Social determinants of access to timely elective surgery in Ontario, Canada: a cross-sectional population level study.

ABSTRACT:

Background

Equitable access to surgical care has clinical and policy implications. We assess the association between social disadvantage and wait times for elective surgical procedures in Ontario.

Methods

We conducted a cross-sectional analysis using administrative data sets of adults receiving nonurgent inguinal hernia repair, cholecystectomy, hip arthroplasty, knee arthroplasty, arthroscopy, benign uterine surgery and cataract surgery from April 2013 to December 2019. We assessed the relation between exceeding target wait times and the highest versus lowest quintile of marginalization dimensions by use of generalized estimating equations logistic regression.

Results

Of the 1 385 673 procedures included, 174 633 (12.6%) exceeded the target wait time. Adjusted analysi

SUBMITTER: de Jager P 

PROVIDER: S-EPMC10743664 | biostudies-literature | 2023 Nov-Dec

REPOSITORIES: biostudies-literature