Patient Utilization of Family Physicians/General Practitioners and Specialists by Education and Income, Population-Weighted Canadian Community Health Survey, 2000–2001, for Ontario, and Ontario Health Insurance Plan Claims, 2002–2004
Educationa,b | Incomea,c | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Variabled | Age, y | High % | Medium % | Low % | Rate Ratio | 95% CI | High % | Medium % | Low % | Rate Ratio | 95% CI |
CI=confidence interval; FP/GP = family physician/general practitioner. | |||||||||||
Note: Rate ratio for high/low education and income. | |||||||||||
a Data from the Canadian Community Health Survey. | |||||||||||
b Educational attainment categorized as low (not completed high school), medium (high school completion and some postsecondary education), and high (university degree). Values missing for 0.7% of respondents. | |||||||||||
c Income defined using total household income adjusted for the number of people living in the household and categorized as low (Statistics Canada’s lowest and lower-middle income), medium (upper-middle income), and high (highest income). For a household with 2 or fewer people, income levels correspond with Canadian dollar incomes of <$30,000, $30,000-59,999, and ≥$60,000, respectively. Values missing for 9.0% of respondents. | |||||||||||
d Data from the Ontario Health Insurance Plan Claims. | |||||||||||
FP/GP visits ≥1 | |||||||||||
Female | 20–44 | 91.1 | 89.9 | 91.7 | 0.99 | 0.96–1.03 | 92.4 | 89.6 | 89.4 | 1.03 | 1.00–1.07 |
45–79 | 91.4 | 90.9 | 92.5 | 0.99 | 0.96–1.01 | 91.8 | 91.5 | 91.2 | 1.01 | 0.98–1.03 | |
Male | 20–44 | 81.9 | 81.1 | 79.7 | 1.03 | 0.96–1.09 | 81.8 | 80.0 | 81.0 | 1.01 | 0.96–1.06 |
45–79 | 87.6 | 87.0 | 86.2 | 1.02 | 0.98–1.05 | 84.9 | 90.0 | 85.8 | 0.99 | 0.95–1.03 | |
All | 20–79 | 87.4 | 86.9 | 88.2 | 0.99 | 0.97–1.01 | 87.0 | 87.4 | 87.2 | 1.00 | 0.98–1.02 |
FP/GP visits ≥10 | |||||||||||
Female | 20–44 | 29.3 | 31.8 | 42.8 | 0.68 | 0.54–0.82 | 26.9 | 34.3 | 33.3 | 0.81 | 0.68–0.93 |
45–79 | 38.7 | 47.5 | 55.7 | 0.69 | 0.63–0.76 | 37.8 | 47.4 | 51.0 | 0.74 | 0.66–0.82 | |
Male | 20–44 | 14.0 | 15.1 | 20.2 | 0.69 | 0.50–0.89 | 13.4 | 13.6 | 19.0 | 0.70 | 0.50–0.91 |
45–79 | 33.4 | 38.5 | 43.3 | 0.77 | 0.69–0.85 | 31.4 | 39.3 | 44.0 | 0.71 | 0.62–0.81 | |
All | 20–79 | 27.4 | 31.7 | 44.1 | 0.62 | 0.58–0.66 | 25.9 | 32.8 | 37.6 | 0.69 | 0.64–0.74 |
Specialist visits ≥1 | |||||||||||
Female | 20–44 | 52.3 | 51.5 | 56.0 | 0.93 | 0.82–1.04 | 52.5 | 51.5 | 53.9 | 0.97 | 0.88–1.06 |
45–79 | 68.2 | 70.9 | 72.9 | 0.94 | 0.88–0.99 | 67.8 | 70.1 | 71.9 | 0.94 | 0.89–1.00 | |
Male | 20–44 | 39.1 | 33.2 | 38.0 | 1.03 | 0.86–1.20 | 37.7 | 34.9 | 39.9 | 0.95 | 0.82–1.08 |
45–79 | 64.3 | 63.1 | 64.6 | 0.99 | 0.93–1.06 | 62.0 | 66.1 | 64.2 | 0.97 | 0.90–1.04 | |
All | 20–79 | 54.3 | 52.7 | 62.3 | 0.87 | 0.84–0.91 | 53.2 | 54.8 | 58.2 | 0.91 | 0.88–0.95 |
Specialist visits ≥5 | |||||||||||
Female | 20–44 | 16.3 | 17.9 | 17.9 | 0.91 | 0.64–1.18 | 15.4 | 17.8 | 18.8 | 0.82 | 0.62–1.01 |
45–79 | 35.1 | 34.8 | 36.9 | 0.95 | 0.85–1.06 | 32.2 | 37.0 | 37.9 | 0.85 | 0.74–0.96 | |
Male | 20–44 | 9.5 | 9.1 | 14.3 | 0.66 | 0.44–0.89 | 9.0 | 10.0 | 11.0 | 0.82 | 0.55–1.08 |
45–79 | 30.5 | 32.1 | 32.7 | 0.93 | 0.82–1.05 | 28.2 | 35.0 | 35.0 | 0.81 | 0.69–0.92 | |
All | 20–79 | 21.4 | 22.0 | 29.4 | 0.73 | 0.67–0.79 | 20.0 | 23.7 | 26.9 | 0.74 | 0.70–0.83 |