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Access to Care, Health Status, and Health Disparities in the United States and Canada: Results of a Cross-National Population-Based Survey

2006· article· en· 620 citations· W2085463930 on OpenAlex· 10.2105/ajph.2004.059402

Why is this work in the frame?

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

About CanadaIts subject is Canada, wherever its authors sit.

No Canadian affiliation. An affiliation-only frame — the usual design — would never have seen this work. It is one of the works that make the case for inverting the frame.

Machine scores (provisional)

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Opus teacher head0.120
GPT teacher head0.369
Teacher spread
0.249 · how far apart the two teachers sit on this one work
Validation status
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Abstract

OBJECTIVES: We compared health status, access to care, and utilization of medical services in the United States and Canada and compared disparities according to race, income, and immigrant status. METHODS: We analyzed population-based data on 3505 Canadian and 5183 US adults from the Joint Canada/US Survey of Health. Controlling for gender, age, income, race, and immigrant status, we used logistic regression to analyze country as a predictor of access to care, quality of care, and satisfaction with care and as a predictor of disparities in these measures. RESULTS: In multivariate analyses, US respondents (compared with Canadians) were less likely to have a regular doctor, more likely to have unmet health needs, and more likely to forgo needed medicines. Disparities on the basis of race, income, and immigrant status were present in both countries but were more extreme in the United States. CONCLUSIONS: United States residents are less able to access care than are Canadians. Universal coverage appears to reduce most disparities in access to care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

The record

Venue
American Journal of Public Health
Topic
Healthcare Policy and Management
Field
Economics, Econometrics and Finance
Canadian institutions
Funders
National Institute on Minority Health and Health DisparitiesBogliasco Foundation
Keywords
ImmigrationHealth careMedicineHealth equityNational Health Interview SurveyLogistic regressionPopulationEnvironmental healthRace (biology)Survey of Income and Program ParticipationGerontologyDemographyPublic healthGeographyEconomic growthNursingDemographic economics
Has abstract in OpenAlex
yes