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Related Experiment Videos

Going to the doctor.

Alice Nabalamba1, Wayne J Millar

  • 1Health Statistics Division, Statistics Canada, Ottawa, Ontario. Alice.Nabalamba@statcan.ca

Health Reports
|April 20, 2007
PubMed
Summary
This summary is machine-generated.

Canadian adults

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Area of Science:

  • Health Services Research
  • Health Policy
  • Epidemiology

Background:

  • The Andersen model provides a framework for understanding healthcare utilization.
  • Patterns of physician consultation are crucial for assessing healthcare access and equity.

Purpose of the Study:

  • To describe consultation patterns with general practitioners (GPs) and specialists among Canadian adults.
  • To examine factors associated with these consultations, considering health status and other determinants.

Main Methods:

  • Utilized data from the 2005 Canadian Community Health Survey (CCHS).
  • Employed cross-tabulations and adjusted logistic regression models to analyze consultation data.
  • Controlled for health need when examining independent associations with demographic and socioeconomic factors.

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Main Results:

  • In 2005, 77% of adults (18-64) and 88% of seniors consulted a GP; 25% and 44% had >=4 consultations, respectively.
  • 27% of adults and 34% of seniors consulted a specialist.
  • Health need was a primary driver, but age, income, race, language, residence, and having a regular doctor independently influenced consultations.

Conclusions:

  • Seniors (75+) and rural residents had fewer specialist visits but more GP visits.
  • Visible minorities and Aboriginal people reported fewer specialist consultations compared to Whites.
  • Disparities in specialist access exist, even after accounting for health needs.