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- Title
Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics.
- Authors
DEVILLE-STOETZEL, NADIA; GABOURY, ISABELLE; HAGGERTY, JEANNIE; BRETON, MYLAINE
- Abstract
Objective: This study aims to explore differences in access to care as experienced by patients registered in team-based primary healthcare clinics according to their social vulnerability profile. Method: A total of 1,562 patients from four team-based primary healthcare clinics completed an e-survey conducted between June and November 2021. The social vulnerability index was used to compare the experiences. Results: Patients with low vulnerability consulted at emergency rooms three times more often because their family physician was not available (p = 0.006) than patients with no vulnerability. Lack of continuity was reported two times more often by patients with low vulnerability related to team members not knowing their recent medical history (p = 0.006) and by patients with high vulnerability related to no one being in charge of their file (p = 0.023). Both vulnerable groups reported receiving contradictory information more often than patients with no vulnerability. Conclusion: Patients with high vulnerability experienced more access difficulties related to continuity, interprofessional collaboration and communication with providers.
- Subjects
KRUSKAL-Wallis Test; STATISTICS; HEALTH services accessibility; SOCIAL determinants of health; CONFIDENCE intervals; PSYCHOLOGICAL vulnerability; CROSS-sectional method; RESEARCH methodology; MULTIVARIATE analysis; SOCIAL context; PRIMARY health care; PATIENTS' attitudes; SURVEYS; DESCRIPTIVE statistics; DATA analysis software; ODDS ratio; LOGISTIC regression analysis; DATA analysis
- Publication
Healthcare Policy, 2023, Vol 18, Issue 4, p89
- ISSN
1715-6572
- Publication type
Article
- DOI
10.12927/hcpol.2023.27091