The effect of socioeconomic status on access to primary care: an audit study

Olah, Michelle E.; Gaisano, Gregory; Hwang, Stephen W.

doi:10.1503/cmaj.121383

Cited by 115 publications

(90 citation statements)

References 21 publications

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“…A similar model has demonstrated decreased access to care for adolescent patients with Medicaid requiring anterior cruciate ligament (ACL) reconstruction 3 . Similar results have been documented in the primary care literature where lower socioeconomic status has been linked to decreased access to care 7 . The use of a fictitious patient scenario has been validated in the pediatric orthopaedic literature as previously described 5,6 ; however, to our knowledge, prior to work by our group, such an approach had not been utilized in the adult orthopaedic population.…”

supporting

confidence: 87%

A Regional Assessment of Medicaid Access to Outpatient Orthopaedic Care: The Influence of Population Density and Proximity to Academic Medical Centers on Patient Access

Patterson

Draeger²,

Olsson³

et al. 2014

The Journal of Bone and Joint Surgery

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supporting

confidence: 87%

A Regional Assessment of Medicaid Access to Outpatient Orthopaedic Care: The Influence of Population Density and Proximity to Academic Medical Centers on Patient Access

Patterson

Draeger²,

Olsson³

et al. 2014

The Journal of Bone and Joint Surgery

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“…De plus, les répondants rapportent un niveau de scolarité plus élevé et un revenu annuel supérieur à la moyenne. Par conséquent, les constats dégagés par cette étude reflètent principalement la perception de jeunes francophones d'un niveau socioéconomique élevé qui, de façon générale, ont un meilleur accès à des services de santé (Olah, Gaisano et Hwang, 2013). De plus, les résultats rapportés par cette étude reflètent l'expérience des usagers et non une mesure réelle de l'offre de services en français, qui néces-siterait une observation sur le terrain, difficile à obtenir.…”

Section: Discussion Des Résultatsunclassified

Accès aux services sociaux et de santé en français : l’expérience des Franco-Manitobains

Moissac

Giasson

Roch-Gagné

2015

minling

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Des progrès considérables sont constatés dans l’offre de services et la formation de professionnels dans le domaine des services sociaux et de santé en français au Manitoba depuis les 30 dernières années. L’objectif de cette recherche est de mieux connaître la perception des usagers quant aux services couramment disponibles et aux barrières réduisant l’accès à ces services. L’obtention de services en français est importante pour la population francophone, particulièrement pour les aînés et les immigrants. En moyenne, 50 % des répondants disent demander des services en français, mais seulement 25 % affirment les recevoir. La pénurie de professionnels pouvant offrir des services en français est considérée comme la barrière principale à l’accès. L’offre active est essentielle et facilite la prestation des services dans la langue de choix de la clientèle.Over the past 30 years considerable progress has been made with regard to the delivery of services and professional training in the area of health and social services for the French-language population of Manitoba. The aim of this study is to gain insight into the client’s perspective with respect to access and obstacles preventing access to these services. Services in French are important, particularly for elderly and immigrant clients. On average, half of the participants request services in French, but only one quarter report receiving them. A shortage of professionals able to provide services in French is perceived as the greatest barrier to access. A pro-active approach is essential to provide care to the client in his or her language of choice

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“…Identifying possible horizontal inequities will be necessary for developing successful, targeted interventions to address growing rates of patient unattachment. Building upon previously developed methodology, 24 our study aimed to determine whether SES or the presence of a chronic condition is associated with the response a prospective patient receives when seeking a family physician in NS, Canada.…”

Section: Objectivementioning

confidence: 99%

“…21 Relatedly, lower SES is associated with poorer first contact access with general practitioners, 22,23 and people with higher SES are preferentially granted access to primary health care appointments. 24 Notably, low SES is associated with higher rates of hospitalization for chronic conditions that could be managed through outpatient care. [25][26][27] A qualitative investigation of unattached patients with low SES and chronic disease highlighted themes of participants feeling like undesirable patients because of unsuccessful attempts to find a regular provider and concerns about lack of access to preventive services and discontinuous medical records.…”

mentioning

confidence: 99%

Does socio-economic status or having a chronic condition affect whether family physicians accept a new patient? A Nova Scotia population study

Marshall

Nadeau

Lawson

et al. 2017

Can J Public Health

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OBJECTIVES:To determine whether socio-economic status (SES) and presence of a chronic condition are associated with the response a prospective patient receives when seeking a family physician (FP).METHODS: Scripted telephone calls (indicating higher or lower SES and presence or absence of a chronic condition) were made to all 327 FP offices in Nova Scotia (NS) requesting an appointment. The main outcome measures were the responses to callers seeking a FP: being accepted for an appointment or being offered further assistance if not accepted (e.g., walk-in clinic, alternative provider, and telehealth), as well as the callers' perception of the experience as positive, negative, or neutral.RESULTS: Only 9.9% of offices accepted callers as new patients. There were no statistically significant differences by SES or chronic condition in the proportion of calls resulting in an appointment. Callers indicating high SES were more likely to be provided further assistance than those with low SES (p = 0.06), and callers indicating a chronic condition reported a better overall experience than those without (p = 0.03).CONCLUSION: First contact accessibility for prospective new patients was low across NS. Lower SES was associated with fewer offers of additional assistance than higher SES. This is particularly troubling since those with lower SES may need additional support as they may have less access to resources and networks that could provide support. This study signals the need to improve general and equitable accessibility to primary care providers.KEY WORDS: Primary health care; general practice; chronic disease; social class; access to health care; health equity La traduction du résumé se trouve à la fin de l'article.

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The effect of socioeconomic status on access to primary care: an audit study

Cited by 115 publications

References 21 publications

A Regional Assessment of Medicaid Access to Outpatient Orthopaedic Care: The Influence of Population Density and Proximity to Academic Medical Centers on Patient Access

A Regional Assessment of Medicaid Access to Outpatient Orthopaedic Care: The Influence of Population Density and Proximity to Academic Medical Centers on Patient Access

Accès aux services sociaux et de santé en français : l’expérience des Franco-Manitobains

Does socio-economic status or having a chronic condition affect whether family physicians accept a new patient? A Nova Scotia population study

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