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Eur J Health Econ (2018) 19:369–383
Does socioeconomic status affect lengthy wait time in Canada?
Evidence from Canadian Community Health Surveys
Mohammad Hajizadeh
Received: 3 August 2016/Accepted: 21 March 2017/Published online: 7 April 2017
Springer-Verlag Berlin Heidelberg 2017
Abstract Reasonable access to health services without suggested statistically signi?cant pro-rich inequality of
?nancial or other barriers is a primary objective of the LWT in Nova Scotia, New Brunswick, Quebec, Manitoba,
Canadian health system. Notwithstanding such concern Saskatchewan and British Columbia. Decomposition
about accessibility of services, long waiting times for analyses indicate that, besides income itself, health status
health services have been a prominent health policy issue (measured by a set of 15 chronic condition indicators),
in recent years. Using pooled data from four nationally immigration status and geographical factors were the most
representative Canadian Community Health Surveys important factors contributing to the concentration of LWT
(CCHSs, 2000/01, 2003, 2005 and 2010; n = 266,962) we among the poor in Canada. These results provide some
examine socioeconomic inequality in lengthy wait time evidence that low-income individuals tend to have
(LWT) to health care among adults (aged 18–65) in lengthier wait times for publicly-funded health care in
Canada. The relative and absolute concentration indices Canada in comparison to their high-income counterparts.
(RC and AC, respectively) are used to quantify income- The observed negative gradient between income and long
related inequality in LWT in Canada and for its provinces. waiting time may be interpreted as evidence of socioeco-
Additionally, we decompose the RC and AC indices to nomic inequity within Canadian health care system. Thus,
identify factors affecting income-related inequality in further work is required to understand the…