This paper assesses the extent to which Canada's universal health care system has
eliminated socio-economic barriers in the use of physician services by examining the role of …

Medical practice variation (MPV) is marked, apparently ubiquitous across the health sector,
well documented, and continues to be a focus of professional and policy interest. MPV have …

Objective To describe how pediatricians refer patients to specialists, including frequency of
referral decisions, reasons for referral, and types of referrals. Design We conducted a …

OBJECTIVE: To determine the relative importance of medical and nonmedical factors
influencing generalists' decisions to refer, and of the factors that might avert unnecessary …

High use of specialist physicians and specialized procedures coupled with low expo-sure to
primary care are distinguishing traits of the US health care system. Although the tasks of the …

Clinical uncertainty is a source of variation in medical decision-making as well as a source
of work-related stress. Increasing enrollment in organized health care systems has …

PURPOSE: To determine the extent to which unexplained variation in the use of
chemotherapy for advanced lung cancer is due to access to oncologists' services as …

Introduction International evidence indicates consistently lower rates of access and use of
healthcare by international immigrants. Factors associated with this phenomenon vary …

The promise of widespread implementation of efficacious interventions across the cancer
continuum into routine practice and policy has yet to be realized. Multilevel influences, such …

Objective. The aim of this study was to address the hypothesis of no difference between
elderly and younger patients' desire for optimal surgery and disease cure. Methods. The …