David A Green, Ali Karimirad, Gaëlle Simard-Duplain, Henry E Siu
COVID-19 and the Economic Importance of In-Person K-12 Schooling
Canadian public policy. Analyse de politiques
use digital technologies deliver primary health care increased past decade technologies shown medically effective efficient effects digital primary care policy goal equality use types care studied using large register data aim study analyse digital contacts differ officebased visits income indicator socioeconomic status specifically estimated differences primary care utilization across income factors contribution inequalities applied needsbased standardisation utilization estimate differences equitywe used purposively built consultation level dataset 726 000 swedish adult patients diagnosed infection including clinical sociodemographic variables applying concentration indexes ci graphical illustrations measured two types services distributed relative income estimated much inequalities attributed different sociodemographic factors decomposing concentration indexes standardised utilization sex age comorbidity allowed estimation horizontal inequity indexes types servicesutilization two types care showed large income inequalities officebased visits propoor ci 0116 meaning lowincome patients utilized relatively services digital contacts prorich ci 0205 however within patient group least one digital contact utilization also propoor ci 0101 although patients higher incomes average standardised utilization showed smaller prorich digital utilization ci 0143 although large differences remained decomposing concentration indexes showed education level born sweden strong attributes prorich digital service utilizationthe prorich utilization effects digital primary care may risk undermining policy goals access utilization services regardless socioeconomic status digital health technologies continue expand policy makers need aware risk