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Costs of ambulatory medical care over the long term in the Quebec Medicare system
Author(s)François Bêland
Journal titleCanadian Journal on Aging, vol 14, no 2, Summer 1995
Pagespp 391-413
KeywordsHealth services ; Costs [care] ; Long term ; Canada.
AnnotationQuestionnaires completed by 32,000 respondents for the Enquête Santé-Québec 1987 (ESQ87) were matched with records from the Quebec Medicare system. Approximately 90% of the individuals were matched. Findings indicate that an the individual level, the costs of ambulatory medical care (AMCC) over a 2-year period decreased slightly with income, but at the household level costs increased for those with higher incomes. These associations disappeared when the age of the respondent was taken into account. State of health is directly related to costs of care. Among health risks, availability of social support decreases costs of AMCC for both children and adults, while unemployment increases costs for adults only. Income does not affect costs of AMCC in Quebec, although variables associated with income, such as education, unemployment and family size, do have definite effects of costs. The absence of a link between psychological distress and costs for older people is a matter of concern, since it confirms the difficulty experienced by older people with access to psychiatric care. (RH).
Accession NumberCPA-970821261 A
ClassmarkL: QDC: 4Q: 7S

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