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Regional Inequality in the Provision of Health Care in Spain

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  • Lucia Quadrado
  • Henk Folmer
  • Sudha Loman

Abstract

Whereas studies on regional inequality tend to focus on income disparities, we investigate regional inequality in Spain with respect to health facilities. In this study we examine trends in regional inequality over the period 1964 to 1991 during which fundamental changes in health policies were implemented. We follow a multidimensional approach in the sense that several indicators of health facilities are considered. Regional inequality is measured by means of Theil's second measure of multidimensional inequality. The partial common principal components (PCPC) model is used to construct the weights for this measure whenever appropriate, and principal component analysis (PCA) is used when otherwise. The PCPC model is a generalisation of the classical method of PCA for several samples (years). Component coefficients are estimated by assuming that the first component is common for all years. Spatial inequality between regions as well as within regions is analysed to highlight the role of policy and other regional characteristics. Spatial spillovers are analysed by including the effects of health facilities in neighbouring regions. The analysis shows that the health policies of the Spanish government in the 1980s and decentralisation of power may have helped to reduce regional inequality, although no firm conclusions can be drawn yet.

Suggested Citation

  • Lucia Quadrado & Henk Folmer & Sudha Loman, 2001. "Regional Inequality in the Provision of Health Care in Spain," Environment and Planning A, , vol. 33(5), pages 783-798, May.
    • Handle: RePEc:sae:envira:v:33:y:2001:i:5:p:783-798
    DOI: 10.1068/a33101
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    Cited by:

    1. Olga Alonso-Villar & Coral Del R�o, 2008. "Geographical Concentration of Unemployment: A Male-Female Comparison in Spain," Regional Studies, Taylor & Francis Journals, vol. 42(3), pages 401-412, April.
    2. Diana Ricciulli-Marín & Jaime Bonet-Morón & Gerson Javier Pérez-Valbuena, 2022. "Cien años de finanzas públicas territoriales en Colombia," Cuadernos de Historia Económica 56, Banco de la Republica de Colombia.
    3. Gökçe MANAVGAT & Ayhan DEMİRCİ, 2020. "Decentralization Matter of Healthcare and Effect on Regional Healthcare Efficiency: Evidence from Turkey," Sosyoekonomi Journal, Sosyoekonomi Society, issue 28(44).
    4. Joan Costa-Font & Gilberto Turati, 2018. "Regional healthcare decentralization in unitary states: equal spending, equal satisfaction?," Regional Studies, Taylor & Francis Journals, vol. 52(7), pages 974-985, July.
    5. Fathim Rashna Kallingal & Mohammed Firoz C, 2022. "Developing a methodological framework for capturing regional disparities in social development," Regional Science Policy & Practice, Wiley Blackwell, vol. 14(5), pages 1085-1112, October.
    6. Ge Lin & Diane E Allan & Margaret J Penning, 2002. "Examining Distance Effects on Hospitalizations Using GIS: A Study of Three Health Regions in British Columbia, Canada," Environment and Planning A, , vol. 34(11), pages 2037-2053, November.

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