Text table 3
Application of uniformity and accuracy criteria to provincial/territorial Medicare records

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Criterion Over all provinces and territories
Uniformity
  • Extensive (completeness) of the total population.
    • Some with undercoverage; some with overcoverage.
  • The uneven lag between the actual move and the registration of a move is a serious impediment to measuring interprovincial migration as it is not systematically correctable.
  • Uneven eligibility (coverage) as certain provinces do not cover all non-permanent residents or military etc.
  • Uneven content (see previous table).
  • Uneven administration (processing).
    • Clumping of cases seems to occur over the summer months as a backlog of unprocessed requisitions only get processed in the fall (this phenomenon is unpredictable and may be subject to other provincial effects like labour disputes).
Accuracy
  • Special rules may affect the measurement of migration.
    • Certain groups are excluded (see coverage) so their migration is not measured.
    • One of Alberta's administrative rules prevents certain migrations from being measured as they will defer registration up to 12 months for married persons until both spouses have relocated.
  • Opting out of medical coverage may impact on who registers.
  • Short-term migration is likely missed by the health care files because of the complexity of eligibility rules versus the risk of not having health coverage for the short period. People with temporary employment may not register.
  • Incomplete administrative records (See missing data points in Annex G and see unknown origin category in Saskatchewan in Annex D).

 

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