Immigration, ethnicity, and accessibility to culturally diverse family physicians.
The study concerns ethnicity, spatial equity, and healthcare access in the context of diversity and integration. The paper first explores how Chinese immigrants in the Toronto Census Metropolitan Area choose between ethnic Chinese family physicians and other family physicians, based on a probability survey. It then applies and modifies gravity-type accessibility measures, of which a special type is the so-called floating catchment area (FCA) method, to evaluate three types of geographical accessibility in family physician utilization. The study suggests a certain degree of spatial inequality among Chinese immigrants in accessing culturally sensitive care. The paper yields important methodological and policy implications.
Wang
Lu
L
Department of Geography, Ryerson University, Toronto, Canada M5B 2K3. luwang@ryerson.ca
D044466:Asian People / Q000523:psychology* / Q000706:statistics & numerical data; D002391:Catchment Area, Health; D002681:China / Q000208:ethnology; D018864:Cultural Diversity; D004641:Emigration and Immigration; D005194:Family Practice; D005843:Geography; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D009864:Ontario; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D014481:United States; D019037:Urban Health Services / Q000600:supply & distribution*; D000078329:Workforce