Delay in Accessing Primary Health Care and its Impacts among Nepalese Immigrants Population in Canada
Notice bibliographique
Résumé
Background: Equitable access to healthcare across the population, irrespective of social economic factors and area of residence, is crucial. Delay in seeking care may decrease care access, later diagnosis, and delayed or inadequate treatment of health conditions which leads to poor health outcomes. This study aimed to assess delay in accessing PHC and associated factors among Nepalese immigrants residing in Calgary. Methods: A cross-sectional study using a self-administered questionnaire was conducted in 2019. Delay in accessing care was measured based on a single-item question: “During the past 12 months, was there ever a time that you had to delay seeking medical service within any of the following services (multiple answers allowed)?” A follow-up question about associated factors was asked, and the responses were categorized into availability, accessibility, and acceptability. Descriptive and multivariable logistic regression was employed to assess the association between delay in accessing care and its predictors by using STATA. Results: Of 401 study participants, over two-thirds (n=266; 66.33%) reported that they had a care delay during the 12 months. Delay in accessing care was over two times higher among those aged 26-45 (AOR 2.98) compared to those under 25 years of age, which was nearly seven times higher (AOR 6.96) among the older participants (≥56 year). The top two areas of delaying accessing care were referral and related services (69.17%) and dental and related services (55.64%). The top three reasons reported were waiting time (77.82%), cost (55.64%), services availability (53.38%). Overall, accessibility (n=170, 63.91%), availability (n=225, 84.59%), and acceptability (n=135, 50.75%) were a barrier to access care. Those who reported delay in accessing care also reported an impact on their lives personally and economically. The most reported personal impact was mental health impact, including worry, anxiety, and stress (n=198, 74.72%), and the most common economic impact reported was increased use of over-the-counter drugs (n=114, 43.02%). Conclusion: Delay in accessing care is presented in the Nepalese immigrant population that impacts individuals’ personal health, daily life activities, and financial capacity. Strategies to improve access to PHC for deprived populations are crucial and need to be tackled effectively.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».