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




Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spain - Download this document for free, or read online. Document in PDF available to download.

International Journal for Equity in Health

, 16:134

First Online: 24 July 2017Received: 28 March 2017Accepted: 14 July 2017

Abstract

BackgroundThe objective of this paper is to analyse whether the recent recession has altered health care utilisation patterns of different income groups in Spain.

MethodsBased 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.

ResultsThe 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.

ConclusionsSpecifically, 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.

KeywordsFinancial crisis Universality Health services Inequality Access to the health system AbbreviationsGHQ-12Goldberg’s mental health index

INLAIntegrated Nested Laplace Approximation

PC priorsPenalising complexity priors

SNHSSpanish National Health Survey

Download fulltext PDF



Author: Ignacio Abásolo - Marc Saez - Guillem López-Casasnovas

Source: https://link.springer.com/



DOWNLOAD PDF




Related documents