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Unmet medical needs and health care accessibility in seven countries of Eastern Europe

Author

Listed:
  • Sowa, P. Marcin
  • Butler, James R.G.
  • Connelly, Luke B.

Abstract

The study investigated the magnitude and structure of health care access barriers and utilisation inequalities in seven countries of Eastern Europe. Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, and Slovakia were examined over the period 2005-2009. The dataset containing 574,390 observations was derived from the European Union Statistics on Income and Living Conditions (EU-SILC). Logit and multinomial logit models were estimated for each country-year combination to inspect the relationship between respondents’ socio-economic characteristics, the probability of reporting unmet needs for examination or treatment, and the reason for the need not being met. We found that health care was most easily accessible in the Czech Republic and Slovakia. Affordability issues and prohibitive waiting times were prevalent in Poland and the Baltic States. Mobility and information represented minor access barriers. The poorest households, the unemployed, working age cohorts and women were more exposed to problems in accessing health care than the population at large. Access conditions improved over the analysed period. Substantial differences exist among countries that constitute an arguably homogenous group of post-communist, new EU member states. The nature of access barriers is indicative of coverage gaps and inadequacy of public sector resources relative to need, which call for systemic solutions.

Suggested Citation

  • Sowa, P. Marcin & Butler, James R.G. & Connelly, Luke B., 2014. "Unmet medical needs and health care accessibility in seven countries of Eastern Europe," MPRA Paper 75619, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:75619
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    References listed on IDEAS

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    Cited by:

    1. Md. Mizanur Rahman & Megumi Rosenberg & Gabriela Flores & Nadia Parsell & Shamima Akter & Md Ashraful Alam & Md. Mahfuzur Rahman & Tessa Edejer, 2022. "A systematic review and meta-analysis of unmet needs for healthcare and long-term care among older people," Health Economics Review, Springer, vol. 12(1), pages 1-10, December.

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    More about this item

    Keywords

    Health care access; utilisation; inequalities; waiting times; Eastern Europe;
    All these keywords.

    JEL classification:

    • C25 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions; Probabilities
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • P3 - Political Economy and Comparative Economic Systems - - Socialist Institutions and Their Transitions

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