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[验证加拿大各健康区域的在线医疗联络与沟通系统(OLMCS)获取医疗专业人员服务的公平性]

[Validation of the equity of access of the OLMCS to health professionals in health regions of Canada].

作者信息

Warnke Jan, Bouchard Louise

机构信息

Université Laval.

出版信息

Can J Public Health. 2013 Jun 13;104(6 Suppl 1):S49-54. doi: 10.17269/cjph.104.3490.

DOI:10.17269/cjph.104.3490
PMID:24300321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6973703/
Abstract

OBJECTIVE

Our research uses a regional summary indicator (IHPOLM) to measure the capacity of the health system to provide equitable access to health professionals for 2 million Official Language Minority Community (OLMC) members dispersed across 104 health regions in Canada.

METHOD

The summary indicator IHPOLM compares the official language minority and the official language majority potential access to health professionals. The IHPOLM indicator uses 22 professional health care occupations, representing 79% of the health care workforce in Canada, who communicate directly with their clientele for therapeutic or diagnostic purposes (Statistics Canada, 2006).

RESULTS

The IHPOLM indicator revealed that the OLMC population is at a disadvantage in potential access to health professionals capable of providing services in the minority language when compared to the majority language population in 10 of the 13 Canadian provinces/territories. OLMC members are disadvantaged in 13 out of 14 health regions in Ontario, in 16 out of 18 in Québec and in 3 out of 7 in New Brunswick.

CONCLUSION

The summary regional indicator IHPOLM identified OLMC health care access inequalities between the official language minority population and the majority language population in the health care system across the health regions in Canada. The more detailed analysis of IHPOLM for individual health occupations will further improve our knowledge of Official Language Minority Community health access inequalities.

摘要

目的

我们的研究使用一种区域汇总指标(IHPOLM)来衡量卫生系统的能力,该能力旨在为分散在加拿大104个卫生区域的200万官方语言少数群体社区(OLMC)成员提供公平获取卫生专业人员服务的机会。

方法

汇总指标IHPOLM比较了官方语言少数群体和官方语言多数群体获取卫生专业人员服务的潜在机会。IHPOLM指标使用了22种专业医疗职业,这些职业占加拿大医疗劳动力的79%,他们为了治疗或诊断目的直接与客户沟通(加拿大统计局,2006年)。

结果

IHPOLM指标显示,与加拿大13个省/地区中的10个地区的多数语言群体相比,OLMC人群在获取能够用少数语言提供服务的卫生专业人员方面处于劣势。在安大略省的14个卫生区域中有13个地区,魁北克省的18个中有16个地区,新不伦瑞克省的7个中有3个地区,OLMC成员处于劣势。

结论

区域汇总指标IHPOLM确定了加拿大各卫生区域卫生系统中官方语言少数群体与多数语言群体在获取医疗服务方面的不平等。对IHPOLM针对各个卫生职业进行更详细的分析将进一步提高我们对官方语言少数群体社区获取医疗服务不平等情况的认识。

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