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Socioeconomic position and health services use in Germany and Spain during the Great Recession
- Source :
- Academica-e. Repositorio Institucional de la Universidad Pública de Navarra, instname, PLoS ONE, PLoS ONE, Vol 12, Iss 8, p e0183325 (2017), Academica-e: Repositorio Institucional de la Universidad Pública de Navarra, Universidad Pública de Navarra, Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid, Consejería de Sanidad de la Comunidad de Madrid
- Publication Year :
- 2017
- Publisher :
- Public Library of Science, 2017.
-
Abstract
- Objective: The relationship of socioeconomic position with the use of health services may have changed with the emergence of the economic crisis. This study shows that relationship before and during the economic crisis, in Germany and in Spain. Methods: Data from the 2006 and 2011 Socio-Economic Panel carried out in Germany, and from the 2006 and 2011 National Health Surveys carried out in Spain were used. The health services investigated were physician consultations and hospitalization. The measures of socioeconomic position used were education and household income. The magnitude of the relationship between socioeconomic position and the use of each health services was estimated by calculating the percentage ratio by binary regression. Results: In Germany, in both periods, after adjusting for age, sex, type of health insurance and need for care, subjects belonging to the lower educational categories had a lower frequency of physician consultations, while those belonging to the lower income categories had a higher frequency of hospitalization. In the model comparing the two lower socioeconomic categories to the two higher categories, the percentage ratio for physician consultation by education was 0.97 (95%CI 0.96–0.98) in 2006 and 0.96 (95%CI 0.95–0.97) in 2011, and the percentage ratio for hospitalization by income was 1.14 (95%CI 1.05–1.25) in 2006 and 1.12 (95%CI 1.03–1.21) in 2011. In Spain, no significant socioeconomic differences were observed in either period in the frequency of use of these health services in the fully adjusted model. Conclusion: The results suggest that the economic crisis did not alter accessibility to the health system in either country, given that the socioeconomic pattern in the use of these health services was similar before and during the crisis in both countries. This work was supported by the Ministerio de Economía y Competividad (ES), no. CSO2013-40877-P.
- Subjects :
- Male
Economic growth
Medical Doctors
Socioeconomic position
Economics
Economic crisis
Health Care Providers
lcsh:Medicine
Social Sciences
Recession
Health Services Accessibility
Geographical Locations
Health services
0302 clinical medicine
Sociology
Environmental protection
Germany
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
skin and connective tissue diseases
lcsh:Science
media_common
Multidisciplinary
030503 health policy & services
Middle Aged
Socioeconomic Aspects of Health
Europe
Hospitalization
Professions
Economic Recession
Work (electrical)
Female
0305 other medical science
Research Article
Adult
media_common.quotation_subject
Education
Great recession
03 medical and health sciences
Health services use
Health Economics
General Practitioners
Physicians
Political science
Humans
Educational Attainment
lcsh:R
Patient Acceptance of Health Care
Health Surveys
Educational attainment
Health Care
Socioeconomic Factors
Spain
People and Places
lcsh:Q
Population Groupings
sense organs
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Academica-e. Repositorio Institucional de la Universidad Pública de Navarra, instname, PLoS ONE, PLoS ONE, Vol 12, Iss 8, p e0183325 (2017), Academica-e: Repositorio Institucional de la Universidad Pública de Navarra, Universidad Pública de Navarra, Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid, Consejería de Sanidad de la Comunidad de Madrid
- Accession number :
- edsair.doi.dedup.....c7eaa2b12ea7d502b1b9fe9533565045