The use of health care services in the Great Recession
Evaluating inequalities in the Spanish context
Bibliographic Data
| ID | 21483291 |
|---|---|
| Authors | Raquel Sánchez‐Recio (0000-0002-0078-0663, Universidad de Zaragoza), Raquel Sánchez-Recio, Juan Pablo Alonso (Gobierno de Aragón), Isabel Aguilar‐Palacio (0000-0001-7293-701X, Instituto de Investigación Sanitaria Aragón, corresponding author), Isabel Aguilar-Palacio |
| Year | 2020 |
| Volume | 34 |
| Issue | 3 |
| Pages | 245-252 |
| Publication date | 2020-05-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Gaceta Sanitaria (JOURNAL) |
| Journal identifiers | ISSN: 0213-9111 • E-ISSN: 1578-1283 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.gaceta.2019.10.009 |
| PMID | 32005597 |
| OpenAlex | W3003631747 |
| Language | EN |
| Citations received | 5 |
| References cited | 23 |
To analyse the effect of the Great Recession (2008) on primary care (PC) and secondary care (SC) inequalities in Spain. Repeated cross-sectional study using Spanish Health Surveys from 2001 to 2017 (n = 139,566). Prevalence of PC and SC utilization were calculated standardized by age. Chi square tests for trend were conducted to explore the evolution. We performed logistic regression analyses adjusted by the Andersen's model of demand for care to explore inequalities prior to, during and following the recession. All the analyses were stratified by sex. Healthcare use trends changed from a rapid increase in the pre-recession period to a plateau during the recession and a decrease in the post-recession period. Healthcare use was higher in women (PC: 15.8% to 32.5%; SC: 8.2% to 16.2%) than in men (PC: 11.3% to 24.1%; SC: 5.4% to 11.6%) and the gender gap increased. During the recession the likelihood of PC use was higher in disadvantaged groups, while SC had greater usage amongst more advantaged social groups. Inequalities in SC use increased during the recession and could not be attributed to factors of need. Healthcare use trends changed as a result of the recession. There are socioeconomic inequalities in the use of PC and SC in Spain, which increased in secondary care, during the recession and in the post-recession period. It is necessary to take into account socioeconomic determinants in health planning, in order to achieve equity in healthcare services. Analizar el efecto de la Gran Recesión en las desigualdades en el uso de atención primaria (AP) y atención especializada (AE) en España. Análisis transversal repetido (Encuestas Nacionales de Salud 2001-2017; n = 139.566). Se calcularon las prevalencias de utilización estandarizadas por edad y se realizó el cálculo de tendencias para explorar la evolución. Se llevaron a cabo análisis de regresión logística ajustados por el Modelo de demanda asistencial de Andersen para estudiar las desigualdades en los periodos anterior, durante y posterior a la crisis. Todos los análisis se estratificaron por sexo. La tendencia en la utilización de los servicios sanitarios pasó de un rápido incremento en el periodo anterior a la crisis a una estabilización durante la crisis y un posterior descenso. La utilización de los servicios sanitarios fue mayor en las mujeres (AP: 15,8% a 32,5%; AE: 8,2% a 16,2%) que en los hombres (AP: 11,3% a 24,1%; AE: 5,4% a 11,6%), aumentando las diferencias. Durante la crisis, la probabilidad de usar la AP fue mayor en los grupos más desfavorecidos, mientras que en la AE se observa la tendencia contraria. Las desigualdades en la AE aumentaron durante la recesión, pero ello no puede atribuirse a factores de necesidad. La tendencia de la utilización de los servicios sanitarios cambió en la Gran Recesión. Existen desigualdades en la utilización de servicios sanitarios en España, que han aumentado en AE durante el periodo de crisis y poscrisis. Es necesario considerar los factores socioeconómicos en planificación sanitaria con el fin de lograr la equidad
Demographic economics · Disadvantaged · Economic growth · Economics · Environmental health · Geography · Health care · Inequality · Logistic regression · Population · Recession · Socioeconomic status · Sociology · Demography · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Mathematics · Medicine · Internal Medicine
Body Mass and Income
Los efectos de la Gran Recesión y las políticas de austeridad en la salud de la población española
Inequities in hospitalisation in a South European country
Brecha de uso de la atención sanitaria entre la población autóctona e inmigrante en España
Income-related inequalities in unmet dental care needs in Spain
Health outcomes during the 2008 financial crisis in Europe
Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis
Health inequalities by socioeconomic characteristics in Spain
Financial crisis and income-related inequalities in the universal provision of a public service
Use of health services according to income before and after elimination of copayment in Germany and restriction of universal health coverage in Spain
The impact of financial crisis and austerity policies in Andalusia, Spain
Constructions of masculinity and their influence on men's well-being
Revisiting the Behavioral Model and Access to Medical Care
| Citations per year | 0.83 |
|---|---|
| Citation span | 2020 - 2022 (3) |
| Highly cited | No |