The World Health Organization calls for more work evaluating the effect of health care reforms on gender equity in developed countries. We performed this evaluation in Ontario, Canada where primary care models resulting from reforms co-exist.
This cross sectional study of primary care practices uses data collected in 2005-2006. Healthcare service models included in the study consist of fee for service (FFS) based, salaried, and capitation based. We compared the quality of care delivered to women and men in practices of each model. We performed multi-level, multivariate regressions adjusting for patient socio-demographic and economic factors to evaluate vertical equity, and adjusting for these and health factors in evaluating horizontal equity. We measured seven dimensions of health service delivery (e.g. accessibility and continuity) and three dimensions of quality of care using patient surveys (n = 5,361) and chart abstractions (n = 4,108).
Health service delivery measures were comparable in women and men, with differences
Cites: Int J Health Serv. 2001;31(3):583-60311562007
Cites: Ann Fam Med. 2009 Jul-Aug;7(4):309-1819597168
Cites: Med Care Res Rev. 2002 Sep;59(3):293-31812205830
Cites: Cardiology. 2003;99(1):39-4612589121
Cites: Can J Cardiol. 2003 Mar 31;19(4):347-5612704478