Low-income Canadians’ experiences with health-related services: Implications for health care reform

Unmet health care needs among sex workers in five census metropolitan areas of Canada

“…These groups have been shown to be at greater risk of experiencing unmet health care needs in other studies. 2,26,27 Yet even without these within-group risk factors, sex workers were more likely to report unmet health care needs compared with CCHS respondents. Although trans sex workers were more likely than other sex workers to report unmet health care needs, there was no trans gender identity option in Statistics Canada's surveys to allow for comparison.…”

“…Unmet health care needs are also more pronounced among people with low income; the homeless and vulnerably housed; sexual minorities; women; people with one or more mental disorders, substance dependence or co-occurring disorders; and adults with disabilities. [2][3][4][5][6][7][8][9][10] The reasons people give for not accessing needed health care range from the cost and organization of health services to personal concerns and perceptions. 11 The most commonly reported barriers as worded in the Canadian Community Health Survey (CCHS) Cycle 1.1 are 1) "waiting time too long", 2) "service not available when needed", 3) "too busy", 4) "didn't get around to it/didn't bother", 5) "felt would be inadequate" and 6) "cost".…”

Construção e determinação das qualidades psicométricas do Questionário de Suporte Social Snstitucional na Saúde (QSSIS)

“…Os jovens e as suas famílias desenvolvem muitas vezes percepções negativas em relação à utilização de serviços de saúde mental, o que reduz a probabilidade da procura de cuidados mesmo que estes estejam disponíveis (Lindsey, Korr, Broitman, Boné, Green, & Leaf, 2006). Por outro lado, parecem existir dificuldades dos serviços de saúde em acolher os adolescentes que os procuram (Muza & Costa, 2002;Williamson et al, 2006). Estas dificuldades podem prender-se com factores associados ao próprio sistema de saúde como a garantia da confidencialidade, o respeito pelo paciente, a sociabilidade, o anonimato, a acessibilidade económica e a existência de um serviço regular, entre outros (Pommier et al, 2001).…”

Breaking down barriers: towards the development of a low-cost community dental clinic in Prince George, British Columbia

“…Severe disparities in oral health and barriers in access to oral health care persist and may even be increasing among Canadians (Leake, 2006;Wallace, 2008;Williamson, Stewart, Hayward, Letourneau, Makwarimba et al, 2006;Ramraj et al, 2013). Within all regions of British Columbia, dentists regularly refuse to treat patients due to an inability to pay for treatment (Wallace, 2008).…”

“…One third of Canadian dentists have reduced the proportion of patients who rely on public insurance in their practice (Quinonez, Figueiredo, Azarpazooh, and Locker, 2010). The ' inverse care law' describes this phenomenon whereby those needing care the most are least likely to receive it (Asadoorian, 2008;Main et al, 2006;Snow and McNally, 2010;Williamson et al, 2006;Grignon et al, 2010). Residents of rural and northern BC face numerous barriers in accessing oral care including: fmancial barriers for those without dental insurance, limitations of public dental benefits, refusal of care, limitations of private practice dentistry, limitations of charitable dentistry, insufficient numbers of dentists, limited capacity of dental professionals, cultural and linguistic barriers, and patients' beliefs about dental care (Wallace, 2008).…”