Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spain

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• dc.contributor.author Abásolo, Ignacio
• dc.contributor.author Sáez i Zafra, Marc
• dc.contributor.author López i Casasnovas, Guillem
• dc.date.accessioned 2020-06-02T08:59:45Z
• dc.date.available 2020-06-02T08:59:45Z
• dc.date.issued 2017
• dc.description.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.en
• dc.description.sponsorship This work was partly funded by the CIBER of Epidemiology and Public Health (CIBERESP) through the strategic subprogram ‘Crisis and Health’, by the Catalan Government Project ‘Compositional and Spatial Analysis’ (COSDA), 2014SGR551, AGAUR, by the research project ECO2016–79588-R from the Spanish Ministry of Economy and Competitiveness and by the Research Grant to Improve the Scientific Productivity of the Research Groups of the University of Girona 2016–2018 (MPCUdG2016/69). Guillem Lopez-Casasnovas acknowledges the unrestricted grant from Obra Social de la Caixa 2016 to CRES-UPF.
• dc.format.mimetype application/pdf
• dc.identifier.citation Abásolo I, Saez M, López-Cassasnovas G. Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spain. Int J Equity Health. 2017 Jul 24;16:134. DOI: 10.1186/s12939-017-0630-y
• dc.identifier.doi http://dx.doi.org/10.1186/s12939-017-0630-y
• dc.identifier.issn 1475-9276
• dc.identifier.uri http://hdl.handle.net/10230/44872
• dc.language.iso eng
• dc.publisher BMC (Springer Nature)
• dc.relation.ispartof International journal for equity in health. 2017 Jul 24;16:134
• dc.relation.projectID info:eu-repo/grantAgreement/ES/1PE/ECO2016–79588-R
• dc.rights This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri https://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Financial crisisen
• dc.subject.keyword Universalityen
• dc.subject.keyword Health servicesen
• dc.subject.keyword Inequalityen
• dc.subject.keyword Access to the health systemen
• dc.title Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spainen
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion