Objective : Approximately 4.3 million Canadians are without a primary care physician, of which 13% choose the emergency department (ED) as their regular access point to health care. We sought to identify factors associated with preferential ED use over other health services. We hypothesized that socioeconomic barriers (i.e., employment, health status, education) to primary care would also prevent access to ED alternatives. ) reduced respondents use of the ED. The reduced odds of ED use were independent of chronic conditions, mental health, gender, poor mobility, province, and age. Conclusions : Low socioeconomic status dictates preferential ED use in those without a primary care physician. Specific policy and system development targeting this at-risk population are indicated to alter ED use patterns in this population. RRA : 0,68 [IC à 95 % : 0,88]) étaient des facteurs qui avaient pour effet de diminuer l'utilisation des SU. Les cotes d'utilisation moindre des SU se sont révélées indépendantes des affections chroniques, de la santé mentale, du sexe, du manque de mobilité, de la province ou de l'âge. Conclusions: Des facteurs liés à un faible statut socioéconomique jouent un rôle important dans l'utilisation des SU de préférence à d'autres points de services chez les personnes n'ayant pas de médecin de premiers recours. L'élaboration de politiques et de systèmes qui ciblent tout particulièrement cette population à risque est donc indiquée afin de l'inciter à modifier ses habitudes d'utilisation des SU.
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