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Markers of Access to and Quality of Primary Care for Aboriginal People in Ontario, Canada

Shah, Baiju R ; Gunraj, Nadia ; Hux, Janet E

American journal of public health (1971), 2003-05, Vol.93 (5), p.798-802 [Periódico revisado por pares]

Washington, DC: Am Public Health Assoc

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Título:
Markers of Access to and Quality of Primary Care for Aboriginal People in Ontario, Canada
Autor: Shah, Baiju R ; Gunraj, Nadia ; Hux, Janet E
Assuntos: Aborigines ; Access ; Acute Disease - classification ; Acute Disease - epidemiology ; Ambulatory care ; Ambulatory Care - classification ; American Native Continental Ancestry Group - statistics & numerical data ; Biological and medical sciences ; Canada ; Censuses ; Chronic Disease - classification ; Chronic Disease - epidemiology ; Cohort Studies ; Database Management Systems ; General aspects ; Geography ; Health care access ; Health care policy ; Health insurance ; Health Services Accessibility ; Health Services Misuse - statistics & numerical data ; Health services utilization ; Health systems. Social services ; Hospitalization ; Hospitalization - statistics & numerical data ; Hospitals ; Humans ; Kidney transplants ; Medical referrals ; Medical sciences ; Medically Underserved Area ; Native North Americans ; Native peoples ; Northern communities ; Ontario ; Ontario - epidemiology ; Population ; Prevalence ; Primary care ; Primary health care ; Primary Health Care - organization & administration ; Primary Health Care - standards ; Primary Health Care - statistics & numerical data ; Public health ; Public Health Informatics ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality Indicators, Health Care ; Quality of care ; Referral and Consultation - statistics & numerical data ; Research and Practice ; Socioeconomic Factors ; Utilization Review
É parte de: American journal of public health (1971), 2003-05, Vol.93 (5), p.798-802
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Peer Reviewed
Note. The opinions, results, and conclusions are those of the authors, and no endorsement by the Ontario Ministry of Health and Long-Term Care or by the Institute for Clinical Evaluative Sciences is intended or should be inferred.
Requests for reprints should be sent to Janet E. Hux, MD, SM, Institute for Clinical Evaluative Sciences, Rm G1 06, 2075 Bayview Ave, Toronto, ON, Canada, M4N 3M5 (e-mail: jan@ices.on.ca).
Descrição: We evaluated primary care accessibility and quality for Ontario's aboriginal population. We compared a defined aboriginal cohort with nonaboriginal populations with analogous geographic isolation and low socioeconomic status. We determined rates of hospitalization for the following indicators of adequacy of primary care: ambulatory care-sensitive (ACS) conditions and utilization of referral care-sensitive (RCS) procedures from administrative databases. ACS hospitalization rates, relative to the general population, were 2.54, 1.50, and 1.14 for the aboriginal population, the geographic control populations, and the socioeconomic control populations, respectively. The relative RCS procedure utilization rates were 0.64, 0.91, and 1.00, respectively. The increased ACS hospitalization rate and reduced RCS procedure utilization rate suggest that northern Ontario's aboriginal residents have insufficient or ineffective primary care.
Editor: Washington, DC: Am Public Health Assoc
Idioma: Inglês

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Markers of Access to and Quality of Primary Care for Aboriginal People in Ontario, Canada

Shah, Baiju R ; Gunraj, Nadia ; Hux, Janet E

Washington, DC: Am Public Health Assoc

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