The evolution of inequity in the access to health care in Spain: 1987-2001

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• dc.contributor.author García Gómez, Pilar
• dc.contributor.author López, Ángel
• dc.contributor.other Universitat Pompeu Fabra. Departament d'Economia i Empresa
• dc.date.accessioned 2020-05-25T09:27:11Z
• dc.date.available 2020-05-25T09:27:11Z
• dc.date.issued 2004-03-01
• dc.date.modified 2020-05-25T09:20:15Z
• dc.description.abstract This paper reports an analysis of the evolution of equity in access to health care in Spain over the period 1987-2001, a time span covering the development of the modern Spanish National Health System. Our measures of access are the probabilities of visiting a doctor, using emergency services and being hospitalised. For these three measures we obtain indices of horizontal inequity from microeconometric models of utilization that exploit the individual information in the Spanish National Health Surveys of 1987 and 2001. We find that by 2001 the system has improved in the sense that differences in income no longer lead to different access given the same level of need. However, the tenure of private health insurance leads to differences in access given the same level of need, and its contribution to inequity has increased over time, both because insurance is more concentrated among the rich and because the elasticity of utilization for the three services has increased too.
• dc.format.mimetype application/pdf*
• dc.identifier https://econ-papers.upf.edu/ca/paper.php?id=756
• dc.identifier.citation Research in Economic Inequality Vol 15, (2007), forthcoming
• dc.identifier.uri http://hdl.handle.net/10230/1035
• dc.language.iso eng
• dc.relation.ispartofseries Economics and Business Working Papers Series; 756
• dc.rights L'accés als continguts d'aquest document queda condicionat a l'acceptació de les condicions d'ús establertes per la següent llicència Creative Commons
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/es/
• dc.subject.keyword health care utilization; health insurance; equity; spain
• dc.subject.keyword Labour, Public, Development and Health Economics
• dc.title The evolution of inequity in the access to health care in Spain: 1987-2001
• dc.title.alternative Public and Private Health Insurance and the Utilisation of Health Care in Spain
• dc.type info:eu-repo/semantics/workingPaper