Disparities in Primary Health Care Experiences Among Canadians
With Ambulatory Care Sensitive Conditions
Canadian Institute for Health Information (CIHI). Mar 6, 2012
Available online PDF [22p.] at: http://bit.ly/yUukXu
“……This analytical product focuses on disparities in primary health care by examining differences in access, use and appropriateness of primary health care for Canadians who have ambulatory care sensitive conditions according to their income, geography, health conditions and sex.
The results will assist in identifying barriers to and difficulties in accessing primary health care services and assessing whether all Canadians are receiving an appropriate level of care according to their needs. ….”
“………Ambulatory care sensitive conditions cause considerable illness, hospitalization and death among Canadians and result in a high use of health care services. They affect an estimated 6.8 million Canadians age 20 to 74, and they result in an estimated 95,000 hospitalizations and almost 13,000 deaths annually. Examples of ambulatory care sensitive conditions are asthma, chronic obstructive pulmonary disease, diabetes, high blood pressure and some heart diseases. These conditions can generally be managed with adequate primary health care on an outpatient basis.
The burden of ambulatory care sensitive conditions is not shared equally among all population groups. For example, those who live in rural or disadvantaged areas experience a higher burden from these conditions, compared with those living in urban and less disadvantaged areas. Disparities in hospitalization and mortality rates by socio-economic and geographic conditions are greater than disparities in the underlying prevalence of these conditions in the community
This suggests that the treatment and management of these conditions through primary health care or in acute care settings may not be as appropriate or as effective for some groups of the population. This is supported by various studies that have related an individual’s health and social conditions to use of primary health care and/or need for hospitalization….”
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