{"id":4135,"date":"1997-04-01T00:00:00","date_gmt":"1997-04-01T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/socio-economic-status-and-visits-to-physicians-by-adults-in-ontario-canada\/"},"modified":"2023-06-14T19:54:06","modified_gmt":"2023-06-14T23:54:06","slug":"socio-economic-status-and-visits-to-physicians-by-adults-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/socio-economic-status-and-visits-to-physicians-by-adults-in-ontario-canada\/","title":{"rendered":"Socio-economic status and visits to physicians by adults in Ontario, Canada"},"content":{"rendered":"<p><strong>Objectives<\/strong> &#x2014; To examine the association between socio-economic status, need for medical care and visits to physicians in a universal health insurance system. <\/p>\n<p><strong>Methods<\/strong> &#x2014; Cross-sectional analysis of the 1990 Ontario Health Survey, a population-based survey utilizing a multi-stage, randomized cluster sample. The analysis considered only those respondents who were 16 years of age or older from the province of Ontario, Canada: 21,272 males and 24,738 females. <\/p>\n<p><strong>Results <\/strong>&#x2014; There was no difference by education or income in persons having made at least one visit to a general practitioner in the previous year. High income persons were less likely to have made six or more visits to a general practitioner&#x2014;odds ratio (OR) = 0.67, 95% CI = 0.52, 0.87 for men; OR = 0.66, 95% CI = 0.58, 0.75 for women&#x2014;but more likely to have made at least one visit to a specialist&#x2014;OR = 1.42, 95% CI = 1.15, 1.76 for men; OR = 1.25, 95% CI = 1.07, 1.45 for women. A person&apos;s need for medical care was the most important determinant of a physician visit. <\/p>\n<p><strong>Conclusions <\/strong>&#x2014; Self-reported visits to general practitioners in Canada are strongly influenced by a person&apos;s need for medical care and are appropriately related to socio-economic status. However, there is a residual association between higher socio-economic levels and greater use of specialist services.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives &#x2014; To examine the association between socio-economic status, need for medical care and visits to physicians in a universal health insurance system. Methods &#x2014; Cross-sectional analysis of the 1990 Ontario Health Survey, a population-based survey utilizing a multi-stage, randomized cluster sample. The analysis considered only those respondents who were 16 years of age or [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[20,62,19],"migration-helper-qa-sample-set":[],"class_list":["post-4135","journal_article","type-journal_article","status-publish","hentry","topic-health-and-health-care-inequality","topic-health-services-research","topic-marginalized-populations"],"acf":{"citation":"McIsaac W, Goel V, Naylor D. <em>J Health Serv Res Policy<\/em>. 1997; 2(2):94-102.","source_url":"","ices_scientist":[1253,1304],"site":[6735,6733],"research_program":[],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"3270DFB8-3960-4438-94CF-A4584E1F5916","sitecore_item_name":"Socioeconomic-status-and-visits-to-physicians-by-adults-in-Ontario-Canada","sitecore_field_values":"{\n  \"Title\": \"Socio-economic status and visits to physicians by adults in Ontario, Canada\",\n  \"Citation\": \"<p>McIsaac W, Goel V, Naylor D. <em>J Health Serv Res Policy<\/em>. 1997; 2(2):94-102.<\/p>\",\n  \"Abstract\": \"<p><strong>Objectives<\/strong> &mdash; To examine the association between socio-economic status, need for medical care and visits to physicians in a universal health insurance system. <\/p>rn<p><strong>Methods<\/strong> &mdash; Cross-sectional analysis of the 1990 Ontario Health Survey, a population-based survey utilizing a multi-stage, randomized cluster sample. The analysis considered only those respondents who were 16 years of age or older from the province of Ontario, Canada: 21,272 males and 24,738 females. <\/p>rn<p><strong>Results <\/strong>&mdash; There was no difference by education or income in persons having made at least one visit to a general practitioner in the previous year. High income persons were less likely to have made six or more visits to a general practitioner&mdash;odds ratio (OR) = 0.67, 95% CI = 0.52, 0.87 for men; OR = 0.66, 95% CI = 0.58, 0.75 for women&mdash;but more likely to have made at least one visit to a specialist&mdash;OR = 1.42, 95% CI = 1.15, 1.76 for men; OR = 1.25, 95% CI = 1.07, 1.45 for women. A person's need for medical care was the most important determinant of a physician visit. <\/p>rn<p><strong>Conclusions <\/strong>&mdash; Self-reported visits to general practitioners in Canada are strongly influenced by a person's need for medical care and are appropriately related to socio-economic status. However, there is a residual association between higher socio-economic levels and greater use of specialist services.<\/p>\",\n  \"Keywords\": \"{C854EE01-6CCA-41CE-9A24-52AA5AFA4C3F}|{002C9B1A-B097-4316-A26A-BA3C0A3B8FA9}|{404E8236-468F-4DA1-8BA1-F405AC36275E}\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}|{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{4BF52DAD-DEB2-4DEE-9C76-F4EFADDD454A}|{545C70EB-0A3F-4646-A0F5-509EB7E15CF6}\",\n  \"Posted Date\": \"19970401T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/1997\/January\/Socioeconomic-status-and-visits-to-physicians-by-adults-in-Ontario-Canada"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Socio-economic status and visits to physicians by adults in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Objectives &#x2014; 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