Social disparities in the use of colonoscopy by primary care physicians in Ontario
Binu J Jacob, Nancy N Baxter, Rahim Moineddin, Rinku Sutradhar, Lisa Del Giudice, David R Urbach
BMC GASTROENTEROLOGY | BIOMED CENTRAL LTD | Published : 2011
BACKGROUND: It is unclear if all persons in Ontario have equal access to colonoscopy. This research was designed to describe long-term trends in the use of colonoscopy by primary care physicians (PCPs) in Ontario, and to determine whether PCP characteristics influence the use of colonoscopy. METHODS: We conducted a population-based retrospective study of PCPs in Ontario between the years 1996-2005. Using administrative data we identified a screen-eligible group of patients aged 50-74 years in Ontario. These patients were linked to the PCP who provided the most continuous care to them during each year. We determined the use of any colonoscopy among these patients. We calculated the rate of co..View full abstract
This study was supported by grants from the Canadian Institutes of Health Research (CIHR) and Colon Cancer Canada (CCC). This study was supported by the Institute for Clinical Evaluative Sciences (ICES), which is funded by an annual grant from the Ontario Ministry of Health and Long-Term Care (MOHLTC). The opinions, results and conclusions reported in this paper are those of the authors and are independent from the funding sources. No endorsement by ICES or the Ontario MOHLTC is intended or should be inferred. Nancy Baxter holds the Cancer Care Ontario Health Services Research Chair and an Early Researchers Award from the Ontario Ministry of Research and Innovation.