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Do People with Disabilities Have Difficulty Finding a Family Physician?

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  • Mary Ann McColl

    (School of Rehabilitation Therapy, Queen's University, Kingston, ON K7L-3N6, Canada
    Centre for Health Services & Policy Research, Queen's University, Kingston, ON K7L-3N6, Canada)

  • Alice Aiken

    (School of Rehabilitation Therapy, Queen's University, Kingston, ON K7L-3N6, Canada)

  • Michael Schaub

    (Centre for Health Services & Policy Research, Queen's University, Kingston, ON K7L-3N6, Canada)

Abstract

Primary care has been ideally characterized as the medical home for all citizens, and yet recent data shows that approximately 6% do not have a family physician, and only 17.5% of family practices are open to new patients. Given acknowledged shortages of family physicians, this research asks the question: Do people with disabilities have particular difficulty finding a family physician? Health Care Connect (HCC) is a government-funded agency in Ontario Canada, designed to “ help Ontarians who are without a family health care provider to find one ”. Using data from HCC, supplemented by interviews with HCC staff, the study explores the average wait time for patients with disabilities to be linked with a primary care physician, and the challenges faced by agency staff in doing so. The study found that disabled registrants with the program are only slightly disadvantaged in terms of wait times to find a family physician, and success rates are ultimately comparable; however, agency staff report that there are a number of significant challenges associated with placing disabled patients.

Suggested Citation

  • Mary Ann McColl & Alice Aiken & Michael Schaub, 2015. "Do People with Disabilities Have Difficulty Finding a Family Physician?," IJERPH, MDPI, vol. 12(5), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:5:p:4638-4651:d:48886
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    References listed on IDEAS

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    1. Brownell, Marni D. & Roos, Noralou P. & Roos, Leslie L., 2001. "Monitoring health reform: a report card approach," Social Science & Medicine, Elsevier, vol. 52(5), pages 657-670, March.
    2. Kruk, M.E. & Nigenda, G. & Knaul, F.M., 2015. "Redesigning primary care to tackle the global epidemic of noncommunicable disease," American Journal of Public Health, American Public Health Association, vol. 105(3), pages 431-437.
    3. Barros, Pedro Pita, 2003. "Cream-skimming, incentives for efficiency and payment system," Journal of Health Economics, Elsevier, vol. 22(3), pages 419-443, May.
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    Cited by:

    1. Olena Bychkovska & Vegard Strøm & Piotr Tederko & Julia Patrick Engkasan & Alvydas Juocevičius & Linamara Rizzo Battistella & Mohit Arora & Christoph Egen & Armin Gemperli, 2023. "Health System’s Role in Facilitating Health Service Access among Persons with Spinal Cord Injury across 22 Countries," IJERPH, MDPI, vol. 20(11), pages 1-12, June.
    2. Jerome E. Bickenbach & Alarcos Cieza & Carla Sabariego, 2016. "Disability and Public Health," IJERPH, MDPI, vol. 13(1), pages 1-3, January.

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