Determining use of preventive health care in Ontario: comparison of rates of 3 maneuvers in administrative and survey data.

摘要: ABSTRACT OBJECTIVE To examine rates of influenza vaccination, mammography, and Papanicolaou smear by comparing data obtained from the Ontario Health Insurance Plan administrative database with as self-reported in Canadian Community Survey. DESIGN Retrospective cohort study using Statistics Canada’s 2000–2001 Survey for same period. SETTING Ontario. PARTICIPANTS Those aged 12 older who had received women 35 or mammograms within past 2 years, 18 Pap smears 3 years were surveyed during 2001. MAIN OUTCOME MEASURES Rates Ontario’s 14 Local Integration Networks network, age group, socioeconomic status. RESULTS varied health network. Analysis showed that vaccination increased peaked among those 75 older. mammography screening but dropped substantially 20 to 39 decreased increasing age. rising status, did not differ all preventive maneuvers lower than data. CONCLUSION There are obstacles finding out true care use We need ascertain these order establish a criterion standard delivery services. Development programs target specific geographic locations, classes, high-risk groups needed increase overall services