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Income, financial barriers to health care and public health expenditure: A multilevel analysis of 28 countries

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  • Kim, Tae Jun
  • Vonneilich, Nico
  • Lüdecke, Daniel
  • von dem Knesebeck, Olaf

Abstract

International studies have repeatedly shown that people with lower income are more likely to experience difficulties to access medical services. Less is known on why these relations vary across countries. This study investigates whether the association between income and financial barriers to health care is influenced by national public health expenditures (PHE, in % of total health expenditure).

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  • Kim, Tae Jun & Vonneilich, Nico & Lüdecke, Daniel & von dem Knesebeck, Olaf, 2017. "Income, financial barriers to health care and public health expenditure: A multilevel analysis of 28 countries," Social Science & Medicine, Elsevier, vol. 176(C), pages 158-165.
    • Handle: RePEc:eee:socmed:v:176:y:2017:i:c:p:158-165
    DOI: 10.1016/j.socscimed.2017.01.044
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    1. Austin Peter C, 2010. "Estimating Multilevel Logistic Regression Models When the Number of Clusters is Low: A Comparison of Different Statistical Software Procedures," The International Journal of Biostatistics, De Gruyter, vol. 6(1), pages 1-20, April.
    2. King, Gary & Zeng, Langche, 2001. "Logistic Regression in Rare Events Data," Political Analysis, Cambridge University Press, vol. 9(2), pages 137-163, January.
    3. repec:hal:pseose:halshs-01027569 is not listed on IDEAS
    4. Mcintyre, Di & Thiede, Michael & Birch, Stephen, 2009. "Access as a policy-relevant concept in low- and middle-income countries," Health Economics, Policy and Law, Cambridge University Press, vol. 4(2), pages 179-193, April.
    5. Bates, Douglas & Mächler, Martin & Bolker, Ben & Walker, Steve, 2015. "Fitting Linear Mixed-Effects Models Using lme4," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 67(i01).
    6. Srivastava, Divya & McGuire, Alistair, 2015. "Patient access to health care and medicines across low-income countries," Social Science & Medicine, Elsevier, vol. 133(C), pages 21-27.
    7. Waters, Hugh R., 2000. "Measuring equity in access to health care," Social Science & Medicine, Elsevier, vol. 51(4), pages 599-612, August.
    8. Eddy van Doorslaer & Andrew M. Jones, 2004. "Income‐related inequality in health and health care in the European Union," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 605-608, July.
    9. van Doorslaer, Eddy & Wagstaff, Adam, 1992. "Equity in the delivery of health care: some international comparisons," Journal of Health Economics, Elsevier, vol. 11(4), pages 389-411, December.
    10. Wagstaff, Adam & van Doorslaer, Eddy & van der Burg, Hattem & Calonge, Samuel & Christiansen, Terkel & Citoni, Guido & Gerdtham, Ulf-G & Gerfin, Mike & Gross, Lorna & Hakinnen, Unto, 1999. "Equity in the finance of health care: some further international comparisons1," Journal of Health Economics, Elsevier, vol. 18(3), pages 263-290, June.
    11. Wagstaff, Adam & van Doorslaer, Eddy, 1992. "Equity in the finance of health care: Some international comparisons," Journal of Health Economics, Elsevier, vol. 11(4), pages 361-387, December.
    12. Michael N Onah & Veloshnee Govender, 2014. "Out-of-Pocket Payments, Health Care Access and Utilisation in South-Eastern Nigeria: A Gender Perspective," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-11, April.
    13. Eddy van Doorslaer & Owen O'Donnell & Ravindra P. Rannan-Eliya & Aparnaa Somanathan & Shiva Raj Adhikari & Charu C. Garg & Deni Harbianto & Alejandro N. Herrin & Mohammed Nazmul Huq & Shamsia Ibragimo, 2007. "Catastrophic payments for health care in Asia," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1159-1184.
    14. Allin, Sara & Grignon, Michel & Le Grand, Julian, 2010. "Subjective unmet need and utilization of health care services in Canada: What are the equity implications?," Social Science & Medicine, Elsevier, vol. 70(3), pages 465-472, February.
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    5. Veronika Kočiš Krůtilová & Lewe Bahnsen, 2021. "Cost-Induced Unmet Need for Health Care among Europe's Older Adults - The Role of Specific Diseases," European Journal of Business Science and Technology, Mendel University in Brno, Faculty of Business and Economics, vol. 7(2), pages 210-222.
    6. Mihaela Onofrei & Anca-Florentina Vatamanu & Georgeta Vintilă & Elena Cigu, 2021. "Government Health Expenditure and Public Health Outcomes: A Comparative Study among EU Developing Countries," IJERPH, MDPI, vol. 18(20), pages 1-13, October.
    7. Hou, Bingdong & Wu, Jingwen & Mi, Zhifu & Ma, Chunbo & Shi, Xunpeng & Liao, Hua, 2022. "Cooking fuel types and the health effects: A field study in China," Energy Policy, Elsevier, vol. 167(C).

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