It takes the average reader 8 hours and 46 minutes to read Utilisation of Health Services in a Publicly Funded Health Care System by Eleanor Evelyn Winifred Grace Boyle
Assuming a reading speed of 250 words per minute. Learn more
The primary objective of this cohort study of individuals with arthritis and rheumatism (A & R) was to determine what individual, primary care physician and health area level factors were predictive of an ambulatory encounter with a musculoskeletal (MSK) specialist (rheumatologist, orthopaedic surgeon, or general internist). Separate examination of primary care physician referral rates to MSK specialists found that male, older physicians, higher percentage of A & R patients and higher percentage of patients aged 65 years and older were positively associated with their referral rate. The health area of the primary care physician explained most of the variance and was significantly associated with his/her referral rate. In conclusion, after adjusting for age and need, there were financial and geographical barriers for seeking ambulatory MSK specialist care for A & R in a universal health care system. The geographical barrier continued to exist when examining the referral rate of prirnarycare physicians which would affect who had the opportunity to have been referred to a MSK specialist. These findings suggest the location of MSK specialists needs to be evaluated for A & R care. Future research should investigate if these identified barriers exist for treatment of arthritis conditions where rheumatology referral is highly recommended. The cohort comprised 1996/97 Ontano Health Survey respondents who either self-reported A & R and/or had an A & R primary care visit during the two-year period preceding the survey. Respondents who had exposure to MSK specialists during this time-frame were excluded. There were 5,052 respondents aged 15+ of whom 10.4% had an ambulatory encounter with a MSK specialist dunng the three-year period after the survey. Multilevel logistic regression at the individual and area levels found that respondents who were older, had supplemental health insurance, lived closer to an orthopaedic surgeon, self-reported a below normal health utility index, had frequent visits to physicians and lived in a health area with local availability of MSK specialists were more likely to have had an A & R-related encounter with a MSK specialist. Respondents who lived in health areas which had a high percentage of marred or First Nation individuals were less likely to have had an A & R-related encounter.
Utilisation of Health Services in a Publicly Funded Health Care System by Eleanor Evelyn Winifred Grace Boyle is 522 pages long, and a total of 131,544 words.
This makes it 176% the length of the average book. It also has 161% more words than the average book.
The average oral reading speed is 183 words per minute. This means it takes 11 hours and 58 minutes to read Utilisation of Health Services in a Publicly Funded Health Care System aloud.
Utilisation of Health Services in a Publicly Funded Health Care System is suitable for students ages 12 and up.
Note that there may be other factors that effect this rating besides length that are not factored in on this page. This may include things like complex language or sensitive topics not suitable for students of certain ages.
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