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Socio-economic status and visits to physicians by adults in Ontario, Canada.
JOURNAL OF HEALTH SERVICES RESEARCH AND POLICY, vol. 2, n° 2, 1997/04, pages 94-102, ISSN 1355-8196, GBR
MCISSAC (W.), GOEL (V.), NAYLOR (D.)
Objectives
To examine the association between socio-economic status, need for medical care and visits to physicians in a universal health insurance system.
Methods
Cross-sectional analysis of the 1990 Ontario Health Survey, a population-based survey utilizing a multistage, randomized cluster sample.
The analysis considered only those respondents who were 16 years of age or older from the province of Ontario, Canada : 21 272 males and 24 738 females.
Results
There was no difference by education or income in persons having made at least one visit to a general practitioner in the previous year.
High income persons were less likely to have made six or more visits to a general practitioner - odds ratio (OR)=0,67,95% CI=0,52,0,87 for men ; OR=0,66,95% CI=0,58,0,75 for women - but more likely to have made at least one visit to a specialist - OR=1,42,95% CI=1,15,1,76 for men ; OR=1,25,95% CI=1,07,1,45 for women.
A person's need for medical care was the most important determinant of a physician visit.
Conclusions
Self-reported visits to general practitioners in Canada are strongly influenced by a person's need for medical care and are appropriately related to socio-economic status.
However, there is a residual association between higher socio-economic levels and greater use of specialist services.
(résumé d'auteur).
Mots-clés BDSP : Consommation médicale, Economie santé, Médecin généraliste, Médecin, Profession médicale, Profession sanitaire & sociale, Information sanitaire, Canada, Amérique du Nord, Amérique, Monde, Facteur socioéconomique, Facteur psychosocial, Méthodologie, Morbidité ressentie, Variable épidémiologique, Economie santé, Profession santé, Besoin santé, Géographie politique, Morbidité [épidémiologie], Mesure santé [épidémiologie]
Mots-clés Pascal : Consommation, Soin, Economie, Médecin généraliste, Médecin, Personnel sanitaire, Travailleur social, Information, Santé, Canada, Amérique du Nord, Amérique, Monde, Statut socioéconomique, Méthodologie, Epidémiologie, Variable, Economie santé, Besoin, Aspect politique, Géographie, Morbidité, Etat sanitaire, Mesure
Mots-clés Pascal anglais : Consumption, Care, Economy, General practitioner, Physician, Health staff, Social worker, Information, Health, Canada, North America, America, World, Socioeconomic status, Methodology, Epidemiology, Variable, Health economy, Need, Political aspect, Geography, Morbidity, Health status, Measurement
Notice produite par :
Observatoire Régional de la Santé Auvergne-Rhône-AlpesCode Inist : 002B30A11. Création : 21/07/1998.