Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spain.
Int J Equity Health
; 16(1): 134, 2017 07 24.
Article
em En
| MEDLINE
| ID: mdl-28738806
ABSTRACT
BACKGROUND:
The objective of this paper is to analyse whether the recent recession has altered health care utilisation patterns of different income groups in Spain.METHODS:
Based on information concerning individuals 'income and health care use, along with health need indicators and demographic characteristics (provided by the Spanish National Health Surveys from 2006/07 and 2011/12), econometric models are estimated in two parts (mixed logistic regressions and truncated negative binominal regressions) for each of the public health services studied (family doctor appointments, appointments with specialists, hospitalisations, emergencies and prescription drug use).RESULTS:
The results show that the principle of universal access to public health provision does not in fact prevent a financial crisis from affecting certain income groups more than others in their utilisation of public health services.CONCLUSIONS:
Specifically, in relative terms the recession has been more detrimental to low-income groups in the cases of specialist appointments and hospitalisations, whereas it has worked to their advantage in the cases of emergency services and family doctor appointments.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cobertura Universal do Seguro de Saúde
/
Atenção à Saúde
/
Disparidades em Assistência à Saúde
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Recessão Econômica
/
Renda
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
/
Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Int J Equity Health
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Espanha