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Physician use in Ontario and the United States

The impact of socioeconomic status and health status

Bibliographic Data

ID11036385
AuthorsSteven J Katz (0000-0002-1151-861X, University of Michigan), Timothy P Hofer (0000-0003-0434-8787, General Department of Preventive Medicine), Willard G Manning (University of Minnesota)
Year1996
Volume86
Issue4
Pages520-524
Publication date1996-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.86.4.520
PMID8604782
OpenAlexW2073334466
LanguageEN
Citations received13
References cited15

OBJECTIVES: This study compared physician use in Ontario and the midwestern and northeastern United States for persons of different socioeconomic status and health status. The distribution of health problems associated with the most recent physician visit also was compared. METHODS: The design of the study was cross sectional; data derived from the 1990 Ontario Health Survey and the 1990 US National Health Interview Survey were used in analyses. RESULTS: Overall, persons in Ontario averaged 19% more visits than US residents, but differences varied markedly across income and health status. At each level of health status, low- income Canadians had 25% to 33% more visits than their US counterparts. However, among higher income persons, those in excellent or very good health had 22% more visits than Americans, while those in good, fair, or poor health had 10% fewer visits than Americans. Higher visit rates in Ontario were not associated with a greater prevalence of low- priority visits. CONCLUSIONS: Under the Canadian single- payer system, medical care in Ontario has been redistributed to low-income persons and the elderly. Compared with the United States, there has been a lower intensity of medical care for the sick higher income population

Environmental health · Family medicine · Population · Public health · Socioeconomic status · Sociology · Demography · Global Health Workforce Issues · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Gerontology

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Unique citing works13
Citations per year0,46
Citation span1998 - 2022 (25)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 13

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