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Table 4 Indicators of access difficulties

From: Does healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries

Characteristic

Indicator of access difficulty (outcome variable in regression model)

Difficulty getting needed care or advice1

(n = 233)

Forgone care due to difficulty (n = 231)

Use of ER due to difficulty (n = 273)

Any ER use

(n = 279)

Any hospitalization (n = 269)

Frequency overall

31.0%

19.5%

11.3%

28.2%

12.3%

Chronic illness burden

   

 Category of increasing burden

  

1.73 (1.14; 2.62)

1.48 (1.12; 1.96)

1.49 (1.03; 2.15)

Impact of personal and social characteristics

OR (95% CI)

Increasing age, decades

0.71 (0.57; 0.87)

0.66 (0.25; 0.84)

0.67 (0.51; 0.89)

0.80 (0.66; 0.97)

Immigrant status

ref. = no; 1 = yes

2.142

(1.14; 4.00)

Limited language proficiency

ref. = dominant language3 at home, 1 = other language only

3.58 (0.83; 15.45)

p = 0.09

Indigenous/Aboriginal status

ref. = no; 1 = yes

3.13 (1.14; 8.57)

Financial vulnerability

ref. = modest or comfortable, 1 = poor or very tight

2.54 (1.32; 4.87)

3.36 (1.61; 7.00)

3.30 (1.45; 7.51)

2.08 (1.15; 3.78)

Sum of social vulnerabilities, in order of increasing vulnerability

1.59 (1.05; 2.40)

2.08 (1.30; 3.34)

2.09 (1.46; 2.97)

2+ Social vulnerabilities

ref. = less than 1, 1 = 2 or more

2.19 (0.97; 4.91)

p = 0.06

2.86 (1.19; 6.85)

3.18 (1.24; 8.19)

3.33 (1.57; 7.08)

  1. 1 Among persons needing any healthcare in last 6 months
  2. 2 New immigrants show statistically higher any ER use: OR = 8.89 (95% CI: 2.09; 37.8)
  3. 3 Dominant language was English, or French in Quebec
  4. Abbreviations: CI, confidence interval; ER, emergency room; OR, odds ratio