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Table 4 Definition of exposure (financial barriers)

From: Financial barriers and adverse clinical outcomes among patients with cardiovascular-related chronic diseases: a cohort study

Healthcare provider or test ACC_12 In the past 12 months, did you ever experience any difficulties getting the specialist care you needed for a diagnosis or consultation? (Reason: Cost) CCHS
ACC_53 In the past 12 months, did you experience difficulties getting routine care that you or a family member required during « regular » office hours (that is, 9:00 am to 5:00 pm, Monday to Friday)? (Reason: Cost) CCHS
ACC_55 In the past 12 months, did you experience difficulties getting routine care that you or a family member required during evenings and weekends (that is, 5:00 to 9:00 pm Monday to Friday, or 9:00 am to 5:00 pm, Saturdays and Sundays)? (Reason: Cost) CCHS
ACC_63 In the past 12 months, did you ever experience any difficulties getting the immediate care needed for a minor health problem for yourself or a family member that you required during « regular » office hours (that is, 9:00 am to 5:00 pm, Monday to Friday)? (Reason: Cost) CCHS
ACC_65 In the past 12 months, did you ever experience any difficulties getting the immediate care needed for a minor health problem for yourself or a family member that you required evenings and weekends (that is, 5:00 to 9:00 pm Monday to Friday, or 9:00 am to 5:00 pm, Saturdays and Sundays)? (Reason: Cost) CCHS
ACC_67 In the past 12 months, did you ever experience any difficulties getting the immediate care needed for a minor health problem for yourself or a family member that you required during the middle of the night? (Reason: Cost} CCHS
PCU_56 What are the reasons that you have not had a check-up in the past 3 years? (Reason: Cost) CCHS
RAH_09 In the past 12 months, how often did you find it difficult to get healthcare services because you could not travel to the healthcare facility? What types of problems did you experience? (Reason: I can’t afford the cost of travel/I can’t afford to take time off work) BCPCHC
RAH_18 In the past 12 months, did you ever experience any travel-related or other difficulties when trying to see a medical specialist? What types of problems did you experience? (Reason: I can’t afford the cost of travel/I can’t afford to take time off work) BCPCHC
RAH_09 In the past 12 months, how often did you find it difficult to get healthcare services because you could not travel to the healthcare facility? What type of problems did you experience? (Reason: I can’t afford the cost of travel, I can’t afford to take time off work, I can’t afford the cost of parking) BCPCHC
GBC_03 In the past 12 months, what type of difficulties did you experience getting any healthcare services from your family doctor or general practitioner? (Reason: Cost) BCPCHC
GBC_05 In the past 12 months, what type of difficulties did you experience getting specific care for your chronic condition? (Reason: Cost) BCPCHC
WTM_06 In the past 12 months, did you require a visit to a medical specialist for a diagnosis or a consultation for a new illness or condition? Thinking about this visit, did you experience any difficulties seeing the specialist? What type of difficulty did you experience? (Reason: Cost) CCHS
BPC_16 RC_01C What are the reasons you have not had your blood pressure taken in the past 2 years? (Reason: Cost) CCHS BCPCHC
RC_02B What are the reasons you have not had your cholesterol measurement taken in the past year? (Reason: Cost) BCPCHC
RC_03B What are the reasons you have not had your blood sugar taken in the past year? (Reason: Cost) BCPCHC
ACC_32 In the past 12 months, did you ever experience any difficulties getting the tests you needed? (Reason: Cost) CCHS
WTM_37 In the past 12 months, did you require a diagnostic test? Did you experience any difficulties getting this test? What type of difficulty did you experience (Reason: Cost) CCHS
EYX_142 When did you last have an eye examination? What are the reasons that you have not had an eye examination in the past 2 years? (Reason: Cost) CCHS
DEN_132 When was the last time that you went to a dentist? What are the reasons that you have not been to a dentist in the past 3 years? (Reason: Cost) CCHS
Medication PDE_02 In the past 12 months, did you decide not to fill a new prescription for medication because of the cost? (Yes) PDERR
PDE_03 In the past 12 months, did you decide not to renew a prescription for medication because of the cost? (Yes) PDERR
PDE_04 In the past 12 months, because of the cost, did you do anything to make a prescription medication last longer? (Yes) PDERR
MEH_05 What are the reasons that you are not currently taking any prescription medications for your high blood pressure? (Reason: Cost) SLCDC
MU_05 Over the past 12 months, have you ever stopped taking one or more of your drugs as prescribed for a week or more? What are the reasons that you did not take your medication as prescribed? (Reason: Cost) BCPCHC
INS_03 Do you currently have insurance that covers all or part of the cost of prescription medications? Why not? (Reason: I can’t afford coverage) BCPCHC
Home care HMC_15 CR1_04 During the past 12 months, was there ever a time when you felt that you needed home care services but you didn’t receive them? (Reason: Cost) CCHS
Unmet need EBC_01 In the past 12 months, how often have you had difficulty paying for services, equipment or medications you need to help you manage your chronic condition? (Always, often, sometimes) BCPCHC
HCU_06 UCN_01 During the past 12 months, was there ever a time when you felt that you needed healthcare, but you didn’t receive it? (Reason: Cost) CCHS
Healthful food FIN_01 In the past 12 months, how often did you or anyone else in your household worry that there would not be enough to eat because of a lack of money? (Often, sometimes) CCHS
FIN_02 In the past 12 months, how often did you or anyone else in your household not have enough food to eat because of a lack of money? (Often, sometimes) CCHS
FIN_03 In the past 12 months, how often did you or anyone else in your household not eat the quality or variety of foods that you wanted to eat because of a lack of money? (Often, sometimes) CCHS
FSC_10 Which of the following statements best describes the food eaten in your household in the past 12 months? (Sometimes did not have enough, often did not have enough) CCHS
FSC_20 You and other household members worried that food would run out before you got money to buy more. Was that often true, sometimes true or never true in the past 12 months? (Often true, sometimes true) CCHS
FSC_30 The food that you and other household members bought just didn’t last, and there wasn’t any money to get more. Was that often true, sometimes true or never true in the past 12 months? (Often true, sometimes true) CCHS
FSC_50 You or other adults in your household relied on only a few kinds of low-cost food to feed the children because you were running out of money to buy food. Was that often true, sometimes true or never true in the past 12 months? (Often true, sometimes true) CCHS
FSC_80 In the past 12 months, did you or other adults in your household ever cut the size of your meals or skip meals because there wasn’t enough money for food? (Yes) CCHS
FSC_90 In the past 12 months, did you (personally) ever eat less than you felt you should because there wasn’t enough money to buy food? (Yes) CCHS
FSC_100 In the past 12 months, were you (personally) ever hungry but didn’t eat because you couldn’t afford enough food? (Yes) CCHS
FSC_110 In the past 12 months, did you (personally) lose weight because you didn’t have enough money for food? (Yes) CCHS
FSC_120 In the past 12 months, did you or other adults in your household ever not eat for a whole day because there wasn’t enough money for food? (Yes) CCHS
SMH_04 SMH_02 What are the reasons you are not limiting your daily salt intake? (Reason: Cost) BCPCHC SLCDC
SMH_08 SMH_04 What are the reasons you are not choosing these types of foods (that is, fruits and vegetables, fish or lean meats, foods high in fibre or foods low in fat)? (Reason: Cost) BCPCHC SLCDC1
SMD_02 What are the reasons you do not change the type or amount of food you eat to help control your diabetes? (Reason: Cost) SLCDC2
Health behaviour modification SMH_08 SMD_04 SMH_10 What are the reasons that you are not exercising or participating in physical activities? (Reason: Cost) SLCDC1 SLCDC2 BCPCHC
PA2_13 What prevented you from doing more physical activities? (Reason: Cost) CCHS
SMH_10 SMD_06 SMH_21 What are the reasons that you are not trying to control your weight or lose weight? (Reason: Cost) SLCDC1 SLCDC2 BCPCHC
SMH_17 What are the reasons that you are not trying to quit smoking or cut down on smoking (Reason: Cost of smoking cessation products) BCPCHC
  1. CCHS Canadian Community Health Survey
  2. BCPCHC Barriers to Care for Persons with Chronic Health Conditions (2012)
  3. SLCDC1 Survey on Living with Chronic Diseases in Canada (hypertension component) (2009)
  4. SLCDC2 Survey on Living with Chronic Diseases in Canada (diabetes component) (2011)
  5. PDERR Rapid Response Module on Prescription Drug Expenditures (2007)