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Am J Public Health. 2003 May;93(5):798-802.

Markers of access to and quality of primary care for aboriginal people in Ontario, Canada.

Author information

1
Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5.

Abstract

OBJECTIVES:

We evaluated primary care accessibility and quality for Ontario's aboriginal population.

METHODS:

We compared a defined aboriginal cohort with nonaboriginal populations with analogous geographic isolation and low socioeconomic status. We determined rates of hospitalization for the following indicators of adequacy of primary care: ambulatory care-sensitive (ACS) conditions and utilization of referral care-sensitive (RCS) procedures from administrative databases.

RESULTS:

ACS hospitalization rates, relative to the general population, were 2.54, 1.50, and 1.14 for the aboriginal population, the geographic control populations, and the socioeconomic control populations, respectively. The relative RCS procedure utilization rates were 0.64, 0.91, and 1.00, respectively.

CONCLUSIONS:

The increased ACS hospitalization rate and reduced RCS procedure utilization rate suggest that northern Ontario's aboriginal residents have insufficient or ineffective primary care.

PMID:
12721147
PMCID:
PMC1447842
DOI:
10.2105/ajph.93.5.798
[Indexed for MEDLINE]
Free PMC Article

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