Barriers to Care for People with Chronic Health Conditions (BCPCHC)

Detailed information for 2011




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The objectives of the BCPCHC Survey are:
- To provide more information on how people manage their chronic conditions;
- To identify barriers to care for those living with chronic conditions including economic and travel related barriers;
- To identify barriers to self-management of chronic conditions.

Data release - December 18, 2012


The survey on Barriers to Care for People with Chronic Health Conditions (BCPCHC) was conducted by Statistics Canada from February 1st to March 31st, 2012, with the cooperation and support of the Governors of the University of Calgary. The purpose of this survey is to learn more about the care and barriers to care among those with select chronic health conditions (hypertension, diabetes, heart disease, stroke). Data and information derived from the survey will be used to better understand patient experiences accessing care and their views regarding potential programmatic solutions to optimize their care.


  • Diseases and health conditions
  • Health
  • Health care services

Data sources and methodology

Target population

The target population is residents of Manitoba, Saskatchewan, Alberta or British Columbia who are aged 40 or older and have self-identified as having been diagnosed with hypertension, diabetes, heart disease or stroke.

Instrument design

In early 2011, subject matter experts in Statistics Canada's Health Analysis Division worked in conjunction with researchers at the University of Calgary to produce to draft questionnaire meant to illicit barriers to optimal care, specifically reversible barriers, across a range of domains, among individuals suffering from heart disease, stroke, diabetes and hypertension. After consulting the Questionnaire Review Committee, qualitative testing was performed in Calgary by QDRC (Statistics Canada's Questionnaire Design Resource Centre) in the form of focus group testing on July 27th and 28th, 2011. The methodology profile was as follows:

o 5 cognitive one-on-one interviews
o 2 focus groups of 10 participants each
o 6 participants from a rural area
o A mix of chronic conditions
o 7 participants with more than one condition

A summary report was received and most recommended changes were implemented, for those which were not, written justification was given to the QDRC. This process has brought us to the final version of the questionnaire that can be found today.


This is a sample survey with a cross-sectional design.

The sample was chosen from respondents to the 2011 Canadian Community Health Survey (CCHS) during the period July to December, 2011. The CCHS is a very broad survey containing information on all aspects of health.

The BCPCHC followed up with respondents from the CCHS who reside in Manitoba, Saskatchewan, Alberta or British Columbia, are aged 40 or older, and who have self-identified as having been diagnosed with hypertension, diabetes, heart disease or stroke.

Data sources

Data collection for this reference period: 2012-02-01 to 2012-03-31

Responding to this survey is voluntary.

Data are collected directly from survey respondents.

The BCPCHC is a Computer Assisted Telephone Interview (CATI) and is conducted by telephone by regional offices in the West. An introductory letter is mailed to respondents approximately one week before data collection. Because of the limited address information of the CCHS, only about 45% of respondents have a useful mailing address. The BCPCHC is a non-proxy survey. The selected respondent must answer the survey. A proxy interview with another household member is not permitted. If the selected respondent is not available or refuses to answer the survey questions, the case is considered a non-response.

View the Questionnaire(s) and reporting guide(s) .

Disclosure control

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Various confidentiality rules are applied to all data that are released or published to prevent the publication or disclosure of any information deemed confidential. If necessary, data are suppressed to prevent direct or residual disclosure of identifiable data.

No public release of the data of the BCPCHC will be made. For this reason, disclosure control methods have not been applied to the data, beyond the removal of direct identifiers.

Revisions and seasonal adjustment

This methodology does not apply to this survey.

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