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Age, gender, and current living status were associated with perceived access to treatment among Canadians using a cross sectional survey

BACKGROUND: Access, particularly timely access, to care is the Canadian public’s most important healthcare concern. The drivers of perceived appropriateness of access to care among patients with at least one chronic health condition (CHC) are not, however, well defined. This study evaluated whether...

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Autores principales: Chan, Catherine W. T., Gogovor, Amédé, Valois, Marie-France, Ahmed, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006735/
https://www.ncbi.nlm.nih.gov/pubmed/29921265
http://dx.doi.org/10.1186/s12913-018-3215-6
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author Chan, Catherine W. T.
Gogovor, Amédé
Valois, Marie-France
Ahmed, Sara
author_facet Chan, Catherine W. T.
Gogovor, Amédé
Valois, Marie-France
Ahmed, Sara
author_sort Chan, Catherine W. T.
collection PubMed
description BACKGROUND: Access, particularly timely access, to care is the Canadian public’s most important healthcare concern. The drivers of perceived appropriateness of access to care among patients with at least one chronic health condition (CHC) are not, however, well defined. This study evaluated whether personal characteristics, self-reported health status and care received were associated with patients’ perception of effective access in managing a chronic illness. METHODS: The study population (n = 619) was drawn from a representative sample of the adult Canadian population who reported having ≥1 CHC in the 2013–2014 Health Care in Canada survey. Ordinal regression, with the continuation ratio model, was used to evaluate association of perceived level of access to treatment with socio-demographic factors, perceived health status and care utilization experience. RESULTS: Factors most closely associated with patients’ satisfaction with care access were: age, sex, current cohabitation, care affordability, and availability of support and information to help manage their CHCs. Individuals, particularly females, < 35 years, currently living alone, with poor access to professional support or information and who feel affordability of care has worsened over the past five years were more likely to report a poorer level of treatment access. CONCLUSIONS: Individuals living alone, who are younger, and women may be especially susceptible to lower perceived access to care of CHCs and a sense of pessimism about things not getting better. Further evaluation of the reasons behind these findings may help develop effective strategies to assist these populations to access the care they need. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3215-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-60067352018-06-26 Age, gender, and current living status were associated with perceived access to treatment among Canadians using a cross sectional survey Chan, Catherine W. T. Gogovor, Amédé Valois, Marie-France Ahmed, Sara BMC Health Serv Res Research Article BACKGROUND: Access, particularly timely access, to care is the Canadian public’s most important healthcare concern. The drivers of perceived appropriateness of access to care among patients with at least one chronic health condition (CHC) are not, however, well defined. This study evaluated whether personal characteristics, self-reported health status and care received were associated with patients’ perception of effective access in managing a chronic illness. METHODS: The study population (n = 619) was drawn from a representative sample of the adult Canadian population who reported having ≥1 CHC in the 2013–2014 Health Care in Canada survey. Ordinal regression, with the continuation ratio model, was used to evaluate association of perceived level of access to treatment with socio-demographic factors, perceived health status and care utilization experience. RESULTS: Factors most closely associated with patients’ satisfaction with care access were: age, sex, current cohabitation, care affordability, and availability of support and information to help manage their CHCs. Individuals, particularly females, < 35 years, currently living alone, with poor access to professional support or information and who feel affordability of care has worsened over the past five years were more likely to report a poorer level of treatment access. CONCLUSIONS: Individuals living alone, who are younger, and women may be especially susceptible to lower perceived access to care of CHCs and a sense of pessimism about things not getting better. Further evaluation of the reasons behind these findings may help develop effective strategies to assist these populations to access the care they need. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3215-6) contains supplementary material, which is available to authorized users. BioMed Central 2018-06-19 /pmc/articles/PMC6006735/ /pubmed/29921265 http://dx.doi.org/10.1186/s12913-018-3215-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Chan, Catherine W. T.
Gogovor, Amédé
Valois, Marie-France
Ahmed, Sara
Age, gender, and current living status were associated with perceived access to treatment among Canadians using a cross sectional survey
title Age, gender, and current living status were associated with perceived access to treatment among Canadians using a cross sectional survey
title_full Age, gender, and current living status were associated with perceived access to treatment among Canadians using a cross sectional survey
title_fullStr Age, gender, and current living status were associated with perceived access to treatment among Canadians using a cross sectional survey
title_full_unstemmed Age, gender, and current living status were associated with perceived access to treatment among Canadians using a cross sectional survey
title_short Age, gender, and current living status were associated with perceived access to treatment among Canadians using a cross sectional survey
title_sort age, gender, and current living status were associated with perceived access to treatment among canadians using a cross sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006735/
https://www.ncbi.nlm.nih.gov/pubmed/29921265
http://dx.doi.org/10.1186/s12913-018-3215-6
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