An abundance of literature links socio-economic status to health and health care in Canada and other countries. Recent anecdotal evidence indicates that Canadians believe their access to health care is diminishing over time. This study provides a brief description of utilization patterns in health-care services provided under public health insurance (physicians, specialists and hospitals) in Canada between 1978 and 2003. The relationships between socio-economic status (SES) and utilization, controlling for demographic characteristics are examined to investigate whether changes in the equity of utilization have occurred over time. Results indicate that SES inequities in utilization are apparent in publicly insured services, appearing to be more relevant in initial contact with the system rather than in the number of visits. Specialist’s services are particularly problematic and becoming more so over time.
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