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The nature and correlates of unmet health care needs in Ontario, Canada

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  • Nelson, Connie Holmes
  • Park, Jungwee

Abstract

Using data from the Canadian Community Health Survey (CCHS) Cycle 1.2, we examine the nature of unmet mental health care needs in Ontario, Canada and how this is associated with socio-demographic, social support, health status and mental health service use factors. Unmet mental health care needs result from experiencing barriers to three issues: acceptability, accessibility and availability. Unmet needs due to acceptability issues are the most frequent type; the largest proportion of people within this category report experiencing unmet needs because they "preferred to manage the problem themselves". Unmet needs are greater among the young and among females. Surprisingly, service users report higher rates of unmet needs than non-users. Some social support variables have associations with unmet needs. Based upon these results, unmet needs pose a major challenge to the health care system since they cannot be resolved solely by enhancing access to and availability of mental health services. Thus, to address unmet mental health care needs, efforts should be focused on the acceptability barriers that women and young people in particular face. Enhancing education and certain social support mechanisms are potential strategies.

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  • Nelson, Connie Holmes & Park, Jungwee, 2006. "The nature and correlates of unmet health care needs in Ontario, Canada," Social Science & Medicine, Elsevier, vol. 62(9), pages 2291-2300, May.
    • Handle: RePEc:eee:socmed:v:62:y:2006:i:9:p:2291-2300
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    1. Allin, Sara & Grignon, Michel & Le Grand, Julian, 2010. "Subjective unmet need and utilization of health care services in Canada: What are the equity implications?," Social Science & Medicine, Elsevier, vol. 70(3), pages 465-472, February.
    2. Hye-Young Jang & Young Ko & Song-Yi Han, 2020. "The Effects of Social Networks of the Older Adults with Limited Instrumental Activities of Daily Living on Unmet Medical Needs," IJERPH, MDPI, vol. 18(1), pages 1-10, December.
    3. Julia Wells & Catriona Kennedy & Heather Bain & Siew Hwa Lee, 2020. "The experiences of older adults with a diagnosed functional mental illness, their carers and healthcare professionals in relation to mental health service delivery: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 31-52, January.
    4. Park, Sojung & Kim, BoRin & Kim, Soojung, 2016. "Poverty and working status in changes of unmet health care need in old age," Health Policy, Elsevier, vol. 120(6), pages 638-645.
    5. Connolly, Sheelah & Wren, Maev-Ann, 2017. "Unmet healthcare needs in Ireland: Analysis using the EU-SILC survey," Health Policy, Elsevier, vol. 121(4), pages 434-441.
    6. Hana Bataineh & Rose Anne Devlin & Vicky Barham, 2019. "Unmet health care and health care utilization," Health Economics, John Wiley & Sons, Ltd., vol. 28(4), pages 529-542, April.
    7. Winnie W. Kung & Xiaoran Wang & Xinhua Liu & Emily Goldmann & Debbie Huang, 2019. "Unmet Mental Health Care Needs among Asian Americans 10–11 Years After Exposure to the World Trade Center Attack," IJERPH, MDPI, vol. 16(7), pages 1-15, April.
    8. Evelina Pappa & Nick Kontodimopoulos & Angelos Papadopoulos & Yannis Tountas & Dimitris Niakas, 2013. "Investigating Unmet Health Needs in Primary Health Care Services in a Representative Sample of the Greek Population," IJERPH, MDPI, vol. 10(5), pages 1-11, May.
    9. Başar, Dilek & Dikmen, Fatih Hakan & Öztürk, Selcen, 2021. "The prevalence and determinants of unmet health care needs in Turkey," Health Policy, Elsevier, vol. 125(6), pages 786-792.
    10. Ilan Kwon & Oejin Shin & Sojung Park & Goeun Kwon, 2019. "Multi-Morbid Health Profiles and Specialty Healthcare Service Use: A Moderating Role of Poverty," IJERPH, MDPI, vol. 16(11), pages 1-14, June.
    11. Marie-Josée Fleury & Jean-Marie Bamvita & Guy Grenier & Jean Caron, 2015. "Help Received for Perceived Needs Related to Mental Health in a Montreal (Canada) Epidemiological Catchment Area," IJERPH, MDPI, vol. 12(10), pages 1-22, October.
    12. Asanin, Jennifer & Wilson, Kathi, 2008. ""I spent nine years looking for a doctor": Exploring access to health care among immigrants in Mississauga, Ontario, Canada," Social Science & Medicine, Elsevier, vol. 66(6), pages 1271-1283, March.
    13. Brackbill, Robert M. & Stellman, Steven D. & Perlman, Sharon E. & Walker, Deborah J. & Farfel, Mark R., 2013. "Mental health of those directly exposed to the World Trade Center disaster: Unmet mental health care need, mental health treatment service use, and quality of life," Social Science & Medicine, Elsevier, vol. 81(C), pages 110-114.
    14. Wang, Lu & Rosenberg, Mark & Lo, Lucia, 2008. "Ethnicity and utilization of family physicians: A case study of Mainland Chinese immigrants in Toronto, Canada," Social Science & Medicine, Elsevier, vol. 67(9), pages 1410-1422, November.
    15. Grant Gibson & Michel Grignon & Jeremiah Hurley & Li Wang, 2019. "Here comes the SUN: Self‐assessed unmet need, worsening health outcomes, and health care inequity," Health Economics, John Wiley & Sons, Ltd., vol. 28(6), pages 727-735, June.

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