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Aboriginal Physician Use in Canada: Location, Orientation and Identity

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  • K. Bruce Newbold

Abstract

The main objectives of this paper are to compare Aboriginal and Canadian health status and physician use and to identify the factors associated with the use of physician services. Data are drawn from the 1991 Aboriginal Peoples Survey (APS) and the 1991 General Social Survey (GSS), which are weighted random samples of the Aboriginal and total Canadian populations, respectively. The results demonstrate that Aboriginals were much less likely to use physician services, even though Aboriginals rank their health similarly to the total Canadian population. Location becomes an important aspect of both physician use and health status, with Aboriginals residing on‐reserve generally having lower levels of self‐assessed health and less likely to have seen a physician. While Aboriginals with the poorest health status were more likely to have seen a physician, other factors including education were found to be barriers to use of health care. Aboriginal identity and cultural orientation provided mixed results. © 1997 by John Wiley & Sons, Ltd.

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  • K. Bruce Newbold, 1997. "Aboriginal Physician Use in Canada: Location, Orientation and Identity," Health Economics, John Wiley & Sons, Ltd., vol. 6(2), pages 197-207, March.
    • Handle: RePEc:wly:hlthec:v:6:y:1997:i:2:p:197-207
    DOI: 10.1002/(SICI)1099-1050(199703)6:2<197::AID-HEC260>3.0.CO;2-K
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    References listed on IDEAS

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    1. Stephen Birch & John Eyles & K. Bruce Newbold, 1993. "Equitable access to health care: Methodological extensions to the analysis of physician utilization in Canada," Health Economics, John Wiley & Sons, Ltd., vol. 2(2), pages 87-101, July.
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    3. R Evans & G Stoddart, 1990. "Producing Health, Consuming Health Care," Centre for Health Economics and Policy Analysis Working Paper Series 1990-06, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    4. Waldram, James B., 1990. "Physician utilization and urban native people in Saskatoon, Canada," Social Science & Medicine, Elsevier, vol. 30(5), pages 579-589, January.
    5. Cunningham, Peter J. & Cornelius, Llewellyn J., 1995. "Access to ambulatory care for American Indians and Alaska Natives; the relative importance of personal and community resources," Social Science & Medicine, Elsevier, vol. 40(3), pages 393-407, February.
    6. Hogg, Robert S., 1992. "Indigenous mortality: Placing Australian aboriginal mortality within a broader context," Social Science & Medicine, Elsevier, vol. 35(3), pages 335-346, August.
    7. Evans, Robert G. & Stoddart, Gregory L., 1990. "Producing health, consuming health care," Social Science & Medicine, Elsevier, vol. 31(12), pages 1347-1363, January.
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    1. Whelan, Stephen & Wright, Donald J., 2013. "Health services use and lifestyle choices of Indigenous and non-Indigenous Australians," Social Science & Medicine, Elsevier, vol. 84(C), pages 1-12.
    2. Snyder, Marcie & Wilson, Kathi, 2012. "Urban Aboriginal mobility in Canada: Examining the association with health care utilization," Social Science & Medicine, Elsevier, vol. 75(12), pages 2420-2424.
    3. Wichmann, Bruno & Wichmann, Roberta, 2022. "COVID-19 and Indigenous health in the Brazilian Amazon," Economic Modelling, Elsevier, vol. 115(C).

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