1. Arduous Access: Does Socio-Economic Status Affect Access to Primary Care in Quebec, Canada?
- Author
-
Jenkins, Tania
- Subjects
PRIMARY care ,MEDICAL care research ,MEDICAL care ,SOCIAL status ,HEALTH surveys - Abstract
A review of the extant literature indicates that there is an important dearth of research concerning access to primary care in Quebec specifically, given the province's particularly troublesome number of people without doctors. Furthermore, while many studies concentrate on the effect of socioeconomic on utilisation rates of services, no study has considered its impact on the likelihood of having a regular source of care. As such, in order to address some of these gaps in the extant literature, this paper will ask whether there is a positive relationship between SES and the likelihood of having a family physician amongst Quebecers. Logistic regression was employed using odds ratios on data from the Canadian Community Health Survey (2005) in order to determine the different probabilities of having a regular medical doctor according to level of income and education. The effects of self-perceived health, age, sex, race and city of residence were also controlled for. Results indicate that low income negatively affects one's chances of having a primary care practitioner in Quebec for those individuals making less than $30,000 in household income per year. Education, on the other hand, was not found to be significant. Health status and age were found to increase the likelihood of having a physician, whereas being male, non-white and living in Montreal were all found to be negatively associated with having a primary care doctor. In sum, disparities in access continue to exist in this province, despite universal healthcare coverage. ..PAT.-Unpublished Manuscript [ABSTRACT FROM AUTHOR]
- Published
- 2009