research, 19, 357-382 . (Pubitemid 14070508)
17. Fakhoury, W.K.H., & Roos, L. (1996). Access to and use of physician resources by the rural and urban populations in Manitoba. The Canadian Journal of Public Health, 87, 248-252 . (Pubitemid 26318879)
18. Finkelstein, M.M. (2001). Do factors other than need determine utilization of physician' services in Ontario? CMAJ, 165, 565-570 . (Pubitemid 32881559)
19. Furlong, W., Feeny, D., Torrance, G.W., Goldsmith, C., DePauw, S., Boyle, M., et al. (1998). Multiplicative Multiattribute Utility Function for the Health Utilities Index Mark 3 (HUI3) System: A Technical Report. McMaster University Centre for Health Economics and Policy Analysis Working Paper No. 98-11. Hamilton, Ontario, Canada: McMaster University .
20. Gesler, W.M., Savitz, L.A., & Wittie, P.S. (1998). Methods for assessing geographic aspects of health care for older adults in rural areas. In W.M. Gesler, D.J. Rabiner, & G.H. DeFriese (Eds.), Rural health and aging research: Theory, methods and practical applications (pp. 43-66). Amityville, NY : Baywood Publishing Company, Inc .
21. Hodge, G. (2008). The geography of aging: Preparing communities for the surge in seniors. Montreal, Quebec, Canada : McGill-Queen's University Press .
22. Horsman, J., Furlong, W., Feeny, D., & Torrance, G. (2003). The Health Utilities Index (HUI): Concepts, measurement properties and applications. Health and Quality of Life Outcomes, 1, 54 .
23. House, J., Lepkowski, J.M., Kinney, A.M., Mero, R.P., Kessler, R.C., & Herzog, A.R. (1994). The social stratification of aging and health. Journal of Health & Social Behavior, 35, 213-234.
24. Joseph, A.E., & Phillips, D.R. (1984). Accessibility and utilization: Geographic perspectives on health care delivery. New York : Harper and Row .
25. Keating, N.C. (1991). Aging in rural Canada. Toronto, Ontario, Canada : Butterworths .
26. Kirby, M.J., & LeBreton, M. (2002). The health of Canadians - the federal role. Volume 2: Current trends and future challenges. Ottawa, Ontario, Canada : The Standing Senate Committee on Social Affairs. Science and Technology, Parliament of Canada .
27. Lin, G., Allan, D.E., & Penning, M.J. (2002). Examining distance effects on hospitalizations using GIS: A study of three health regions in British Columbia, Canada. Environment and Planning A, 34, 2037-2053 . (Pubitemid 35404954)
28. Marmot, M., & Wilkinson, R.G. (2002). Social determinants of health. Oxford : Oxford University Press .
29. Martin Matthews, A. (1988). Variations in the conceptualization and measurement of rurality: Conflicting findings on the elderly widowed. Journal of Rural Studies, 4, 141-150.
30. Martin, D., Wrigley, H., Barnett, S., & Roderick, P. (2002). Increasing the sophistication of access measurement in a rural healthcare study. Health & Place, 8, 3-13 . (Pubitemid 34141677)
31. Millman, M. (Ed.). (1993). Access to health care in America. Washington, DC : National Academy Press .
32. Newbold, K.B., Eyles, J., & Birch, S. (1995). Equity in health care: Methodological contributions to the analysis of hospital utilization within Canada. Social Science & Medicine, 40 (9), 1181-1182
33. Newbold, K.B., Eyles, J., Birch, S., & Spencer, A. (1998). Allocating resources in health care: Alternative approaches to measuring needs in resource allocation formula in Ontario. Health & Place, 4 (1), 79-89 . (Pubitemid 28306434)
34. Parker, E.B., & Campbell, J.L. (1998). Measuring access to primary medical care: Some examples of the use of geographical information systems. Health & Place, 4, 183-193. (Pubitemid 28386706)
35. Peacock, D., Devlin, N., & McGee, R. (1999). The horizontal equity of health care in New Zealand. Australian and New Zealand Journal of Public Health, 23, 126-130 . (Pubitemid 29332808)
36. Ricketts, T.C., Randolph, R., Howard, H.A., Pathman, D., & Carey, T. (2001). Hospitalization rates as indicators of access to primary care. Health & Place, 7, 27-38 . (Pubitemid 32098317)
37. Romanow, R. (2002). Commission on the future of health care in Canada: Final report. Ottawa, Ontario, Canada : Health Canada .
38. Roos, N., Burchill, C., & Carriere, K. (2003). Who are the high hospital users: A Canadian case study. Journal of Health Services Research & Policy, 8, 5-10 . (Pubitemid 36083145)
39. Sin, D.D., Svenson, L.W., Cowie, R.L., & Man, S.F. (2003). Can universal access to health care eliminate health inequities between children of poor and nonpoor families?: A case study of childhood asthma in Alberta. Chest, 124, 51-56. (Pubitemid 36851330)
40. Statistics Canada. (2005). Canadian community health survey, cycle 3.1 microdata files. Ottawa, ON : Statistics Canada, Government of Canada .
41. Statistics Canada. (2006). Canadian community health survey, cycle 3.1 documentation. Ottawa, ON : Statistics Canada, Government of Canada .
42. Strain, L.A. (1990). Physician visits by the elderly: Testing the Andersen-Newman Framework. Canadian Journal of Sociology, 15, 19-37 .
43. Stuart, B., & Shea, D. (1996). Urban/rural differences in the elderly's use of health care. Final report, Grant R01-AG11820, US : National Institute on Aging .
44. Tataryn, D.J., Roos, N.P., & Black, C.D. (1995). Utilization of physician resources for ambulatory care. Medical Care, 33, DS84 - DS99 .
45. Veugelers, P.J., & Yip, A.M. (2003). Socioeconomic disparities in health care use: Does universal coverage reduce inequalities in health? Journal of Epidemiology & Community Health, 57, 424-428 . (Pubitemid 36713004)
46. Wilkinson, R.G. (1997). Health inequalities: Relative or absolute material standards? BMJ, 314, 591-595 . (Pubitemid 127696156)