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      <marc:subfield code="a">Islam, Md. Kamrul, </marc:subfield>
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      <marc:subfield code="a">Difficulties accessing specialist care and the association with unmet health care needs among middle-aged and older Canadians / </marc:subfield>
      <marc:subfield code="c">by Md Kamrul Islam, Heather Gilmour and Kristyn Frank.</marc:subfield>
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      <marc:subfield code="c">July 15, 2026.</marc:subfield>
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      <marc:subfield code="c">©2026</marc:subfield>
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      <marc:subfield code="a">1 online resource (pages 16-30) : </marc:subfield>
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      <marc:subfield code="a">Health reports, </marc:subfield>
      <marc:subfield code="x">1209-1367 ; </marc:subfield>
      <marc:subfield code="v">vol. 37, no. 7, [2]</marc:subfield>
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      <marc:subfield code="a">Issued also in French under title: Difficultés d'accès aux soins spécialisés et lien avec les besoins en soins de santé non comblés chez les Canadiens d'âge moyen et plus âgés.</marc:subfield>
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      <marc:subfield code="a">"Catalogue no. 82-003-X."</marc:subfield>
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      <marc:subfield code="a">"Research article."</marc:subfield>
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      <marc:subfield code="a">Includes bibliographical references (pages 28-30).</marc:subfield>
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      <marc:subfield code="a">"Canada's population is aging rapidly, with implications for the health care system, including increasing demand for specialist care. However, few studies have examined factors associated with specialist care use, difficulty accessing such care, and the relationship between access difficulties and unmet health care needs among middle-aged (45 to 64 years) and older (65 years or older) adults. Data from the 2024 Survey on Health Care Access and Experiences – Primary and Specialist Care were used to identify factors associated with specialist care use, difficulty accessing specialist care, and to examine the relationship between access difficulties and unmet health care needs. Drawing on a nationally representative sample of 23,473 Canadians aged 45 or older, multivariable logistic regression analyses were conducted separately for middle-aged and older adults. …"--Abstract, page 16.</marc:subfield>
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      <marc:subfield code="t">Difficultés d'accès aux soins spécialisés et lien avec les besoins en soins de santé non comblés chez les Canadiens d'âge moyen et plus âgés / </marc:subfield>
      <marc:subfield code="w">(CaOODSP)9.964633</marc:subfield>
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      <marc:subfield code="a">Health reports (Series)</marc:subfield>
      <marc:subfield code="v">v. 37, no. 7, 2.</marc:subfield>
      <marc:subfield code="w">(CaOODSP)9.950253</marc:subfield>
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      <marc:subfield code="u">https://publications.gc.ca/collections/collection_2026/statcan/82-003-x/CS82-003-2026-7-2-eng.pdf</marc:subfield>
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