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Markers of Access to and Quality of Primary Care for Aboriginal People in Ontario, Canada

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  • Shah, B.R.
  • Gunraj, N.
  • Hux, J.E.

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.

Suggested Citation

  • Shah, B.R. & Gunraj, N. & Hux, J.E., 2003. "Markers of Access to and Quality of Primary Care for Aboriginal People in Ontario, Canada," American Journal of Public Health, American Public Health Association, vol. 93(5), pages 798-802.
    • Handle: RePEc:aph:ajpbhl:2003:93:5:798-802_1
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    Cited by:

    1. Goodman, Ashley & Fleming, Kim & Markwick, Nicole & Morrison, Tracey & Lagimodiere, Louise & Kerr, Thomas, 2017. "“They treated me like crap and I know it was because I was Native”: The healthcare experiences of Aboriginal peoples living in Vancouver's inner city," Social Science & Medicine, Elsevier, vol. 178(C), pages 87-94.
    2. repec:idb:brikps:72698 is not listed on IDEAS
    3. Denise Genereux & Lida Fan & Keith Brownlee, 2021. "The Psychosocial and Somatic Effects of Relocation from Remote Canadian First Nation Communities to Urban Centres on Indigenous Peoples with Chronic Kidney Disease (CKD)," IJERPH, MDPI, vol. 18(7), pages 1-13, April.
    4. Lavoie, Josée Gabrielle & Forget, Evelyn L. & Prakash, Tara & Dahl, Matt & Martens, Patricia & O'Neil, John D., 2010. "Have investments in on-reserve health services and initiatives promoting community control improved First Nations' health in Manitoba?," Social Science & Medicine, Elsevier, vol. 71(4), pages 717-724, August.
    5. Nelson, Sarah E. & Wilson, Kathi, 2018. "Understanding barriers to health care access through cultural safety and ethical space: Indigenous people's experiences in Prince George, Canada," Social Science & Medicine, Elsevier, vol. 218(C), pages 21-27.

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