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Shah B,
Gunraj N,
Hux J.
Markers of access to and quality of primary care for aboriginal people in Ontario, Canada.
Amer J Public Health.
2003;
93 (5): 798-802.
This study evaluated primary care accessibility and quality for Ontario's aboriginal population. Methods. A defined aboriginal cohort was compared with non-aboriginal populations with analogous geographic isolation and low socioeconomic status. The rates of hospitalization for the following indicators of adequacy of primary care were determined: 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.
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