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Unmet needs for health care
1Health Statistics Division, Statistics Canada, Ottawa, Ontario, K1A 0T6. chenjia@statcan.ca
Approximately 7% of Canadian adults reported unmet health care needs, with acceptability issues being the most common reason. Service availability and accessibility also contributed significantly to these unmet needs.
Area of Science:
- Health Services Research
- Public Health
- Epidemiology
Background:
- Self-reported unmet health care needs are a significant indicator of health system performance.
- Understanding the reasons behind unmet needs is crucial for improving healthcare access and equity.
Purpose of the Study:
- To determine the prevalence of self-reported unmet health care needs in Canadian adults.
- To identify the extent to which these needs were due to problems with service availability, accessibility, or acceptability.
Main Methods:
- Analysis of cross-sectional data from Statistics Canada's National Population Health Survey (1994/95–1998/99).
- Primary analysis included 14,143 respondents aged 18 and older.
- Multivariate logistic regression was employed to assess risk factors associated with unmet needs.
Main Results:
- In 1998/99, 7% of Canadian adults (1.5 million) reported unmet health care needs.
- Acceptability problems (e.g., being too busy) accounted for about half of unmet needs.
- Service availability (e.g., long waits) was cited in 39% of cases, and accessibility (cost, transport) in 13%.
Conclusions:
- Acceptability issues are the leading cause of unmet health care needs in Canada.
- While service availability issues were not linked to socioeconomic status, accessibility problems were inversely associated with income.
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