加拿大私人处方药覆盖中与收入相关的差异。

CMAJ open Pub Date : 2019-10-01 DOI:10.9778/cmajo.20190085
T. Bolatova, M. Law
{"title":"加拿大私人处方药覆盖中与收入相关的差异。","authors":"T. Bolatova, M. Law","doi":"10.9778/cmajo.20190085","DOIUrl":null,"url":null,"abstract":"BACKGROUND\nCanada does not have universal public coverage for prescription drugs, which leaves an important role for private insurance plans. However, we do not have recent data on the characteristics of Canadians who report holding such coverage, particularly differences based on household income. We performed a study to examine the relation between household income and private drug insurance coverage in Canada.\n\n\nMETHODS\nWe used data from the 2015-2016 cycle of the Canadian Community Health Survey to investigate the relation between household income and holding private drug insurance. We constructed modified multivariate Poisson regression models with robust error variances, including several potential confounders.\n\n\nRESULTS\nOverall, 59.4% of respondents reported having private drug insurance. We found a strong dose-response relation between household income level and private drug insurance coverage: 19.8% of those with a household income less than $20 000 reported private coverage, compared to 76.2% of those with a household income of $80 000 or more.\n\n\nINTERPRETATION\nHigher-income households are much more likely to hold private drug insurance coverage in Canada. This likely contributes to differential access to medicines and health outcomes by different income groups.","PeriodicalId":93946,"journal":{"name":"CMAJ open","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.9778/cmajo.20190085","citationCount":"9","resultStr":"{\"title\":\"Income-related disparities in private prescription drug coverage in Canada.\",\"authors\":\"T. Bolatova, M. Law\",\"doi\":\"10.9778/cmajo.20190085\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND\\nCanada does not have universal public coverage for prescription drugs, which leaves an important role for private insurance plans. However, we do not have recent data on the characteristics of Canadians who report holding such coverage, particularly differences based on household income. We performed a study to examine the relation between household income and private drug insurance coverage in Canada.\\n\\n\\nMETHODS\\nWe used data from the 2015-2016 cycle of the Canadian Community Health Survey to investigate the relation between household income and holding private drug insurance. We constructed modified multivariate Poisson regression models with robust error variances, including several potential confounders.\\n\\n\\nRESULTS\\nOverall, 59.4% of respondents reported having private drug insurance. We found a strong dose-response relation between household income level and private drug insurance coverage: 19.8% of those with a household income less than $20 000 reported private coverage, compared to 76.2% of those with a household income of $80 000 or more.\\n\\n\\nINTERPRETATION\\nHigher-income households are much more likely to hold private drug insurance coverage in Canada. This likely contributes to differential access to medicines and health outcomes by different income groups.\",\"PeriodicalId\":93946,\"journal\":{\"name\":\"CMAJ open\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.9778/cmajo.20190085\",\"citationCount\":\"9\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"CMAJ open\",\"FirstCategoryId\":\"0\",\"ListUrlMain\":\"https://doi.org/10.9778/cmajo.20190085\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"CMAJ open","FirstCategoryId":"0","ListUrlMain":"https://doi.org/10.9778/cmajo.20190085","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 9

摘要

背景:加拿大没有处方药的普遍公共保险,这就给私人保险计划留下了重要的角色。然而,我们没有关于报告持有这种保险的加拿大人的特征的最新数据,特别是基于家庭收入的差异。我们进行了一项研究,以检验加拿大家庭收入和私人药品保险覆盖率之间的关系。方法采用2015-2016年周期加拿大社区卫生调查数据,调查家庭收入与持有私人药品保险的关系。我们构建了修正的多元泊松回归模型,具有稳健的误差方差,包括几个潜在的混杂因素。结果总体而言,59.4%的受访者表示有私人药品保险。我们发现家庭收入水平与私人药品保险覆盖率之间存在很强的剂量反应关系:家庭收入低于2万美元的家庭中,有19.8%的人报告了私人药品保险,而家庭收入在8万美元或以上的家庭中,这一比例为76.2%。在加拿大,高收入家庭更有可能持有私人药品保险。这可能导致不同收入群体获得药品和健康结果的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Income-related disparities in private prescription drug coverage in Canada.
BACKGROUND Canada does not have universal public coverage for prescription drugs, which leaves an important role for private insurance plans. However, we do not have recent data on the characteristics of Canadians who report holding such coverage, particularly differences based on household income. We performed a study to examine the relation between household income and private drug insurance coverage in Canada. METHODS We used data from the 2015-2016 cycle of the Canadian Community Health Survey to investigate the relation between household income and holding private drug insurance. We constructed modified multivariate Poisson regression models with robust error variances, including several potential confounders. RESULTS Overall, 59.4% of respondents reported having private drug insurance. We found a strong dose-response relation between household income level and private drug insurance coverage: 19.8% of those with a household income less than $20 000 reported private coverage, compared to 76.2% of those with a household income of $80 000 or more. INTERPRETATION Higher-income households are much more likely to hold private drug insurance coverage in Canada. This likely contributes to differential access to medicines and health outcomes by different income groups.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
5.40
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信