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Health services accessibility among Spanish elderly

Author

Listed:
  • Fernández-Mayoralas, Gloria
  • Rodríguez, Vicente
  • Rojo, Fermina

Abstract

The paper aims to identify the variables that best explain the use of health services by people aged 65 and over in Spain. The data comes from the 1993 Spanish National Health Survey (ENSE 93). The conceptual framework is the model proposed by Andersen, who suggests that utilisation is a function of predisposition to use the services, the ability to use them and of need. A bivariate and multivariate analysis (SPSS-X Discriminant Procedure) is conducted to define the predictors that best discriminate users and non-users. The use of each health service is explained by a different set of variables. The need variables play a more important role in predicting the use of non-discretionary services that are more closely related to healing processes (medical consultations, emergencies and hospitalisation). The predisposing and enabling variables are more relevant in explaining the use of dental services, indicating a certain degree of inequity of these discretionary services.

Suggested Citation

  • Fernández-Mayoralas, Gloria & Rodríguez, Vicente & Rojo, Fermina, 2000. "Health services accessibility among Spanish elderly," Social Science & Medicine, Elsevier, vol. 50(1), pages 17-26, January.
    • Handle: RePEc:eee:socmed:v:50:y:2000:i:1:p:17-26
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    Cited by:

    1. Du, Fangye & Mao, Liang & Wang, Jiaoe, 2021. "Determinants of travel mode choice for seeking healthcare: A comparison between elderly and non-elderly patients," Journal of Transport Geography, Elsevier, vol. 92(C).
    2. Ranković Plazinić, Biljana & Jović, Jadranka, 2018. "Mobility and transport potential of elderly in differently accessible rural areas," Journal of Transport Geography, Elsevier, vol. 68(C), pages 169-180.
    3. Panelli, Ruth & Gallagher, Lou & Kearns, Robin, 2006. "Access to rural health services: Research as community action and policy critique," Social Science & Medicine, Elsevier, vol. 62(5), pages 1103-1114, March.
    4. Fernandez-Olano, C. & Hidalgo, J.D. Lopez-Torres & Cerda-Diaz, R. & Requena-Gallego, M. & Sanchez-Castano, C. & Urbistondo-Cascales, L. & Otero-Puime, A., 2006. "Factors associated with health care utilization by the elderly in a public health care system," Health Policy, Elsevier, vol. 75(2), pages 131-139, January.

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