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Patterns and determinants of health care utilization among people with Parkinson’s disease: A population-based analysis in Ontario, Canada

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  • Eric J Crighton
  • Alexandra M Ouédraogo
  • M Sawada
  • Tiago A Mestre

Abstract

In Ontario, despite the increasing prevalence of Parkinson’s disease (PD), barriers to access-to-care for people with Parkinson’s disease (PwP) and their caregivers are not well understood. The objective of this study is to examine spatial patterns of health care utilization among PwP and identify factors associated with PD-related health care utilization of individuals in Ontario. We employed a retrospective, population-based study design involving administrative health data to identify PwP as of March 31, 2018 (N = 35,482) using a previously validated case definition. An enhanced 2-step floating catchment area method was used to measure spatial accessibility to PD care and a descriptive spatial analysis was conducted to describe health service utilization by geographic area and specialty type. Negative binomial regression models were then conducted to identify associated geographic, socioeconomic, comorbidity and demographic factors. There was marked spatial variability in PD-related service utilization, with neurology and all provider visits being significantly higher in urban areas (CMF>1.20; p 1.20; p

Suggested Citation

  • Eric J Crighton & Alexandra M Ouédraogo & M Sawada & Tiago A Mestre, 2024. "Patterns and determinants of health care utilization among people with Parkinson’s disease: A population-based analysis in Ontario, Canada," PLOS ONE, Public Library of Science, vol. 19(6), pages 1-20, June.
    • Handle: RePEc:plo:pone00:0305062
    DOI: 10.1371/journal.pone.0305062
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    References listed on IDEAS

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    1. Jan Bauer & David A Groneberg, 2016. "Measuring Spatial Accessibility of Health Care Providers – Introduction of a Variable Distance Decay Function within the Floating Catchment Area (FCA) Method," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-17, July.
    2. Alexandra M Ouédraogo & Eric J Crighton & Michael Sawada & Teresa To & Kevin Brand & Eric Lavigne, 2018. "Exploration of the spatial patterns and determinants of asthma prevalence and health services use in Ontario using a Bayesian approach," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-16, December.
    3. Baier, Natalie & Pieper, Jonas & Schweikart, Jürgen & Busse, Reinhard & Vogt, Verena, 2020. "Capturing modelled and perceived spatial access to ambulatory health care services in rural and urban areas in Germany," Social Science & Medicine, Elsevier, vol. 265(C).
    4. 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.
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