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Trends in health service use among persons with Parkinson’s disease by rurality: A population-based repeated cross-sectional study

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  • Laura C Maclagan
  • Connie Marras
  • Isabella J Sewell
  • C Fangyun Wu
  • Debra A Butt
  • Karen Tu
  • Susan E Bronskill

Abstract

Background: The global burden of Parkinson’s disease (PD) has more than doubled over the past three decades, and this trend is expected to continue. Despite generally poorer access to health care services in rural areas, little previous work has examined health system use in persons with PD by rurality. We examined trends in the prevalence of PD and health service use among persons with PD by rurality in Ontario, Canada. Methods: We conducted a repeated, cross-sectional analysis of persons with prevalent PD aged 40+ years on April 1st of each year from 2000 to 2018 using health administrative databases and calculated the age-sex standardized prevalence of PD. Prevalence of PD was also stratified by rurality and sex. Negative binomial models were used to calculate rate ratios with 95% confidence intervals comparing rates of health service use in rural compared to urban residents in 2018. Results: The age-sex standardized prevalence of PD in Ontario increased by 0.34% per year (p

Suggested Citation

  • Laura C Maclagan & Connie Marras & Isabella J Sewell & C Fangyun Wu & Debra A Butt & Karen Tu & Susan E Bronskill, 2023. "Trends in health service use among persons with Parkinson’s disease by rurality: A population-based repeated cross-sectional study," PLOS ONE, Public Library of Science, vol. 18(5), pages 1-13, May.
    • Handle: RePEc:plo:pone00:0285585
    DOI: 10.1371/journal.pone.0285585
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    1. Peter C. Austin, 2009. "The Relative Ability of Different Propensity Score Methods to Balance Measured Covariates Between Treated and Untreated Subjects in Observational Studies," Medical Decision Making, , vol. 29(6), pages 661-677, November.
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