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Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey.

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Title: Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey.
Authors: Lasser KE (AUTHOR), Himmelstein DU (AUTHOR), Woolhandler S (AUTHOR)
Source: American Journal of Public Health. Jul2006, Vol. 96 Issue 7, p1300-1307. 8p.
Subjects: Health services accessibility, Medical care, Race, Income, Immigrants
Geographic Terms: United States, Canada
Abstract: OBJECTIVES: We compared health status, access to care, and utilization of medical services in the United States and Canada and compared disparities according to race, income, and immigrant status. METHODS: We analyzed population-based data on 3505 Canadian and 5183 US adults from the Joint Canada/US Survey of Health. Controlling for gender, age, income, race, and immigrant status, we used logistic regression to analyze country as a predictor of access to care, quality of care, and satisfaction with care and as a predictor of disparities in these measures. RESULTS: In multivariate analyses, US respondents (compared with Canadians) were less likely to have a regular doctor, more likely to have unmet health needs, and more likely to forgo needed medicines. Disparities on the basis of race, income, and immigrant status were present in both countries but were more extreme in the United States. CONCLUSIONS: United States residents are less able to access care than are Canadians. Universal coverage appears to reduce most disparities in access to care. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey.
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  Data: <searchLink fieldCode="AR" term="%22Lasser+KE%22">Lasser KE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Himmelstein+DU%22">Himmelstein DU</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Woolhandler+S%22">Woolhandler S</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jul2006, Vol. 96 Issue 7, p1300-1307. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Income%22">Income</searchLink><br /><searchLink fieldCode="DE" term="%22Immigrants%22">Immigrants</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink><br /><searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: We compared health status, access to care, and utilization of medical services in the United States and Canada and compared disparities according to race, income, and immigrant status. METHODS: We analyzed population-based data on 3505 Canadian and 5183 US adults from the Joint Canada/US Survey of Health. Controlling for gender, age, income, race, and immigrant status, we used logistic regression to analyze country as a predictor of access to care, quality of care, and satisfaction with care and as a predictor of disparities in these measures. RESULTS: In multivariate analyses, US respondents (compared with Canadians) were less likely to have a regular doctor, more likely to have unmet health needs, and more likely to forgo needed medicines. Disparities on the basis of race, income, and immigrant status were present in both countries but were more extreme in the United States. CONCLUSIONS: United States residents are less able to access care than are Canadians. Universal coverage appears to reduce most disparities in access to care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.2105/AJPH.2004.059402
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      – Code: eng
        Text: English
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        PageCount: 8
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      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Race
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      – SubjectFull: Income
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      – SubjectFull: Immigrants
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      – SubjectFull: United States
        Type: general
      – SubjectFull: Canada
        Type: general
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      – TitleFull: Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey.
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              Text: Jul2006
              Type: published
              Y: 2006
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