The public health insurance system in Canada is predicated on equal access to care for persons in need.
To determine the views and experiences of Ontario physicians and hospital administrators in providing patients with preferential access to specialized cardiovascular care on the basis of nonclinical factors.
Survey with self-administered questionnaire.
All Ontario cardiologists (n=268), cardiac surgeons (n=68), and hospital chief executives (n=218) and random samples of internists (n=300) and family physicians (n=300).
Elicited responses (yes or no) to questions on whether and why preferential access occurred and whether the respondents had been personally involved in such a situation.
After undeliverable surveys and respondents no longer involved with acute care were excluded, the eligible response rate was 71.3% (788 of 1105 respondents).
More than 80% of physicians and 53% of hospital chief executives had been personally involved in managing a patient who had received preferential access on the basis of factors other than medical need.
Patients deemed most likely to receive such treatment were those with personal ties to the treating physicians (93% [95% Cl, 91% to 95% ]), high-profile public figures (85% [Cl, 82% to 87% ]), and politicians (83% [Cl, 80% to 86% ]). (...)
Mots-clés Pascal : Canada, Amérique du Nord, Amérique, Homme, Appareil circulatoire pathologie, Traitement, Organisation santé, Système santé, Pratique professionnelle, Préférence, Malade, Médecin, Cardiologie
Mots-clés Pascal anglais : Canada, North America, America, Human, Cardiovascular disease, Treatment, Public health organization, Health system, Professional practice, Preference, Patient, Physician, Cardiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0481759
Code Inist : 002B12B06. Création : 19/02/1999.