Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spain
dc.contributor.author
dc.date.accessioned
2017-10-25T10:12:17Z
dc.date.available
2017-10-25T10:12:17Z
dc.date.issued
2017-07-24
dc.identifier.uri
dc.description.abstract
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
dc.format.mimetype
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
dc.relation.isformatof
Reproducció digital del document publicat a: https://doi.org/10.1186/s12939-017-0630-y
dc.relation.ispartof
International Journal for Equity in Health, 2017, vol. 16, p. 134
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Articles publicats (D-EC)
dc.rights
Attribution 3.0 Spain
dc.rights.uri
dc.subject
dc.title
Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spain
dc.type
info:eu-repo/semantics/article
dc.rights.accessRights
info:eu-repo/semantics/openAccess
dc.embargo.terms
Cap
dc.type.version
info:eu-repo/semantics/publishedVersion
dc.identifier.doi
dc.identifier.idgrec
027079
dc.identifier.eissn
1475-9276