Dental service disparities in Canada: A Saskatoon, Saskatchewan case study

Jones, Marina; Shah, Tayyab; Hayes, Alyssa; Uswak, Gerry; Bell, Scott

doi:10.1111/cag.12286

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…Health care services discrepancies, as presented above within the orthopedic care in Germany, are also present within other types of the health care associated services. As reported by Jones et al there are differences in access to dental services with an urban clustering of dental care [ 41 ]. Furthermore Engler-Stringer et al have shown that such disparities can even be revealed in the access to healthy food [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Orthopedic workforce planning in Germany – an analysis of orthopedic accessibility

Bauer

Müller²,

Maier

et al. 2017

PLoS ONE

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In Germany, orthopedic workforce planning relies on population-to-provider-ratios represented by the ‘official degree of care provision’. However, with geographic information systems (GIS), more sophisticated measurements are available. By utilizing GIS-based technologies we analyzed the current state of demand and supply of the orthopedic workforce in Germany (orthopedic accessibility) with the integrated Floating Catchment Area method. The analysis of n = 153,352,220 distances revealed significant geographical variations on national scale: 5,617,595 people (6.9% of total population) lived in an area with significant low orthopedic accessibility (average z-score = -4.0), whereas 31,748,161 people (39.0% of total population) lived in an area with significant high orthopedic accessibility (average z-score = 8.0). Accessibility was positively correlated with the degree of urbanization (r = 0.49; p<0.001) and the official degree of care provision (r = 0.33; p<0.001) and negatively correlated with regional social deprivation (r = -0.47; p<0.001). Despite advantages of simpler measures regarding implementation and acceptance in health policy, more sophisticated measures of accessibility have the potential to reduce costs as well as improve health care. With this study, significant geographical variations were revealed that show the need to reduce oversupply in less deprived urban areas in order to enable adequate care in more deprived rural areas.

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Section: Discussionmentioning

confidence: 99%

Orthopedic workforce planning in Germany – an analysis of orthopedic accessibility

Bauer

Müller²,

Maier

et al. 2017

PLoS ONE

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“…The movement of people between places over time, and how movement informs disease diffusion is well understood through geography (Ye et al, 2016;Tunstall et al, 2004). Additionally, Jones et al (2016) typify how spatial distribution of resources affects accessibility while Engler-Stringer et al…”

Section: Importance Of Geography For Healthmentioning

confidence: 99%

“…Geospatial methods support health policymakers and decision makers who seek to make accurate decisions about health risks and disparities, distribution and allocation of scarce resources, disease surveillance, management, and analysis (Fradelos et al, 2014;Nykiforuk and Flaman, 2011). They are useful for their ability to quickly reveal in-depth complex spatial and temporal trends, variations, and relationships that are sometimes hidden by non-spatial estimates (WHO, 2016;Jones et al, 2016), thereby permitting public health and decision-making professionals to arrive at faster and more efficient conclusions and decisions (Hanchette, 2003). Similarly, Nykiforuk and Flaman (2011) have observed that the "growing recognition in health promotion that consideration of context or settings is essential for effective public health research, practice, and policy" underscores the importance of the geospatial methods, since "a first step in examining context is to investigate the spatial component of the health behaviors at which health programs and policies are directed" (p.63).…”

Section: The Geospatial Approach To Health Researchmentioning

confidence: 99%

“…To summarize, the geospatial approach has been used in numerous studies that address various geographic themes such as the spatial and / or temporal trends and patterns of diffusion of diseases (Chunara et al, 2012;Lessard-Fontaine et al, 2015;Carrel et al, 2016;Ye et al, 2016), healthcare inequalities (Krieger et al, 2003;Grady, 2006), and geographic access to health services and proximity to risk factors (McLafferty and Grady, 2005;Chirowodza et al, 2009;Luo and Qi, 2009;Okwaraji et al, 2012;Engler-Stringer et al, 2014;Jones et al, 2016). Despite its outlined usefulness, the geospatial approach has often been criticized for being overly descriptive and interested in associations without explaining causal mechanisms (Openshaw, 1991).…”

Section: The Geospatial Approach To Health Researchmentioning

confidence: 99%

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"It's for sure conscious that we stay central": Barriers in Accessing Preventive Resources for Chlamydia among Youth in Southwest Calgary

Asenso¹

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Chlamydia is the most commonly reported notifiable infection among youth (15-24 years) in Alberta. However, controlling infections has been challenging for Calgary, which has the youngest population of major cities in Canada. Health reports indicate that despite the high chlamydia incidence among youth, they are not using preventive resources as expected, thus the need to examine the barriers in accessing such resources among youth in Southwest Calgary. The researcher postulated that there are spatial dimensions to the social barriers to accessing preventive resources, and that social and spatial factors work synchronously to hinder access.Opinions about the potential impact of social media dating applications on sexual activities are also examined. Data collection, which was guided by a Social Ecological Model, followed an exploratory sequential mixed-methods design. In-depth interviews were conducted with 23 youth and 4 service providers. Thereafter, a survey of the barriers was conducted with a sample of 382 youth. Thematic and descriptive statistical analytical methods were used to examine qualitative and quantitative data respectively. Geospatial analyses of the patterns of facility non-use and the spatial distribution of barriers were also conducted. Although 79.8% of youth had heard about a preventive resource, only 41.4% had used any resource before. The principal barriers reported were stigma, intimidating healthcare spaces, and uneasiness accessing resources. There was an inverse relationship between geographic distance and access for the communities on the extreme western segment of the study site.The efficacious combination of qualitative, quantitative, and geospatial analytical methods to examine the barriers to sexual health resources among youth is an indication of the practicality of merging traditional qualitative and quantitative methods with geospatial methods to community health inquiries. Lastly, 44.5% of survey participants agreed that social media dating applications influenced sexual activities to a very great extent, thereby providing additional evidence to inform the ongoing social media-sexual health discourse in the health geography and public health arena.

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Determining geographic accessibility of family physician and nurse practitioner services in relation to the distribution of seniors within two Canadian Prairie Provinces

Shah

Milosavljevic

Bath

2017

Social Science & Medicine

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Dental service disparities in Canada: A Saskatoon, Saskatchewan case study

Abstract: Key Messages This intra‐urban analysis of spatial accessibility to dental services highlights poorly served municipalities. The dental access score is found to be associated with the following socio‐economic variables: lone parent, home ownership, and dwellings needing major repairs.

Cited by 3 publications

References 27 publications

Orthopedic workforce planning in Germany – an analysis of orthopedic accessibility

Orthopedic workforce planning in Germany – an analysis of orthopedic accessibility

"It's for sure conscious that we stay central": Barriers in Accessing Preventive Resources for Chlamydia among Youth in Southwest Calgary

Determining geographic accessibility of family physician and nurse practitioner services in relation to the distribution of seniors within two Canadian Prairie Provinces

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