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Trends in social class inequalities in the use of health care services within the Spanish National Health System, 1993–2006

Author

Listed:
  • Laia Palència
  • Albert Espelt
  • Maica Rodríguez-Sanz
  • Katia B. Rocha
  • M. Isabel Pasarín
  • Carme Borrell

Abstract

Despite the increase in the use of health care services, the relationship between social class and the use of these services has remained stable throughout the study period. Achieving equity in the use of specialised care services is still a challenge for universal health care systems. Copyright Springer-Verlag 2013

Suggested Citation

  • Laia Palència & Albert Espelt & Maica Rodríguez-Sanz & Katia B. Rocha & M. Isabel Pasarín & Carme Borrell, 2013. "Trends in social class inequalities in the use of health care services within the Spanish National Health System, 1993–2006," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 211-219, April.
    • Handle: RePEc:spr:eujhec:v:14:y:2013:i:2:p:211-219
    DOI: 10.1007/s10198-011-0362-7
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    References listed on IDEAS

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    1. Mackenbach, Johan P. & Kunst, Anton E., 1997. "Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from Europe," Social Science & Medicine, Elsevier, vol. 44(6), pages 757-771, March.
    2. Lostao, Lourdes & Regidor, Enrique & Geyer, Siegfried & Aïach, Pierre, 2007. "Patient cost sharing and social inequalities in access to health care in three western European countries," Social Science & Medicine, Elsevier, vol. 65(2), pages 367-376, July.
    3. Goddard, Maria & Smith, Peter, 2001. "Equity of access to health care services: : Theory and evidence from the UK," Social Science & Medicine, Elsevier, vol. 53(9), pages 1149-1162, November.
    4. Lasser, K.E. & Himmelstein, D.U. & Woolhandler, S., 2006. "Access to care, health status, and health disparities in the United States and Canada: Results of a Cross-National Population Based Survey," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1300-1307.
    5. Larizgoitia, Itziar & Starfield, Barbara, 1997. "Reform of primary health care: the case of Spain," Health Policy, Elsevier, vol. 41(2), pages 121-137, August.
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    Citations

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    Cited by:

    1. Juan Antonio Córdoba-Doña & Antonio Escolar-Pujolar & Miguel San Sebastián & Per E Gustafsson, 2018. "Withstanding austerity: Equity in health services utilisation in the first stage of the economic recession in Southern Spain," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-21, March.
    2. Joko Mulyanto & Dionne S Kringos & Anton E Kunst, 2019. "The evolution of income-related inequalities in healthcare utilisation in Indonesia, 1993–2014," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-15, June.
    3. Abu-Qarn, Aamer & Lichtman-Sadot, Shirlee, 2021. "Older Adult Health Following Greater Access to Secondary Health Care: Evidence from Bus Service Introductions to Arab Towns in Israel," IZA Discussion Papers 14490, Institute of Labor Economics (IZA).
    4. Irene Garcia-Subirats & Ingrid Vargas & Belén Sanz-Barbero & Davide Malmusi & Elena Ronda & Mónica Ballesta & María Luisa Vázquez, 2014. "Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis," IJERPH, MDPI, vol. 11(10), pages 1-20, September.

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    More about this item

    Keywords

    Health care use; Inequalities; Social class; Trends; National Health System; D63; I14; I18;
    All these keywords.

    JEL classification:

    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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