Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xQWzyN. Diffusion soumise à autorisation]. Objectives : This study examined preventive care delivered in Manitoba during the 1990s by 3 different methods - childhood immunizations (by physicians and public health nurses under a government program), screening mammography (through a government program introduced in 1995), and cervical cancer screening (no program). Methods : Longitudinal administrative data, an immunization monitoring system, and Canadian census databases were used. Results : Cervical cancer screening rates remained static and showed strong socioeconomic differences ; childhood immunization rates remained high with small socioeconomic gradients. The introduction of the Manitoba Breast Screening Program resulted in rising rates of screening and vanishing socioeconomic gradients. Conclusions : Manitoba government programs in childhood immunization and screening mammography actively helped the provision of preventive care. Organized programs that target population groups, recognize barriers to access, and facilitate self-evaluation are critical for equitable delivery.
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