Patterns and determinants of health care utilization among people with Parkinson’s disease: A population-based analysis in Ontario, Canada

Eric J Crighton, Alexandra M Ouédraogo, M Sawada and Tiago A Mestre

PLOS ONE, 2024, vol. 19, issue 6, 1-20

Abstract: In Ontario, despite the increasing prevalence of Parkinson’s disease (PD), barriers to access-to-care for people with Parkinson’s disease (PwP) and their caregivers are not well understood. The objective of this study is to examine spatial patterns of health care utilization among PwP and identify factors associated with PD-related health care utilization of individuals in Ontario. We employed a retrospective, population-based study design involving administrative health data to identify PwP as of March 31, 2018 (N = 35,482) using a previously validated case definition. An enhanced 2-step floating catchment area method was used to measure spatial accessibility to PD care and a descriptive spatial analysis was conducted to describe health service utilization by geographic area and specialty type. Negative binomial regression models were then conducted to identify associated geographic, socioeconomic, comorbidity and demographic factors. There was marked spatial variability in PD-related service utilization, with neurology and all provider visits being significantly higher in urban areas (CMF>1.20; p 1.20; p

Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0305062

DOI: 10.1371/journal.pone.0305062

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