在加拿大,获得初级保健的差异在加拿大越来越大
M Ruth Lavergne1, Aidan Bodner2, Sara Allin2
1Dalhousie University, Halifax, Nova Scotia, Canada.
Healthcare management forum
|June 21, 2023
概括
加拿大初级保健改革显示,基于收入,教育和种族化,在获得初级保健方面存在持续的不平等. 这些差异,特别是收入和种族差异,随着时间的推移而变得越来越严重,凸显了以公平为重点的政策的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 加拿大初级保健政策加拿大初级保健政策
背景情况:
- 加拿大各省和地区已经实施了各种各样的初级保健改革.
- 这些改革对股权的影响在很大程度上仍未得到审查.
- 了解获取差异对于公平的医疗保健服务至关重要.
研究的目的:
- 通过各种社会人口统计学因素,调查初级保健获得的差异.
- 分析这些差异的变化随着时间的推移.
- 为有关初级保健改革的政策决策提供信息.
主要方法:
- 使用了2007/08年和2015/16年或2017/18年加拿大社区健康调查数据.
- 通过收入,教育,住房所有权,移民身份,种族化,地理位置和性别/性别来检查初级保健准入差异.
- 纵向分析以追踪差异的变化.
主要成果:
- 根据收入,教育,住房所有权,最近的移民,移民 (正规的护理地点),种族化 (正规的护理地点) 和性别/性别,观察到在初级保健获得的显著差异.
- 与收入和种族化 (常规医疗提供者和咨询医疗专业人员) 相关的差异随着时间的推移而持续或增加.
- 在获得初级保健方面存在持续不平等的证据.
结论:
- 没有明确考虑公平性的初级保健政策改革可能会加剧现有的差距.
- 对公平影响的持续监测和评估对于有效和公正的初级保健政策至关重要.
- 迫切需要政策干预,以解决和减少获得初级保健的不平等.
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