Titre : | Income-related inequity in health and Health care utilization in Canada. |
Titre original: | Les inégalités de santé relatives au revenu et utilisation des services de santé au Canada. |
Titre de série : | CHEPA Working paper, 15-02 |
Auteurs : | M. GRIGNON ; J. HURLEY ; L. WANG ; McMaster University. Hamilton ON. CAN |
Type de document : | Document de travail |
Editeur : | Hamilton : McMaster University, 2014 |
Format : | 16p., tabl., fig. |
Note générale : | Référence : réf. bibl. |
Langues: | Anglais |
Catégories : |
[BDSP5] Economie santé > Consommation médicale [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation > Indicateur [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Processus > Evolution [BDSP5] Géographie politique > Monde > Amérique > Amérique du Nord > Canada [BDSP5] Information sanitaire > Enquête santé [BDSP5] Information sanitaire > Etat santé [BDSP5] Sciences économiques > Concept économique > Revenu [BDSP5] Sciences économiques > Econométrie > Modèle économétrique > Indice de concentration [BDSP5] Sciences éducation > Pédagogie > Evaluation des connaissances > Autoévaluation [BDSP5] Sociologie > Société > Vie sociale > Inégalité sociale [BDSP5] Soins > Soins buccodentaires > Soins dentaires |
Résumé : | We use data from two independent large cross-sections of the Canadian population, the Canadian Communities Health Survey for 2000-01 and 2005 to estimate income-related inequity in health and health care use. We apply the Horizontal Inequity Index to self-assessed health and self-reported visits to a family doctor, a specialist, and a dentist, as well as the number of nights in hospital as our measures of utilization. Beside self-reports in the survey we use administrative data on a sub-sample (in Ontario) to measure the money value of services used and include day procedures, that are typically not measured through self-reports. We find pro-rich inequity in health as well as strong pro-rich inequity in the utilization of specialist and dental care services. The poor use more inpatient services, and the total value of physician and hospital services is income-neutral in Ontario. Income-related inequities in health and health care utilization did not change in Canada between 2000 and 2005 |
En ligne : | http://www.chepa.org/docs/default-source/working-papers/chepa-working-paper-2014.pdf |