{"id":4635,"date":"2023-03-29T16:30:15","date_gmt":"2023-03-29T14:30:15","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4635"},"modified":"2023-04-02T13:55:28","modified_gmt":"2023-04-02T11:55:28","slug":"care-of-acute-conditions-and-chronic-diseases-in-canada-and-the-united-states-rapid-systematic-review-and-meta-analysis","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1479\/","title":{"rendered":"Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2019.1479\">https:\/\/doi.org\/10.4081\/jphr.2019.1479<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Keren M. Escobar<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Social Work, University of Windsor, Canada.<\/span><\/li>\n<li><span class=\"name\"><strong>Dorian Murariu<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Social Work, University of Windsor, Canada.<\/span><\/li>\n<li><span class=\"name\"><strong>Sharon Munro<\/strong><br \/>\n<\/span><span class=\"affiliation\">Leddy Library, University of Windsor, Canada.<\/span><\/li>\n<li><span class=\"name\"><strong>Kevin M. Gorey<\/strong><br \/>\nSchool of Social Work, University of Windsor, Canada.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p>This study tested the hypothesis that socioeconomically vulnerable Canadians with diverse acute conditions or chronic diseases have health care access and survival advantages over their\u00a0counterparts in the USA. A rapid systematic review retrieved 25 studies (34 independent cohorts) published between 2003 and 2018. They were synthesized with a streamlined meta-analysis. Very low-income Canadian patients were consistently and highly advantaged in terms of health care access and survival compared with their counterparts in the USA who lived in poverty and\/or were uninsured or underinsured. In aggregate and controlling for specific conditions or diseases and typically 4 to 9 comorbid factors or biomarkers, Canadians\u2019 chances of receiving better health care were estimated to be 36% greater than their American counterparts (RR=1.36, 95% CI 1.35-1.37). This estimate was significantly larger than that based on general patient or non-vulnerable\u00a0population comparisons (RR=1.09, 95% CI 1.08-1.10). Contrary to prevalent political rhetoric, three studies observed that Americans experience more than twice the risk of long waits for breast or colon cancer care or of dying while they wait for an organ transplant (RR=2.36, 95% CI 2.09-2.66). These findings were replicated across externally valid national studies and more internally valid, metropolitan or provincial\/state comparisons. Socioeconomically vulnerable Canadians are consistently and highly advantaged on health care access and outcomes compared to their American counterparts. Less vulnerable comparisons found more modest Canadian advantages. The Affordable Care Act ought to be fully supported including the expansion of Medicaid across all states.\u00a0Canada\u2019s single payer system ought to be maintained and strengthened, but not through privatization.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2019.1479 Keren M. Escobar School of Social Work, University of Windsor, Canada. Dorian Murariu School of Social Work, University of Windsor, Canada. Sharon Munro Leddy Library, University of Windsor, Canada. Kevin M. Gorey School of Social Work, University of Windsor, Canada. ABSTRACT This study tested the hypothesis that socioeconomically vulnerable Canadians with diverse acute conditions &#8230; <a title=\"Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1479\/\" aria-label=\"More on Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4635","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1479\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2019.1479 Keren M. Escobar School of Social Work, University of Windsor, Canada. Dorian Murariu School of Social Work, University of Windsor, Canada. Sharon Munro Leddy Library, University of Windsor, Canada. Kevin M. Gorey School of Social Work, University of Windsor, Canada. ABSTRACT This study tested the hypothesis that socioeconomically vulnerable Canadians with diverse acute conditions ... 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