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Unmet healthcare need, gender, and health inequalities in Canada

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  • Bryant, Toba
  • Leaver, Chad
  • Dunn, James
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    Abstract

    Unmet healthcare need should be rare in nations with a universally accessible publicly funded healthcare system such as Canada. This however is not the case. This study examines the extent to which predictors of such need are consistent with various paradigmatic approaches (e.g., structural-critical, social capital, social support, and lifestyle) that consider such issues. Analyses of data from a probability sample of 2536 urban residents in British Columbia specified the relationship of unmet need with socioeconomic issues such as income, gender, and housing tenure, community issues such as social networks and social support, and traditional lifestyle or behavioural risk factors. The structural-critical model concerned with socio-demographics provided the most parsimonious explanation for having an unmet healthcare need. Consistent with a structural-critical approach, gender was found to be a reliable predictor of having an unmet health need in each of the models tested. Increasing federal transfers to healthcare and providing childcare and other community supports that are of special value for women may help to reduce unmet healthcare need.

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    File URL: http://www.sciencedirect.com/science/article/B6V8X-4V4M2P5-4/2/b2e25c3d9d511419b38547dad0e617ec
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    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 91 (2009)
    Issue (Month): 1 (June)
    Pages: 24-32

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    Handle: RePEc:eee:hepoli:v:91:y:2009:i:1:p:24-32

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    Web page: http://www.elsevier.com/locate/healthpol

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    Keywords: Unmet healthcare need Healthcare policy Women Health inequalities;

    References

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    1. Hawe, Penelope & Shiell, Alan, 2000. "Social capital and health promotion: a review," Social Science & Medicine, Elsevier, vol. 51(6), pages 871-885, September.
    2. Dunlop, Sheryl & Coyte, Peter C. & McIsaac, Warren, 2000. "Socio-economic status and the utilisation of physicians' services: results from the Canadian National Population Health Survey," Social Science & Medicine, Elsevier, vol. 51(1), pages 123-133, July.
    3. Sheps, S.B. & Reid, R.J. & Barer, M.L. & Krueger, H. & McGrail, K.M. & Green, B. & Evans, R.G. & Hertzman, C., 2000. "Hospital Downsizing and Trends in Health Care Use Among Elderly People in British Columbia," Centre for Health Services and Policy Research 2000:10, University of British Columbia - Centre for Health Services and Policy Research..
    4. Artazcoz, L.Lucía & Borrell, Carme & Benach, Joan & Cortès, Imma & Rohlfs, Izabella, 2004. "Women, family demands and health: the importance of employment status and socio-economic position," Social Science & Medicine, Elsevier, vol. 59(2), pages 263-274, July.
    5. Sanmartin, C. & Shortt, E.D. & Barer, M.L. & Sheps, S. & Lewis, S. & McDonald, P.W., 2000. "Waiting for Medical Services in Canda: Lots of Heat, but Little Light," Centre for Health Services and Policy Research 2000:5, University of British Columbia - Centre for Health Services and Policy Research..
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