학술논문
Prevalence and characteristics of healthcare utilization with different providers among Canadians with chronic back problems: A population-based study.
Document Type
Academic Journal
Author
Wong JJ; Institute for Disability and Rehabilitation Research, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1H 7K4, Canada.; Faculty of Health Sciences, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1G 0C5, Canada.; Graduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, M2H 3J1, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, Ontario, M5T 3M6, Canada.; Wang D; Institute for Disability and Rehabilitation Research, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1H 7K4, Canada.; Faculty of Health Sciences, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1G 0C5, Canada.; Department of Research and Innovation, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, M2H 3J1, Canada.; Hogg-Johnson S; Institute for Disability and Rehabilitation Research, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1H 7K4, Canada.; Department of Research and Innovation, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, M2H 3J1, Canada.; Dalla Lana School of Public Health, University of Toronto, 155 College Street, 6th Floor, Toronto, Ontario, M5T 3M7, Canada.; Mior SA; Institute for Disability and Rehabilitation Research, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1H 7K4, Canada.; Faculty of Health Sciences, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1G 0C5, Canada.; Department of Research and Innovation, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, M2H 3J1, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, Ontario, M5T 3M6, Canada.; Côté P; Institute for Disability and Rehabilitation Research, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1H 7K4, Canada.; Faculty of Health Sciences, Ontario Tech University, 2000 Simcoe Street North, Oshawa, Ontario, L1G 0C5, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, Ontario, M5T 3M6, Canada.; Dalla Lana School of Public Health, University of Toronto, 155 College Street, 6th Floor, Toronto, Ontario, M5T 3M7, Canada.
Source
Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 9918470888906676 Publication Model: eCollection Cited Medium: Internet ISSN: 2772-5294 (Electronic) Linking ISSN: 27725294 NLM ISO Abbreviation: Brain Spine Subsets: PubMed not MEDLINE
Subject
Language
English
Abstract
Introduction: Understanding healthcare utilization by Canadians with back problems informs healthcare planning nationally.
Research Question: What is the prevalence of utilization of healthcare providers (medical doctors, chiropractors, physiotherapists, nurses), and associated characteristics among Canadians with chronic back problems (2001-2016)?
Material and Methods: This population-based study used Canadian Community Health Survey data (2001-2016) restricted to respondents with chronic back problems (aged ≥12 years). We used self-reported consultation with healthcare providers (medical doctors, chiropractors, physiotherapists, nurses) from 2001-2010, and self-reported regular healthcare provider from 2015-2016. We calculated the 12-month prevalence of utilization with providers, and used modified Poisson regression to assess sociodemographic, health-related and behavioural factors associated with utilization of different providers.
Results: From 2001 to 2010 and 2015/2016, respectively, prevalence of utilization of medical doctors was 87.9% (95% CI 87.6-88.2) and 86.7% (95% CI 85.9-87.5); chiropractors 24.0% (95% CI 23.6-24.4) and 14.5% (95% CI 13.8-15.3); physiotherapists 17.2% (95% CI 16.9-17.6) and 10.7% (95% CI 10.0-11.4); nurses 14.0% (95% CI 13.7-14.2) and 6.6% (95% CI 6.1-7.0). Females were more likely to see any provider than males. Persons of lower socioeconomic status were less likely to consult chiropractors or physiotherapists (2001-2016), or nurses (2001-2010). Immigrants were less likely to consult chiropractors or nurses. Persons aged >65 years were less likely to consult chiropractors or physiotherapists, and those with fair/poor general health were less likely to consult chiropractors, but more likely to consult other providers.
Discussion and Conclusion: Medical doctors were most commonly consulted by Canadians with back problems, then chiropractors and physiotherapists. Characteristics of healthcare utilization varied by provider. Findings inform the need to strengthen healthcare delivery for Canadians with back problems.
Competing Interests: Jessica Wong is supported by a Canadian Institutes of Health Research (CIHR) Research Excellence, Diversity and Independence Early Career Transition Award, was previously supported by a Banting Postdoctoral Fellowship from CIHR and reports research grant from the Canadian Chiropractic Research Foundation (paid to university); research grants from CIHR, Social Sciences and Humanities Research Council (SSHRC), Canadian Memorial Chiropractic College and Canadian Chiropractic Research Foundation (paid to university) and travel reimbursement for teaching and research meetings from Eurospine and Chiropractic Academy of Research Leadership outside the submitted work. Dan Wang reports research grant from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University) and postdoctoral fellowship at Ontario Tech University (funded by Ontario Tech University and Canadian Memorial Chiropractic College). Sheilah Hogg-Johnson reports research grant from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University); and research grants from the Canadian Chiropractic Research Foundation outside the submitted work. Silvano Mior reports research grant from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University); research grants from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University and Canadian Memorial Chiropractic College) and Canadian Chiropractic Association (paid to Canadian Memorial Chiropractic College), and honoraria for lecturing from the Chiropractic Association of Saskatchewan outside the submitted work. Pierre Côté was supported by the Canada Research Chair award from CIHR (paid to Ontario Tech University), and reports research grant from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University); research grants from CIHR, Canadian Chiropractic Research Foundation, and College of Chiropractors of British Columbia (paid to Ontario Tech University), payment to provide medical-legal expertise in court cases from the Canadian Chiropractic Protective Association and NCMIC, and travel reimbursement to the university for teaching and conference presentations from Eurospine, European Chiropractic Union and Chiropractic Association of Alberta outside the submitted work.
(© 2024 The Authors.)
Research Question: What is the prevalence of utilization of healthcare providers (medical doctors, chiropractors, physiotherapists, nurses), and associated characteristics among Canadians with chronic back problems (2001-2016)?
Material and Methods: This population-based study used Canadian Community Health Survey data (2001-2016) restricted to respondents with chronic back problems (aged ≥12 years). We used self-reported consultation with healthcare providers (medical doctors, chiropractors, physiotherapists, nurses) from 2001-2010, and self-reported regular healthcare provider from 2015-2016. We calculated the 12-month prevalence of utilization with providers, and used modified Poisson regression to assess sociodemographic, health-related and behavioural factors associated with utilization of different providers.
Results: From 2001 to 2010 and 2015/2016, respectively, prevalence of utilization of medical doctors was 87.9% (95% CI 87.6-88.2) and 86.7% (95% CI 85.9-87.5); chiropractors 24.0% (95% CI 23.6-24.4) and 14.5% (95% CI 13.8-15.3); physiotherapists 17.2% (95% CI 16.9-17.6) and 10.7% (95% CI 10.0-11.4); nurses 14.0% (95% CI 13.7-14.2) and 6.6% (95% CI 6.1-7.0). Females were more likely to see any provider than males. Persons of lower socioeconomic status were less likely to consult chiropractors or physiotherapists (2001-2016), or nurses (2001-2010). Immigrants were less likely to consult chiropractors or nurses. Persons aged >65 years were less likely to consult chiropractors or physiotherapists, and those with fair/poor general health were less likely to consult chiropractors, but more likely to consult other providers.
Discussion and Conclusion: Medical doctors were most commonly consulted by Canadians with back problems, then chiropractors and physiotherapists. Characteristics of healthcare utilization varied by provider. Findings inform the need to strengthen healthcare delivery for Canadians with back problems.
Competing Interests: Jessica Wong is supported by a Canadian Institutes of Health Research (CIHR) Research Excellence, Diversity and Independence Early Career Transition Award, was previously supported by a Banting Postdoctoral Fellowship from CIHR and reports research grant from the Canadian Chiropractic Research Foundation (paid to university); research grants from CIHR, Social Sciences and Humanities Research Council (SSHRC), Canadian Memorial Chiropractic College and Canadian Chiropractic Research Foundation (paid to university) and travel reimbursement for teaching and research meetings from Eurospine and Chiropractic Academy of Research Leadership outside the submitted work. Dan Wang reports research grant from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University) and postdoctoral fellowship at Ontario Tech University (funded by Ontario Tech University and Canadian Memorial Chiropractic College). Sheilah Hogg-Johnson reports research grant from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University); and research grants from the Canadian Chiropractic Research Foundation outside the submitted work. Silvano Mior reports research grant from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University); research grants from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University and Canadian Memorial Chiropractic College) and Canadian Chiropractic Association (paid to Canadian Memorial Chiropractic College), and honoraria for lecturing from the Chiropractic Association of Saskatchewan outside the submitted work. Pierre Côté was supported by the Canada Research Chair award from CIHR (paid to Ontario Tech University), and reports research grant from the Canadian Chiropractic Research Foundation (paid to Ontario Tech University); research grants from CIHR, Canadian Chiropractic Research Foundation, and College of Chiropractors of British Columbia (paid to Ontario Tech University), payment to provide medical-legal expertise in court cases from the Canadian Chiropractic Protective Association and NCMIC, and travel reimbursement to the university for teaching and conference presentations from Eurospine, European Chiropractic Union and Chiropractic Association of Alberta outside the submitted work.
(© 2024 The Authors.)