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Simultaneous effect of disabling conditions on primary health care use through a capability approach

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  • Bussière, Clémence
  • Sicsic, Jonathan
  • Pelletier-Fleury, Nathalie

Abstract

There is evidence of social disparities in the use of primary health services in most European countries, and these disparities particularly affect people with disabilities. Many determinants of disabilities interact to limit access to health care (e.g. impairments, functional limitations, educational level). However, these determinants have typically been examined separately. We adopted a capabilities perspective to define multidimensional disability. Capabilities refer to individuals' real opportunities to achieve possible outcomes. In this context, we aimed to assess disability through latent capabilities (shaped by personal, social and environmental variables) and to simultaneously analyze their effects on primary health care use (GP and nurse care; cervical, breast, and colorectal cancer screenings). We used a structural equation modeling framework, which allowed complete and simultaneous tests of relationships taking into account measurement errors. The data source was the 2008 French Health and Disability Survey (29,931 individuals). Potential disability-related determinants were selected to measure five latent variables: health condition and cognitive, physical, societal, and socioeconomic capabilities. All things being equal, we did not identify any specific barriers to GP care use. We found a lower likelihood of nursing care use among people with lower cognitive capabilities. Unlike usual findings, we did not observe a significant influence of either cognitive or physical capabilities for any type of cancer screening use. However, cancer screening participation was mainly affected by societal and socioeconomic capabilities. Considering the capability approach, which suggests public action oriented toward restoring capabilities of individuals, future programs should seek to increase societal support to compensate for disability. This approach could be helpful in reducing inequalities in health care access.

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  • Bussière, Clémence & Sicsic, Jonathan & Pelletier-Fleury, Nathalie, 2016. "Simultaneous effect of disabling conditions on primary health care use through a capability approach," Social Science & Medicine, Elsevier, vol. 154(C), pages 70-84.
    • Handle: RePEc:eee:socmed:v:154:y:2016:i:c:p:70-84
    DOI: 10.1016/j.socscimed.2016.02.022
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    1. Mithen, Johanna & Aitken, Zoe & Ziersch, Anne & Kavanagh, Anne M., 2015. "Inequalities in social capital and health between people with and without disabilities," Social Science & Medicine, Elsevier, vol. 126(C), pages 26-35.
    2. Comim,Flavio & Qizilbash,Mozaffar & Alkire,Sabina (ed.), 2008. "The Capability Approach," Cambridge Books, Cambridge University Press, number 9780521862875.
    3. Le Fanu, Guy, 2014. "International development, disability, and education: Towards a capabilities-focused discourse and praxis," International Journal of Educational Development, Elsevier, vol. 38(C), pages 69-79.
    4. Fleurbaey, Marc, 2012. "Fairness, Responsibility, and Welfare," OUP Catalogue, Oxford University Press, number 9780199653591, Decembrie.
    5. Nocon, Andrew & Sayce, Liz, 2008. "Primary healthcare for people with mental health problems or learning disabilities," Health Policy, Elsevier, vol. 86(2-3), pages 325-334, May.
    6. van Doorslaer, Eddy & Wagstaff, Adam & van der Burg, Hattem & Christiansen, Terkel & De Graeve, Diana & Duchesne, Inge & Gerdtham, Ulf-G & Gerfin, Michael & Geurts, Jose & Gross, Lorna, 2000. "Equity in the delivery of health care in Europe and the US," Journal of Health Economics, Elsevier, vol. 19(5), pages 553-583, September.
    7. Amartya Sen, 2002. "Why health equity?," Health Economics, John Wiley & Sons, Ltd., vol. 11(8), pages 659-666, December.
    8. Mäki, Netta & Martikainen, Pekka & Eikemo, Terje & Menvielle, Gwenn & Lundberg, Olle & Östergren, Olof & Jasilionis, Domantas & Mackenbach, Johan P., 2013. "Educational differences in disability-free life expectancy: a comparative study of long-standing activity limitation in eight European countries," Social Science & Medicine, Elsevier, vol. 94(C), pages 1-8.
    9. Lee Cronbach, 1951. "Coefficient alpha and the internal structure of tests," Psychometrika, Springer;The Psychometric Society, vol. 16(3), pages 297-334, September.
    10. Eddy van Doorslaer & Xander Koolman & Andrew M. Jones, 2004. "Explaining income‐related inequalities in doctor utilisation in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 629-647, July.
    11. Peter I. Buerhaus & Catherine M. DesRoches & Robert Dittus & Karen Donelan, "undated". "Practice Characteristics of Primary Care Nurse Practitioners and Physicians," Mathematica Policy Research Reports b4bd9ab6329b4044807c13f51, Mathematica Policy Research.
    12. Rouquette, Alexandra & Badley, Elizabeth M. & Falissard, Bruno & Dub, Timothée & Leplege, Alain & Coste, Joël, 2015. "Moderators, mediators, and bidirectional relationships in the International Classification of Functioning, Disability and Health (ICF) framework: An empirical investigation using a longitudinal design," Social Science & Medicine, Elsevier, vol. 135(C), pages 133-142.
    13. Adam Wagstaff & Eddy van Doorslaer, 2000. "Measuring and Testing for Inequity in the Delivery of Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 35(4), pages 716-733.
    14. Lupi-Pegurier, Laurence & Clerc-Urmes, Isabelle & Abu-Zaineh, Mohammad & Paraponaris, Alain & Ventelou, Bruno, 2011. "Density of dental practitioners and access to dental care for the elderly: A multilevel analysis with a view on socio-economic inequality," Health Policy, Elsevier, vol. 103(2), pages 160-167.
    15. Krishnakumar, Jaya & Ballon, Paola, 2008. "Estimating Basic Capabilities: A Structural Equation Model Applied to Bolivia," World Development, Elsevier, vol. 36(6), pages 992-1010, June.
    16. Morciano, Marcello & Hancock, Ruth M. & Pudney, Stephen E., 2015. "Birth-cohort trends in older-age functional disability and their relationship with socio-economic status: Evidence from a pooling of repeated cross-sectional population-based studies for the UK," Social Science & Medicine, Elsevier, vol. 136, pages 1-9.
    17. Bickenbach, Jerome E. & Chatterji, Somnath & Badley, E. M. & Üstün, T. B., 1999. "Models of disablement, universalism and the international classification of impairments, disabilities and handicaps," Social Science & Medicine, Elsevier, vol. 48(9), pages 1173-1187, May.
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