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Both private and public funding cover outpatient physiotherapy (PT) in Canada. Knowledge is lacking in who does and does not access PT services, which limits the ability to identify health/access inequities created by current financing structures. This study characterizes the individuals accessing private PT in Winnipeg to better understand whether inequities exist, given the very limited publicly financed PT. Patients attending PT in 32 private businesses, sampled for geographic variation, completed a survey online or on paper. We compared the sample's demographic characteristics with Winnipeg population data using chi-square goodness-of-fit tests. In total, 665 adults accessing PT participated. Respondents were older and had higher levels of income and education compared to Winnipeg census data ( < 0.001). Our sample included higher proportions of female and White individuals, and lower proportions of Indigenous persons, newcomers, and people from visible minorities ( < 0.001). There are signs that inequities exist in access to PT in Winnipeg; the cohort who access private PT services does not reflect the wider population, which suggests that some segments of the population are not receiving care.
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http://dx.doi.org/10.3138/ptc-2020-0111 | DOI Listing |
CHEST Pulm
June 2025
Division of Rheumatology (K. R. M.), Johns Hopkins University, Baltimore, MD; the Division of Pulmonary & Critical Care (O. A.), Yale School of Medicine, New Haven, CT; the Divisions of Pulmonary & Critical Care Medicine (A. M. M., E. S. C., N. W. L., and M. S.), and Cardiology (N. A. G.), and Depar
Background: Sarcoidosis is a complex granulomatous disease that benefits from multidisciplinary subspecialty expertise. Inequitable access to care contributes to racial disparities in many diseases; however, to our knowledge, no studies have examined racial differences in referral times to Sarcoidosis Centers of Excellence.
Research Question: Is there an association between race and time from sarcoidosis diagnosis to referral to an independently certified, peer-reviewed World Association of Sarcoidosis and Other Granulomatous Disorders Center of Excellence? Does a referral result in a change in sarcoidosis management?
Study Design And Methods: We retrospectively reviewed all 2021 referrals to the Johns Hopkins Sarcoidosis Center of Excellence.
J Glob Health
August 2025
University of St Andrews, St Andrews, UK.
Background: Laboratory systems play a crucial role in managing diseases effectively, and the COVID-19 pandemic serves as a prime example. The pandemic underscored the need to make laboratory health systems more resilient and robust to respond to future pandemics.
Methods: We conducted a desk review guided by the six World Health Organization health system building blocks (health service delivery, health financing, medical products, vaccines, and technologies, human resources for health, governance, and health information systems).
JAMA Netw Open
August 2025
Department of Pediatrics, University of Massachusetts Chan Medical School, UMass Memorial Children's Medical Center, Worcester.
Importance: Screening for health-related social needs (HRSNs) has become the standard of care, but little is known about patients' perceptions of whether and how screening and referral should be conducted, particularly among Black and Latine populations, who have variable rates of screening and resource receipt. Limited consideration of racism within HRSN frameworks and research underlies concerns that HRSN screening and referral systems may paradoxically exacerbate inequities.
Objective: To characterize Black and Latine patients' perspectives regarding (1) the suitability of HRSN screening and referral systems within primary care, (2) decision-making regarding HRSN disclosure, (3) contextual barriers and facilitators of equitable screening and referral, including processes underlying inequitable outcomes, and (4) implementation recommendations.
Background: Neurofibromatosis type 1 (NF1), a rare genetic disorder characterised by neurofibroma growth, affects approximately 25 000 individuals in the UK. Its wide range of clinical manifestations presents significant challenges in providing comprehensive care for patients. In agreement with National Health Service England's Commissioners, Childhood Tumour Trust initiated a patient-led service evaluation to understand existing care pathways and identify factors influencing patient satisfaction.
View Article and Find Full Text PDFCommunity Health Equity Res Policy
August 2025
Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
BackgroundPrediabetes is a risk factor for type 2 diabetes. The transition from prediabetes to type 2 diabetes is inequitable, with Latinos reporting an increased risk than other groups. Stress can affect this transition; however, we have no means of measuring prediabetes-related stress.
View Article and Find Full Text PDF