Casey Rebecca
Department of Sociology, McMaster University, 1280 Main St. West, Hamilton, ON L8S 4L8, Canada.
Disabil Health J. 2015 Apr;8(2):173-81. doi: 10.1016/j.dhjo.2014.09.010. Epub 2014 Oct 13.
The rate of unmet health care needs is quite high for the general population in Canada; however, the rate is even higher for the subset of people with disabilities. To date, there is a gap in the research utilizing longitudinal data to measure the unmet health care needs of Canadians.
OBJECTIVE/HYPOTHESIS: The purpose of this research is to compare the rate of unmet health care needs of people with disabilities to people without disabilities over 15 years.
Longitudinal data from waves 1 to 8 (1994/95 to 2008/09) of the National Population Health Survey in Canada (NPHS) were analyzed using a growth curve modeling approach.
Respondents with disabilities have two to three times the rate of unmet health care needs compared to respondents without disabilities. Unmet health care needs increase over time, and at a faster rate for all disability types except work-related disability. Personal reasons for unmet health care needs decrease over time and there is no significant difference between respondents with disabilities and respondents without disabilities. The opposite was found for structural reasons, which increase over time, and, people with disabilities have higher rates of structural-based unmet health care needs (45% higher) at baseline.
The incidence of disability in the population increases over time while at the same time the rate of unmet health care needs are higher for people with disabilities. The combination of these factors suggests that, in the absence of intervention, Canadians can expect more unmet health care needs in the future.
加拿大普通人群中未满足的医疗保健需求率相当高；然而，残疾人群体的这一比率更高。迄今为止，在利用纵向数据衡量加拿大人未满足的医疗保健需求方面的研究存在差距。
目的/假设：本研究的目的是比较15年间残疾人和非残疾人未满足的医疗保健需求率。
使用增长曲线建模方法分析了加拿大国家人口健康调查（NPHS）第1至8轮（1994/95年至2008/09年）的纵向数据。
与非残疾受访者相比，残疾受访者未满足的医疗保健需求率高出两到三倍。未满足的医疗保健需求随时间增加，除与工作相关的残疾外，所有残疾类型的增长速度都更快。未满足医疗保健需求的个人原因随时间减少，残疾受访者和非残疾受访者之间没有显著差异。在结构性原因方面则相反，结构性原因随时间增加，并且残疾人在基线时基于结构的未满足医疗保健需求率更高（高出45%）。
随着时间的推移，人群中的残疾发生率增加，与此同时残疾人未满足的医疗保健需求率更高。这些因素共同表明，在没有干预的情况下，加拿大人未来可能会有更多未满足的医疗保健需求。
