Access to Health Care Services and Waiting Times
Canadian Community Health Survey Rapid Response Questionnaire

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ACCWTM: Rapid response module asked in March-June 2013. (Includes CCHS modules: HCU, ACC, WTM).

Health care utilization (HCU)

HCU_BEG
Core content

HCU_C01
If (do HCU block = 1), go to HCU_D01.
Otherwise, go to HCU_END.

HCU_D01
(not applicable)

HCU_Q01AA
^DOVERB_C ^YOU2 have a regular medical doctor?

  1. Yes (Go to HCU_D01AC)
  2. No
    DK, RF (Go to HCU_END)

HCU_Q01AB
Why ^DOVERB ^YOU2 not have a regular medical doctor?
INTERVIEWER: Mark all that apply.

  1. No medical doctors available in the area
  2. Medical doctors in the area are not taking new patients
  3. Have not tried to contact one
  4. Had a medical doctor who left or retired
  5. Other - Specify (Go to HCU_S01AB)
    DK, RF
    Go to HCU_D01A1

HCU_S01AB
INTERVIEWER: Specify.

DK, RF
HCU_D01A1
If proxy interview, ^DT_GOVERB = "goes".
Otherwise, ^DT_GOVERB = "go".

HCU_Q01A1
Is there a place that ^YOU2 usually ^DT_GOVERB to when ^YOU1 ^ARE sick or need^S advice about ^YOUR1 health?

  1. Yes
  2. No (Go to HCU_END)
    DK, RF (Go to HCU_END)

HCU_Q01A2
What kind of place is it?
INTERVIEWER: If the respondent indicates more than one usual place, then ask: What kind of place do you go to most often?

  1. Doctor's office
  2. Community health centre / CLSC
  3. Walk-in clinic
  4. Appointment clinic
  5. Telephone health line (for example, HealthLinks, Telehealth Ontario, Health-Line, TeleCare, Info-Sante)
  6. Hospital emergency room
  7. Hospital outpatient clinic
  8. Other - Specify (Go to HCU_S01A2)
    DK, RF
    Go to HCU_END

HCU_S01A2
INTERVIEWER: Specify.
DK, RF
Go to HCU_END

HCU_D01AC
(not applicable)

HCU_Q01AC
^DOVERB_C ^YOU2 and this doctor usually speak in English, in French, or in another language?

  1. English
  2. French
  3. Arabic
  4. Chinese
  5. Cree
  6. German
  7. Greek
  8. Hungarian
  9. Italian
  10. Korean
  11. Persian (Farsi)
  12. Polish
  13. Portuguese
  14. Punjabi
  15. Spanish
  16. Tagalog (Filipino)
  17. Ukrainian
  18. Vietnamese
  19. Dutch
  20. Hindi
  21. Russian
  22. Tamil
  23. Other - Specify (Go to HCU_S01AC)
    DK, RF
    Go to HCU_END

HCU_S01AC
INTERVIEWER: Specify.
DK, RF

HCU_END

Access to health care services (ACC)

ACC_BEG
Theme content. Only asked of a sub-sample.

ACC_C1
If (do ACC block = 1), go to ACC_C2.
Otherwise, go to ACC_END.

ACC_C2
If proxy interview or if age < 15, go to ACC_END.
Otherwise, go to ACC_D10.

ACC_D10
If respondent is male, ^DT_SPECIALIST = "urologist". Otherwise, ^DT_SPECIALIST = "gynaecologist".

ACC_R10
The next questions are about the use of various health care services.

I will start by asking about your experiences getting health care from a medical specialist such as a cardiologist, allergist, ^DT_SPECIALIST or psychiatrist (excluding an optometrist)
INTERVIEWER: Press <1> to continue.

ACC_Q10
In the past 12 months, did you require a visit to a medical specialist for a diagnosis or a consultation?

  1. Yes
  2. No (Go to ACC_R20)
    DK, RF (Go to ACC_R20)

ACC_Q11
In the past 12 months, did you ever experience any difficulties getting the specialist care you needed for a diagnosis or consultation?

  1. Yes
  2. No (Go to ACC_R20)
    DK, RF (Go to ACC_R20)

ACC_Q12
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty getting a referral
  2. Difficulty getting an appointment
  3. No specialists in the area
  4. Waited too long - between booking appointment and visit
  5. Waited too long - to see the doctor (i.e. in-office waiting)
  6. Transportation - problems
  7. Language - problem
  8. Cost
  9. Personal or family responsibilities
  10. General deterioration of health
  11. Appointment cancelled or deferred by specialist
  12. Still waiting for visit
  13. Unable to leave the house because of a health problem
  14. Other - Specify (Go to ACC_S12)
    DK, RF
    Go to ACC_R20

ACC_S12
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_R20
The following questions are about any surgery not provided in an emergency that you may have required, such as cardiac surgery, joint surgery, like knee or hip, caesarean sections and cataract surgery, excluding laser eye surgery.
INTERVIEWER: Press <1> to continue.

ACC_Q20
In the past 12 months, did you require any non-emergency surgery?

  1. Yes
  2. No (Go to ACC_R30)
    DK, RF (Go to ACC_R30)

ACC_Q21
In the past 12 months, did you ever experience any difficulties getting the surgery you needed?

  1. Yes
  2. No (Go to ACC_R30)
    DK, RF (Go to ACC_R30)

ACC_Q22
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty getting an appointment with a surgeon
  2. Difficulty getting a diagnosis
  3. Waited too long - for a diagnostic test
  4. Waited too long - for a hospital bed to become available
  5. Waited too long - for surgery
  6. Service not available - in the area
  7. Transportation - problems
  8. Language - problem
  9. Cost
  10. Personal or family responsibilities
  11. General deterioration of health
  12. Appointment cancelled or deferred by surgeon or hospital
  13. Still waiting for surgery
  14. Unable to leave the house because of a health problem
  15. Other - Specify (Go to ACC_S22)
    DK, RF
    Go to ACC_R30

ACC_S22
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_R30
Now some questions about MRIs, CAT Scans and angiographies provided in a non-emergency situation.
INTERVIEWER: Press <1> to continue.

ACC_Q30
In the past 12 months, did you require one of these tests?

  1. Yes
  2. No (Go to ACC_D40)
    DK, RF (Go to ACC_D40)

ACC_Q31
In the past 12 months, did you ever experience any difficulties getting the tests you needed?

  1. Yes
  2. No (Go to ACC_D40)
    DK, RF (Go to ACC_D40)

ACC_Q32
What type of difficulties did you experience?

INTERVIEWER: Mark all that apply.

  1. Difficulty getting a referral
  2. Difficulty getting an appointment
  3. Waited too long - to get an appointment
  4. Waited too long - to get test (i.e. in-office waiting)
  5. Service not available - at time required
  6. Service not available - in the area
  7. Transportation - problems
  8. Language - problem
  9. Cost
  10. General deterioration of health
  11. Did not know where to go (i.e. information problems)
  12. Still waiting for test
  13. Unable to leave the house because of a health problem
  14. Other - Specify (Go to ACC_S32)
    DK, RF
    Go to ACC_D40

ACC_S32
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_D40
If one person household then ^DT_YourFamily = " "
If one person household, ^DT_Family = "you"
Else, ^DT_YourFamily = "for yourself or a family member"
Else, ^DT_Family = "you or a family member"

ACC_C40
If If one person household, go to ACC_R40B.
Otherwise go to ACC_R40., go to ACC_R40B.
Otherwise, go to ACC_R40.

ACC_R40
Now I’d like you to think about yourself and family members living in your dwelling.
The next questions are about your experiences getting health information or advice when you needed it for yourself or a family member living in your dwelling.

INTERVIEWER: Press <1> to continue.
Go to ACC_Q40

ACC_R40B
The next questions are about your experiences getting health information or advice when you needed it.
INTERVIEWER: Press <1> to continue.

ACC_Q40
In the past 12 months, have you required health information or advice ^DT_YourFamily?

  1. Yes
  2. No (Go to ACC_R50)
    DK, RF (Go to ACC_R50)

ACC_Q40A
Who did you contact when you needed health information or advice ^DT_YourFamily?
INTERVIEWER: Read categories to respondent. Mark all that apply.

  1. Doctor’s office
  2. Community health centre / CLSC
  3. Walk-in clinic
  4. Telephone health line (for example, HealthLinks, Telehealth Ontario, Health-Line, TeleCare, Info-Sante)
  5. Hospital emergency room
  6. Other hospital service
  7. Other - Specify (Go to ACC_S40A)
    DK, RF
    Go to ACC_Q41

ACC_S40A
Who did you contact when you needed health information or advice ^DT_YourFamily?
INTERVIEWER: Specify.
DK, RF

ACC_Q41
In the past 12 months, did you ever experience any difficulties getting the health information or advice ^DT_YourFamily?

  1. Yes
  2. No (Go to ACC_C50)
    DK, RF (Go to ACC_C50)

ACC_Q42
Did you experience difficulties during “regular” office hours (that is, 9:00 am to 5:00 pm, Monday to Friday)?
INTERVIEWER: It is important to make a distinction between "No" (Did not experience problems) and "Did not require at this time".

  1. Yes
  2. No (Go to ACC_Q44)
  3. Not required at this time (Go to ACC_Q44)
    DK, RF (Go to ACC_Q44)

ACC_Q43
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty contacting a physician or nurse
  2. Did not have a phone number
  3. Could not get through (i.e. no answer)
  4. Waited too long to speak to someone
  5. Did not get adequate info or advice
  6. Language - problem
  7. Did not know where to go / call / uninformed
  8. Unable to leave the house because of a health problem
  9. Other - Specify (Go to ACC_S43)
    DK, RF
    Go to ACC_Q44

ACC_S43
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_Q44
Did you experience difficulties getting health information or advice during evenings and weekends (that is, 5:00 to 9:00 pm Monday to Friday, or 9:00 am to 5:00 pm, Saturdays and Sundays)?
INTERVIEWER: It is important to make a distinction between "No" (Did not experience problems) and "Did not require at this time".

  1. Yes
  2. No (Go to ACC_Q46)
  3. Not required at this time (Go to ACC_Q46)
    DK, RF (Go to ACC_Q46)

ACC_Q45
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty contacting a physician or nurse
  2. Did not have a phone number
  3. Could not get through (i.e. no answer)
  4. Waited too long to speak to someone
  5. Did not get adequate info or advice
  6. Language - problem
  7. Did not know where to go / call / uninformed
  8. Unable to leave the house because of a health problem
  9. Other - Specify (Go to ACC_S45)
    DK, RF
    Go to ACC_Q46

ACC_S45
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_Q46
Did you experience difficulties getting health information or advice during the middle of the night?
INTERVIEWER: It is important to make a distinction between "No" (Did not experience problems) and "Did not require at this time".

  1. Yes
  2. No (Go to ACC_C50)
  3. Not required at this time (Go to ACC_C50)
    DK, RF (Go to ACC_C50)

ACC_Q47
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty contacting a physician or nurse
  2. Did not have a phone number
  3. Could not get through (i.e. no answer)
  4. Waited too long to speak to someone
  5. Did not get adequate info or advice
  6. Language - problem
  7. Did not know where to go / call / uninformed
  8. Unable to leave the house because of a health problem
  9. Other - Specify (Go to ACC_S47)
    DK, RF
    Go to ACC_C50

ACC_S47
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_C50
If one person household, go to ACC_R50B
Otherwise, go to ACC_R50, go to ACC_R50B.
Otherwise, go to ACC_R50.

ACC_R50
Now some questions about your experiences when you needed health care services for routine or on-going care such as a medical exam or follow-up for yourself or a family member living in your dwelling.
INTERVIEWER: Press <1> to continue.
Go to ACC_Q50A

ACC_R50B
Now some questions about your experiences when you needed health care services for routine or on-going care such as a medical exam or follow-up.
INTERVIEWER: Press <1> to continue.

ACC_Q50A
Do you have a regular family doctor?

  1. Yes
  2. No
    DK, RF

ACC_Q50
In the past 12 months, did you require any routine or on-going care ^DT_YourFamily?

  1. Yes
  2. No (Go to ACC_R60)
    DK, RF (Go to ACC_R60)

ACC_Q51
In the past 12 months, did you ever experience any difficulties getting the routine or on- going ^DT_Family needed?

  1. Yes
  2. No (Go to ACC_R60)
    DK, RF (Go to ACC_R60)

ACC_Q52
Did you experience difficulties getting such care during "regular" office hours (that is, 9:00 am to 5:00 pm, Monday to Friday)?
INTERVIEWER: It is important to make a distinction between "No" (Did not experience problems) and "Did not require at this time".

  1. Yes
  2. No (Go to ACC_Q54)
  3. Not required at this time (Go to ACC_Q54)
    DK, RF (Go to ACC_Q54)

ACC_Q53
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty contacting a physician
  2. Difficulty getting an appointment
  3. Do not have personal / family physician
  4. Waited too long - to get an appointment
  5. Waited too long - to see the doctor (i.e. in-office waiting)
  6. Service not available - at time required
  7. Service not available - in the area
  8. Transportation - problems
  9. Language - problem
  10. Cost
  11. Did not know where to go (i.e. information problems)
  12. Unable to leave the house because of a health problem
  13. Other - Specify (Go to ACC_S53)
    DK, RF
    Go to ACC_Q54

ACC_S53
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_Q54
Did you experience difficulties getting such care during evenings and weekends (that is, 5:00 to 9:00 pm, Monday to Friday or 9:00 am to 5:00 pm, Saturdays and Sundays)?
INTERVIEWER: It is important to make a distinction between "No" (Did not experience problems) and "Did not require at this time".

  1. Yes
  2. No (Go to ACC_R60)
  3. Not required at this time (Go to ACC_R60)
    DK, RF (Go to ACC_R60)

ACC_Q55
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty contacting a physician
  2. Difficulty getting an appointment
  3. Do not have personal / family physician
  4. Waited too long - to get an appointment
  5. Waited too long - to see the doctor (i.e. in-office waiting)
  6. Service not available - at time required
  7. Service not available - in the area
  8. Transportation - problems
  9. Language - problem
  10. Cost
  11. Did not know where to go (i.e. information problems)
  12. Unable to leave the house because of a health problem
  13. Other - Specify (Go to ACC_S55)
    DK, RF
    Go to ACC_R60

ACC_S55
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_R60
The next questions are about situations when ^DT_Family have needed immediate care for a minor health problem such as fever, headache, a sprained ankle, vomiting or an unexplained rash.
INTERVIEWER: Press <1> to continue.

ACC_Q60
In the past 12 months, did ^DT_Famiily require immediate health care services for a minor health problem?

  1. Yes
  2. No (Go to ACC_END)
    DK, RF (Go to ACC_END)

ACC_Q61
In the past 12 months, did you ever experience any difficulties getting the immediate care needed for a minor health problem ^DT_YourFamily?

  1. Yes
  2. No (Go to ACC_END)
    DK, RF (Go to ACC_END)

ACC_Q62
Did you experience difficulties getting such care during “regular” office hours (that is, 9:00 am to 5:00 pm, Monday to Friday)?
INTERVIEWER: It is important to make a distinction between "No" (Did not experience problems) and "Did not require at this time".

  1. Yes
  2. No (Go to ACC_Q64)
  3. Not required at this time (Go to ACC_Q64)
    DK, RF (Go to ACC_Q64)

ACC_Q63
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty contacting a physician
  2. Difficulty getting an appointment
  3. Do not have personal / family physician
  4. Waited too long - to get an appointment
  5. Waited too long - to see the doctor (i.e. in-office waiting)
  6. Service not available - at time required
  7. Service not available - in the area
  8. Transportation - problems
  9. Language - problem
  10. Cost
  11. Did not know where to go (i.e. information problems)
  12. Unable to leave the house because of a health problem
  13. Other - Specify (Go to ACC_S63)
    DK, RF
    Go to ACC_Q64

ACC_S63
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_Q64
Did you experience difficulties getting such care during evenings and weekends (that is, 5:00 to 9:00 pm, Monday to Friday or 9:00 am to 5:00 pm, Saturdays and Sundays)?
INTERVIEWER: It is important to make a distinction between "No" (Did not experience problems) and "Did not require at this time".

  1. Yes
  2. No (Go to ACC_Q66)
  3. Not required at this time (Go to ACC_Q66)
    DK, RF (Go to ACC_Q66)

ACC_Q65
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty contacting a physician
  2. Difficulty getting an appointment
  3. Do not have personal / family physician
  4. Waited too long - to get an appointment
  5. Waited too long - to see the doctor (i.e. in-office waiting)
  6. Service not available - at time required
  7. Service not available - in the area
  8. Transportation - problems
  9. Language - problem
  10. Cost
  11. Did not know where to go (i.e. information problems)
  12. Unable to leave the house because of a health problem
  13. Other - Specify (Go to ACC_S65)
    DK, RF
    Go to ACC_Q66

ACC_S65
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_Q66
Did you experience difficulties getting such care during the middle of the night?
INTERVIEWER: It is important to make a distinction between "No" (Did not experience problems) and "Did not require at this time".

  1. Yes
  2. No (Go to ACC_END)
  3. Not required at this time (Go to ACC_END)
    DK, RF (Go to ACC_END)

ACC_Q67
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.

  1. Difficulty contacting a physician
  2. Difficulty getting an appointment
  3. Do not have personal / family physician
  4. Waited too long - to get an appointment
  5. Waited too long - to see the doctor (i.e. in-office waiting)
  6. Service not available - at time required
  7. Service not available - in the area
  8. Transportation - problems
  9. Language - problem
  10. Cost
  11. Did not know where to go (i.e. information problems)
  12. Unable to leave the house because of a health problem
  13. Other - Specify (Go to ACC_S67)
    DK, RF
    Go to ACC_END

ACC_S67
What type of difficulties did you experience?
INTERVIEWER: Specify.
DK, RF

ACC_END

Waiting times (WTM)

WTM_BEG
Rapid response module asked in March-June 2013

External variables required:

PROXMODE: proxy identifier, from the GR block.
FNAME: first name of respondent from household block.
DOWTM: do block flag, from the sample file.

PE_Q01: first name of specific respondent from USU block
PE_Q02: last name of specific respondent from USU block

Screen display:
Display on header bar PE_Q01 and PE_Q02 separated by a space

WTM_C01A
If (DOWTM block = 1), go to WTM_C01B.
Otherwise, go to WTM_END.

WTM_C01B
If proxy interview or if age < 15, go to WTM_END.
Otherwise, go to WTM_C01C.

WTM_C01C
If ACC_Q10 = 2 (did not require a visit to a specialist) and ACC_Q20 = 2 (did not require non emergency surgery) and ACC_Q30 = 2 (did not require tests)) or (ACC_Q10 = (DK, RF, BLANK) and ACC_Q20 = (DK, RF, BLANK) and ACC_Q30 = (DK, RF, BLANK)) or ((ACCS_Q10 = 2 and ACCS_Q20 = 2 and ACCS_Q30 = 2) or(ACCS_Q10 = (DK, R, BLANK) and ACCS_Q20 = (DK, R, BLANK) and ACCS_Q30 = (DK, R, BLANK)), go to WTM_END.
Otherwise, go to WTM_R01.

WTM_R1
Now some additional questions about your experiences waiting for health care services.
INTERVIEWER: Press <1> to continue.

WTM_C02
If ACC_Q10 = (2, DK, RF, BLANK) or ACCS_Q10 = (2, DK, R, BLANK) , go to WTM_C16.
Otherwise, go to WTM_Q02A.

WTM_D02A
If SEX=male, DT_GYNAECOE = "null ".
Otherwise, DT_GYNAECOE = ", gynaecologist".

WTM_Q02A
You mentioned that you required a visit to a medical specialist such as a cardiologist, allergist, ^DT_GYNAECOE or psychiatrist.
In the past 12 months, did you require a visit to a medical specialist for a diagnosis or a consultation for a new illness or condition?

  1. Yes
  2. No (Go to WTM_C16)
    DK, RF (Go to WTM_C16)

WTM_D02
If sex = female, DT_GYNAECO = "Gynaecological problems".
Otherwise, DT_GYNAECO = "null".

WTM_Q02B
For what type of condition?
If you have had more than one such visit, please answer for the most recent visit.

INTERVIEWER: Read categories to respondent.

  1. Heart condition or stroke
  2. Cancer
  3. Asthma or other breathing conditions
  4. Arthritis
  5. Cataract or other eye conditions
  6. Mental health disorder
  7. Skin conditions
  8. ^DT_GYNAECO
  9. Other – Specify (Go to WTM_S02B)
    DK, RF

WTM_S02B
INTERVIEWER: Specify.

WTM_E02
A blank answer has been selected. Please return and correct.

Rule: Trigger hard edit if WTM_Q02B=8 and sex=male.

WTM_Q03
Were you referred by…?
INTERVIEWER: Read categories to respondent.

  1. A family doctor
  2. Another specialist
  3. Another health care provider
  4. Did not require a referral
    DK, RF

WTM_Q04
Have you already visited the medical specialist?

  1. Yes
  2. No (Go to WTM_Q08A)
    DK, RF (Go to WTM_Q08A)

WTM_Q05
Thinking about this visit, did you experience any difficulties seeing the specialist?

  1. Yes
  2. No (Go to WTM_Q07A)
    DK, RF (Go to WTM_Q07A)

WTM_Q06
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply.  Question ACC_Q12 (or ACCS_Q12) previously asked about any difficulties getting specialist care. This question (WTM_Q06) deals with difficulties experienced for the most recent visit for a new illness or condition.

  1. Difficulty getting a referral
  2. Difficulty getting an appointment
  3. No specialists in the area
  4. Waited too long - between booking appointment and visit
  5. Waited too long - to see the doctor (i.e. in-office waiting)
  6. Transportation - problems
  7. Language - problem
  8. Cost
  9. Personal or family responsibilities
  10. General deterioration of health
  11. Appointment cancelled or deferred by specialist
  12. Unable to leave the house because of a health problem
  13. Other - Specify (Go to WTM_S06)
    DK, RF

WTM_S06
INTERVIEWER: Specify.

WTM_D07A
If WTM_Q03 = 1 or 2, DT_APPOINTMENT = "you and your doctor decided that you should see a specialist".
If WTM_Q03 = 3, DT_APPOINTMENT = "you and your health care provider decided that you should see a specialist".
Otherwise, DT_APPOINTMENT = "the appointment was initially scheduled".

WTM_Q07A
How long did you have to wait between when ^DT_APPOINTMENT and when you actually visited the specialist?
INTERVIEWER: Probe to get the most precise answer possible.

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_D10)

WTM_N07B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E07B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q07A > 31 and WTM_N07B = 1) or (WTM_Q07A > 12 and WTM_N07B = 2) or (WTM_Q07A > 18 and WTM_N07B=3).

WTM_Q08A
How long have you been waiting since ^DT_APPOINTMENT?
INTERVIEWER: Probe to get the most precise answer possible.

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_D10)

WTM_N08B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E08B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q08A > 31 and WTM_N08B = 1) or (WTM_Q08A > 12 and WTM_N08B = 2) or (WTM_Q08A > 18 and WTM_N08B=3).

WTM_D10
If WTM_Q04 = 1, DT_WAITTIME1 = "was the waiting time".
Otherwise, DT_WAITTIME1 = "has the waiting time been".

WTM_Q10
In your view, ^DT_WAITTIME1…?

  1. Acceptable (Go to WTM_Q12)
  2. Not acceptable
  3. No view
    DK, RF

WTM_Q11A
In this particular case, what do you think is an acceptable waiting time?

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_Q12)

WTM_N11B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E11B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q11A > 31 and WTM_N11B = 1) or (WTM_Q11A > 12 and WTM_N11B = 2) or (WTM_Q11A > 18 and WTM_N11B=3).

WTM_Q12
Was your visit cancelled or postponed at any time?

  1. Yes
  2. No (Go to WTM_Q14)
    DK, RF (Go to WTM_Q14)

WTM_Q13
Was it cancelled or postponed by…?
INTERVIEWER: Read categories to respondent. Mark all that apply.

  1. Yourself
  2. The specialist
  3. Other - Specify (Go to WTM_S13)
    DK, RF

WTM_S13
INTERVIEWER: Specify.

WTM_Q14
Do you think that your health, or other aspects of your life, have been affected in any way because you had to wait for this visit?

  1. Yes
  2. No (Go to WTM_C16)
    DK, RF (Go to WTM_C16)

WTM_Q15
How was your life affected as a result of waiting for this visit?

  1. Worry, anxiety, stress
  2. Worry or stress for family or friends
  3. Pain
  4. Problems with activities of daily living (e.g., dressing, driving)
  5. Loss of work
  6. Loss of income
  7. Increased dependence on relatives/friends
  8. Increased use of over-the-counter drugs
  9. Overall health deteriorated, condition got worse
  10. Health problem improved
  11. Personal relationships suffered
  12. Other - Specify (Go to WTM_S15)
    DK, RF

WTM_S15
INTERVIEWER: Specify.

WTM_C16
If ACC_Q20 = (2, DK, RF, BLANK) or ACCS_Q20 = (2, DK, R, BLANK), go to WTM_C30.
Otherwise, go to WTM_D16.

WTM_D16
If sex = female, DT_HYSTERECTOMY = "Hysterectomy (Removal of uterus)".
Otherwise, DT_HYSTERECTOMY = "null".

WTM_Q16
You mentioned that in the past 12 months you required non emergency surgery.

What type of surgery did you require? If you have had more than one in the past 12 months, please answer for the most recent surgery.

INTERVIEWER: Read categories to respondent.

  1. Cardiac surgery
  2. Cancer related surgery
  3. Hip or knee replacement surgery
  4. Cataract or other eye surgery
  5. ^DT_HYSTERECTOMY
  6. Removal of gall bladder
  7. Other - Specify (Go to WTM_S16)
    DK, RF

WTM_E16
A blank answer has been selected. Please return and correct.

Rule: Trigger hard edit if WTM_Q16=5 and sex=male.

WTM_S16
INTERVIEWER: Specify.

WTM_Q17
Did you already have this surgery?

  1. Yes
  2. No (Go to WTM_Q22)
    DK, RF (Go to WTM_Q22)

WTM_Q18
Did the surgery require an overnight hospital stay?

  1. Yes
  2. No
    DK, RF

WTM_Q19
Did you experience any difficulties getting this surgery?

  1. Yes
  2. No (Go to WTM_Q21A)
    DK, RF (Go to WTM_Q21A)

WTM_Q20
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply. ACC_Q22 (or ACCS_Q22) asked previously about any difficulties experienced getting the surgery you needed.  This question (WTM_Q20) refers to difficulties experienced for the most recent non emergency surgery.

  1. Difficulty getting an appointment with a surgeon
  2. Difficulty getting a diagnosis
  3. Waited too long - for a diagnostic test
  4. Waited too long - for a hospital bed to become available
  5. Waited too long - for surgery
  6. Service not available - in the area
  7. Transportation - problems
  8. Language - problem
  9. Cost
  10. Personal or family responsibilities
  11. General deterioration of health
  12. Appointment cancelled or deferred by surgeon or hospital
  13. Unable to leave the house because of a health problem
  14. Other - Specify (Go to WTM_S20)
    DK, RF

WTM_S20
INTERVIEWER: Specify.

WTM_Q21A
How long did you have to wait between when you and the surgeon decided to go ahead with surgery and the day of surgery?
INTERVIEWER: Probe to get the most precise answer possible.

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_D24)

WTM_N21B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E21B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q21A > 31 and WTM_N21B = 1) or (WTM_Q21A > 12 and WTM_N21B = 2) or (WTM_Q21A > 18 and WTM_N21B=3).

WTM_Q22
Will the surgery require an overnight hospital stay?

  1. Yes
  2. No
    DK, RF

WTM_Q23A
How long have you been waiting since you and the surgeon decided to go ahead with the surgery?
INTERVIEWER: Probe to get the most precise answer possible.

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_D24)

WTM_N23B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E23B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q23A > 31 and WTM_N23B = 1) or (WTM_Q23A > 12 and WTM_N23B = 2) or (WTM_Q23A > 18 and WTM_N23B=3).

WTM_D24
If WTM_Q17 = 1, DT_WAITTIME2 = "was the waiting time".
Otherwise, DT_WAITTIME2 = "has the waiting time been".

WTM_Q24
In your view, ^DT_WAITTIME2…?

  1. Acceptable (Go to WTM_Q26)
  2. Not acceptable
  3. No view
    DK, RF

WTM_Q25A
In this particular case, what do you think is an acceptable waiting time?

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_Q26)

WTM_N25B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E25B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q25A > 31 and WTM_N25B = 1) or (WTM_Q25A > 12 and WTM_N25B = 2) or (WTM_Q25A > 18 and WTM_N25B=3).

WTM_Q26
Was your surgery cancelled or postponed at any time?

  1. Yes
  2. No (Go to WTM_Q28)
    DK, RF (Go to WTM_Q28)

WTM_Q27
Was it cancelled or postponed by…?
INTERVIEWER: Read categories to respondent. Mark all that apply.

  1. Yourself
  2. The surgeon
  3. The hospital
  4. Other - Specify (Go to WTM_S27)
    DK, RF

WTM_S27
INTERVIEWER: Specify.

WTM_Q28
Do you think that your health, or other aspects of your life, have been affected in any way due to waiting for this surgery?

  1. Yes
  2. No (Go to WTM_C30)
    DK, RF (Go to WTM_C30)

WTM_Q29
How was your life affected as a result of waiting for surgery?

  1. Worry, anxiety, stress
  2. Worry or stress for family or friends
  3. Pain
  4. Problems with activities of daily living (e.g., dressing, driving)
  5. Loss of work
  6. Loss of income
  7. Increased dependence on relatives/friends
  8. Increased use of over-the-counter drugs
  9. Overall health deteriorated, condition got worse
  10. Health problem improved
  11. Personal relationships suffered
  12. Other - Specify (Go to WTM_S29)
    DK, RF

WTM_S29
INTERVIEWER: Specify.

WTM_C30
If ACC_Q30 = (2, DK, RF, BLANK) or ACCS_Q30 = (2, DK, R, BLANK) , go to WTM_END.
Otherwise, go to WTM_Q30.

WTM_Q30
Now for MRIs, CAT Scans and angiographies provided in a non emergency situation.

You mentioned that in the past 12 months you required one of these tests.

What type of test did you require?

If you have had more than one in the past 12 months, please answer for the most recent test.

INTERVIEWER: Read categories to respondent.

  1. MRI (Magnetic Resonance Imagining)
  2. CAT Scan (Computed Axial Tomography)
  3. Angiography (Cardiac Test)
    DK, RF

WTM_Q31
For what type of condition?
INTERVIEWER: Read categories to respondent.

  1. Heart disease or stroke
  2. Cancer
  3. Joints or fractures
  4. Neurological or brain disorders (e.g., for MS, migraine or headaches)
  5. Other - Specify (Go to WTM_S31)
    DK, RF

WTM_S29
INTERVIEWER: Specify.

WTM_Q32
Did you already have this test?

  1. Yes
  2. No (Go to WTM_Q39A)
    DK, RF (Go to WTM_Q39A)

WTM_Q33
Where was the test done?
INTERVIEWER: Read categories to respondent.

  1. Hospital (Go to WTM_Q35)
  2. Public clinic (Go to WTM_Q35)
  3. Private clinic (Go to WTM_Q34)
  4. Other - Specify (Go to WTM_S33)
    DK, RF (Go to WTM_Q36)

WTM_S33
INTERVIEWER: Specify.

WTM_Q34
Was the clinic located…?
INTERVIEWER: Read categories to respondent.

  1. In your province
  2. In another province
  3. Other - Specify (Go to WTM_S34)
    DK, RF

WTM_S34
INTERVIEWER: Specify.

WTM_Q35
Were you a patient in a hospital at the time of the test?

  1. Yes
  2. No
    DK, RF

WTM_Q36
Did you experience any difficulties getting this test?

  1. Yes
  2. No (Go to WTM_Q38A)
    DK, RF (Go to WTM_Q38A)

WTM_Q37
What type of difficulties did you experience?
INTERVIEWER: Mark all that apply. ACC_Q32 (or ACCS_Q32) asked previously about any difficulties experienced getting the tests you needed.  This question (WTM_Q37) refers to difficulties experienced for the most recent diagnostic test.

  1. Difficulty getting a referral
  2. Difficulty getting an appointment
  3. Waited too long - to get an appointment
  4. Waited too long - to get test (i.e. in-office waiting)
  5. Service not available - at time required
  6. Service not available - in the area
  7. Transportation - problems
  8. Language - problem
  9. Cost
  10. General deterioration of health
  11. Did not know where to go (i.e. information problems)
  12. Unable to leave the house because of a health problem
  13. Other - Specify (Go to WTM_S37)
    DK, RF

WTM_S37
INTERVIEWER: Specify.

WTM_Q38A
How long did you have to wait between when you and your doctor decided to go ahead with the test and the day of the test?
INTERVIEWER: Probe to get the most precise answer possible.

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_D40)

WTM_N38B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E38B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q38A > 31 and WTM_N38B = 1) or (WTM_Q38A > 12 and WTM_N38B = 2) or (WTM_Q38A > 18 and WTM_N38B=3).

WTM_Q39A
How long have you been waiting for the test since you and your doctor decided to go ahead with the test?
INTERVIEWER: Probe to get the most precise answer possible.

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_D40)

WTM_N39B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E39B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q39A > 31 and WTM_N39B = 1) or (WTM_Q39A > 12 and WTM_N39B = 2) or (WTM_Q39A > 18 and WTM_N39B=3).

WTM_D40
If WTM_Q32 = 1, DT_WAITTIME3 = "was the waiting time".
Otherwise, DT_WAITTIME3 = "has the waiting time been".

WTM_Q40
In your view, ^DT_WAITTIME3…?
INTERVIEWER: Read categories to respondent.  It is important to make a distinction between "No view" and "Don’t Know".

  1. Acceptable (Go to WTM_Q42)
  2. Not acceptable
  3. No view
    DK, RF

WTM_Q41A
In this particular case, what do you think is an acceptable waiting time?

Minimum: 1 Maximum: 365
DK, RF (Go to WTM_Q42)

WTM_N41B
INTERVIEWER: Enter unit of time.

  1. Days
  2. Weeks
  3. Months
    (DK, RF not allowed)

WTM_E41B
An unusual value has been entered. Please confirm.

Rule: Trigger soft edit if (WTM_Q41A > 31 and WTM_N41B = 1) or (WTM_Q41A > 12 and WTM_N41B = 2) or (WTM_Q41A > 18 and WTM_N41B=3).

WTM_Q42
Was your test cancelled or postponed at any time?

  1. Yes
  2. No (Go to WTM_Q44)
    DK, RF (Go to WTM_Q44)

WTM_Q43
Was it cancelled or postponed by…?
INTERVIEWER: Read categories to respondent.

  1. Yourself
  2. The specialist
  3. The hospital
  4. The clinic
  5. Other - Specify (Go to WTM_S43)
    DK, RF

WTM_S43
INTERVIEWER: Specify.

WTM_Q44
Do you think that your health, or other aspects of your life, have been affected in any way due to waiting for this test?

  1. Yes
  2. No (Go to WTM_END)
    DK, RF (Go to WTM_END)

WTM_Q45
How was your life affected as a result of waiting for this test?
INTERVIEWER: Mark all that apply.

  1. Worry, anxiety, stress
  2. Worry or stress for family or friends
  3. Pain
  4. Problems with activities of daily living (e.g., dressing, driving)
  5. Loss of work
  6. Loss of income
  7. Increased dependence on relatives/friends
  8. Increased use of over-the-counter drugs
  9. Overall health deteriorated, condition got worse
  10. Health problem improved
  11. Personal relationships suffered
  12. Other - Specify (Go to WTM_S45)
    DK, RF

WTM_S45
INTERVIEWER: Specify.

WTM_END

 
 
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