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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