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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)