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Health Care Utilization in Canada: Twenty-five Years of Evidence

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  • Lori J. Curtis
  • William J. MacMinn

Abstract

A plethora of literature links socioeconomic status (SES) to health and health care utilization. Recent anecdotal evidence indicates that Canadians believe their access to health care is diminishing. This study describes health care utilization patterns for services provided under public health insurance (physicians, specialists, and hospitals) in Canada between 1978 and 2003. The relationship between SES and utilization, controlling for health and demographic characteristics, is examined to investigate whether changes in the equity of utilization have occurred over time. Results indicate that SES inequities in utilization are apparent, appearing to be more relevant in initial contact with the system than in the number of visits. Specialists' services are particularly problematic and becoming more so over time.

Suggested Citation

  • Lori J. Curtis & William J. MacMinn, 2008. "Health Care Utilization in Canada: Twenty-five Years of Evidence," Canadian Public Policy, University of Toronto Press, vol. 34(1), pages 65-88, March.
    • Handle: RePEc:cpp:issued:v:34:y:2008:i:1:p:65-88
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    References listed on IDEAS

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    2. O'Gorman, Melanie, 2021. "Mental and physical health impacts of water/sanitation infrastructure in First Nations communities in Canada: An analysis of the Regional Health Survey," World Development, Elsevier, vol. 145(C).
    3. Devlin, Rose Anne & Sarma, Sisira & Zhang, Qi, 2011. "The role of supplemental coverage in a universal health insurance system: Some Canadian evidence," Health Policy, Elsevier, vol. 100(1), pages 81-90, April.
    4. Asiya Patel & Jennifer Dean & Sara Edge & Kathi Wilson & Effat Ghassemi, 2019. "Double Burden of Rural Migration in Canada? Considering the Social Determinants of Health Related to Immigrant Settlement Outside the Cosmopolis," IJERPH, MDPI, vol. 16(5), pages 1-20, February.

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