دورية أكاديمية
أعرض في EDS

Equity of primary care service delivery for low income "sicker" adults across 10 OECD countries.

التفاصيل البيبلوغرافية
العنوان: Equity of primary care service delivery for low income "sicker" adults across 10 OECD countries.
المؤلفون: Dahrouge S; Department of Family Medicine and Scientist at the Bruyère Research Institute and the Institute of Clinical Evaluative Sciences, University of Ottawa, Ottawa, Canada. sdahrouge@bruyere.org., Hogg W; Department of Family Medicine and Scientist at the Institut de Recherche de L'Hôpital Montfort and the Institute of Clinical Evaluative Sciences, University of Ottawa, Ottawa, Canada., Muggah E; Department of Family Medicine, The University of Ottawa, Ottawa, Canada., Schrecker T; Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
المصدر: International journal for equity in health [Int J Equity Health] 2018 Dec 12; Vol. 17 (1), pp. 182. Date of Electronic Publication: 2018 Dec 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2002-
مواضيع طبية MeSH: Healthcare Disparities* , Organisation for Economic Co-Operation and Development* , Poverty* , Primary Health Care*, Aged ; Aged, 80 and over ; Canada ; Cross-Sectional Studies ; Europe ; Female ; Health Services Accessibility ; Humans ; Male ; Middle Aged ; New Zealand ; Severity of Illness Index ; Surveys and Questionnaires ; United Kingdom ; United States
مستخلص: Background: Despite significant investments to support primary care internationally, income-based inequities in access to quality health care are present in many high-income countries. This study aims to determine whether low- and middle-income groups are more likely to report poor quality of primary care (PC) than high-income groups cross-nationally.
Methods: The 2011 Commonwealth Fund Telephone Survey of Sicker Adults is a cross-sectional study across eleven countries. Respondents were recruited from randomly selected households. We used data from surveys conducted in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, the United Kingdom, and the United States. We identified all questions relating to primary care performance, and categorized these into five dimensions: 1) access to care, 2) coordination 3) patient-centered care, and 4) technical quality of care. We used logistic regression with low and middle-income as the comparison groups and high-income as the referent.
Results: Fourteen thousand two hundred sixty-two respondents provided income data. Countries varied considerably in their extent of income disparity. Overall, 24.7% were categorized as low- and 13.9% as high-income. The odds of reporting poor access to care were higher for low- and middle-income than high-income respondents in Canada, New Zealand and the US. Similar results were found for Sweden and Norway on coordination; the opposite trend favoring the low- and middle-income groups was found in New Zealand, United Kingdom, and the United States. The odds of reporting poor patient-centered care were higher for low-income than high-income respondents in the Netherlands, Norway, and the US; in Australia, this was true for low- and middle-income respondents. On technical quality of care, the odds of reporting poor care were higher for the low- and middle-income comparisons in Canada and Norway; in Germany, the odds were higher for low-income respondents only. The odds of reporting poor technical quality of care were higher for high-income than low-income respondents in the Netherlands.
Conclusion: Inequities in quality PC for low and middle income groups exist on at least one dimension in all countries, including some that in theory provide universal access. More research is needed to fully understand equity in the PC sector.
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فهرسة مساهمة: Keywords: Health equity; Household income; Primary care
تواريخ الأحداث: Date Created: 20181214 Date Completed: 20190314 Latest Revision: 20200309
رمز التحديث: 20240513
مُعرف محوري في PubMed: PMC6292158
DOI: 10.1186/s12939-018-0892-z
PMID: 30541552
قاعدة البيانات: MEDLINE
الوصف
تدمد:1475-9276
DOI:10.1186/s12939-018-0892-z