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Related Experiment Videos

Delivering equitable care: comparing preventive services in Manitoba.

Sumit Gupta1, Leslie L Roos, Randy Walld

  • 1Manitoba Centre for Health Policy, Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.

American Journal of Public Health
|December 4, 2003
PubMed
Summary

Manitoba

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background:

  • Preventive care delivery in Manitoba during the 1990s involved childhood immunizations, screening mammography, and cervical cancer screening.
  • These services were provided through various mechanisms, including government programs and unorganized efforts.

Purpose of the Study:

  • To examine the delivery and equity of preventive care services in Manitoba during the 1990s.
  • To assess the impact of government programs on immunization, mammography, and cervical cancer screening rates and socioeconomic gradients.

Main Methods:

  • Utilized longitudinal administrative data, an immunization monitoring system, and Canadian census databases.
  • Analyzed screening rates and socioeconomic disparities for childhood immunizations, screening mammography, and cervical cancer screening.

Main Results:

  • Cervical cancer screening rates were static with significant socioeconomic differences.
  • Childhood immunization rates remained high with minimal socioeconomic gradients.
  • The Manitoba Breast Screening Program led to increased screening and reduced socioeconomic disparities.

Conclusions:

  • Manitoba's government programs for childhood immunization and screening mammography effectively supported preventive care.
  • Organized programs are crucial for equitable preventive care delivery by addressing access barriers and enabling self-evaluation.

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