加拿大自我报告的未满足医疗需求的原因：基于人群的省级比较。
Reasons for self-reported unmet healthcare needs in Canada: a population-based provincial comparison.
作者信息
Sibley Lyn M, Glazier Richard H
机构信息
Postdoctoral Fellow, Institute for Clinical Evaluative Sciences, Health System Performance Research Network, Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
出版信息
Healthc Policy. 2009 Aug;5(1):87-101.
In this study, we compare self-perceived unmet need across Canadian provinces and assess how the reasons for unmet need - problems with availability, accessibility and acceptability - vary. This cross-sectional study uses data from the Canadian Community Health Survey (2.1) conducted in 2003. Overall, 11.7% perceived having had unmet healthcare needs in the previous 12 months. The adjusted provincial rates varied from 13.3% in Manitoba to 7.8% in Prince Edward Island. Among those reporting unmet health service needs, the leading reason was problems of availability of services (54.9%), followed by acceptability (42.8%) and accessibility related to cost or transportation (12.7%). Unmet need due to problems of availability was most likely in Quebec, Newfoundland and Manitoba, while Alberta and British Columbia had the highest likelihood of unmet need due to accessibility problems. Those in British Columbia, Saskatchewan and Manitoba were more likely to report problems of acceptability. The reasons for unmet need vary across provinces, with each reason having different policy implications.
在本研究中，我们比较了加拿大各省自我感知的未满足需求，并评估了未满足需求的原因——可及性、可获得性和可接受性方面的问题——是如何变化的。这项横断面研究使用了2003年进行的加拿大社区健康调查（2.1）的数据。总体而言，11.7%的人认为在过去12个月里有未满足的医疗保健需求。调整后的省级比率从曼尼托巴省的13.3%到爱德华王子岛省的7.8%不等。在报告有未满足的卫生服务需求的人群中，主要原因是服务可获得性问题（54.9%），其次是可接受性（42.8%）以及与成本或交通相关的可及性（12.7%）。由于可获得性问题导致的未满足需求在魁北克省、纽芬兰省和曼尼托巴省最为常见，而艾伯塔省和不列颠哥伦比亚省因可及性问题导致未满足需求的可能性最高。不列颠哥伦比亚省、萨斯喀彻温省和曼尼托巴省的居民更有可能报告可接受性问题。未满足需求的原因因省份而异，每个原因都有不同的政策含义。
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