IDEAS home Printed from https://ideas.repec.org/a/spr/eujhec/v14y2013i2p211-219.html
   My bibliography  Save this article

Trends in social class inequalities in the use of health care services within the Spanish National Health System, 1993–2006

Author

Listed:
  • Laia Palència
  • Albert Espelt
  • Maica Rodríguez-Sanz
  • Katia B. Rocha
  • M. Isabel Pasarín
  • Carme Borrell

Abstract

Despite the increase in the use of health care services, the relationship between social class and the use of these services has remained stable throughout the study period. Achieving equity in the use of specialised care services is still a challenge for universal health care systems. Copyright Springer-Verlag 2013

Suggested Citation

  • Laia Palència & Albert Espelt & Maica Rodríguez-Sanz & Katia B. Rocha & M. Isabel Pasarín & Carme Borrell, 2013. "Trends in social class inequalities in the use of health care services within the Spanish National Health System, 1993–2006," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 211-219, April.
    • Handle: RePEc:spr:eujhec:v:14:y:2013:i:2:p:211-219
    DOI: 10.1007/s10198-011-0362-7
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1007/s10198-011-0362-7
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1007/s10198-011-0362-7?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Lasser, K.E. & Himmelstein, D.U. & Woolhandler, S., 2006. "Access to care, health status, and health disparities in the United States and Canada: Results of a Cross-National Population Based Survey," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1300-1307.
    2. Larizgoitia, Itziar & Starfield, Barbara, 1997. "Reform of primary health care: the case of Spain," Health Policy, Elsevier, vol. 41(2), pages 121-137, August.
    3. Mackenbach, Johan P. & Kunst, Anton E., 1997. "Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from Europe," Social Science & Medicine, Elsevier, vol. 44(6), pages 757-771, March.
    4. Lostao, Lourdes & Regidor, Enrique & Geyer, Siegfried & Aïach, Pierre, 2007. "Patient cost sharing and social inequalities in access to health care in three western European countries," Social Science & Medicine, Elsevier, vol. 65(2), pages 367-376, July.
    5. Goddard, Maria & Smith, Peter, 2001. "Equity of access to health care services: : Theory and evidence from the UK," Social Science & Medicine, Elsevier, vol. 53(9), pages 1149-1162, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Juan Antonio Córdoba-Doña & Antonio Escolar-Pujolar & Miguel San Sebastián & Per E Gustafsson, 2018. "Withstanding austerity: Equity in health services utilisation in the first stage of the economic recession in Southern Spain," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-21, March.
    2. Joko Mulyanto & Dionne S Kringos & Anton E Kunst, 2019. "The evolution of income-related inequalities in healthcare utilisation in Indonesia, 1993–2014," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-15, June.
    3. Abu-Qarn, Aamer & Lichtman-Sadot, Shirlee, 2021. "Older Adult Health Following Greater Access to Secondary Health Care: Evidence from Bus Service Introductions to Arab Towns in Israel," IZA Discussion Papers 14490, Institute of Labor Economics (IZA).
    4. Irene Garcia-Subirats & Ingrid Vargas & Belén Sanz-Barbero & Davide Malmusi & Elena Ronda & Mónica Ballesta & María Luisa Vázquez, 2014. "Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis," IJERPH, MDPI, vol. 11(10), pages 1-20, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    2. Mengge Du & Shichen Zhao, 2022. "An Equity Evaluation on Accessibility of Primary Healthcare Facilities by Using V2SFCA Method: Taking Fukuoka City, Japan, as a Case Study," Land, MDPI, vol. 11(5), pages 1-22, April.
    3. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    4. Hwa-Kyung Lim & Young-Ho Khang, 2019. "Quantifying the impact of reducing socioeconomic inequalities in modifiable risk factors on mortality and mortality inequalities in South Korea," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(4), pages 585-594, May.
    5. Fanny Janssen & Anthe van den Hende & Joop de Beer & Leo van Wissen, 2016. "Sigma and beta convergence in regional mortality: A case study of the Netherlands," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 35(4), pages 81-116.
    6. Tavares, Lara Patrício & Zantomio, Francesca, 2017. "Inequity in healthcare use among older people after 2008: The case of southern European countries," Health Policy, Elsevier, vol. 121(10), pages 1063-1071.
    7. Marco Marozzi & Mario Bolzan, 2018. "An Index of Household Accessibility to Basic Services: A Study of Italian Regions," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(3), pages 1237-1250, April.
    8. Natasha Wood & David Bann & Rebecca Hardy & Catharine Gale & Alissa Goodman & Claire Crawford & Mai Stafford, 2017. "Childhood socioeconomic position and adult mental wellbeing: Evidence from four British birth cohort studies," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-13, October.
    9. Duncan Gillespie & Meredith Trotter & Shripad Tuljapurkar, 2014. "Divergence in Age Patterns of Mortality Change Drives International Divergence in Lifespan Inequality," Demography, Springer;Population Association of America (PAA), vol. 51(3), pages 1003-1017, June.
    10. Kate Birnie & Rachel Cooper & Richard M Martin & Diana Kuh & Avan Aihie Sayer & Beatriz E Alvarado & Antony Bayer & Kaare Christensen & Sung-il Cho & Cyrus Cooper & Janie Corley & Leone Craig & Ian J , 2011. "Childhood Socioeconomic Position and Objectively Measured Physical Capability Levels in Adulthood: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 6(1), pages 1-13, January.
    11. Teresa Leão & Inês Campos-Matos & Clare Bambra & Giuliano Russo & Julian Perelman, 2018. "Welfare states, the Great Recession and health: Trends in educational inequalities in self-reported health in 26 European countries," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-14, February.
    12. Hannelore Grande & Patrick Deboosere & Hadewijch Vandenheede, 2013. "Evolution of educational inequalities in mortality among young adults in an urban setting," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 825-835, December.
    13. Wim Van Lancker & Joris Ghysels, 2013. "Great expectations, but how to achieve them? Explaining patterns of inequality in childcare use across 31 developed countries," Working Papers 1305, Herman Deleeck Centre for Social Policy, University of Antwerp.
    14. Green, Mark A., 2013. "The equalisation hypothesis and changes in geographical inequalities of age based mortality in England, 2002–2004 to 2008–2010," Social Science & Medicine, Elsevier, vol. 87(C), pages 93-98.
    15. Madhavi Bajekal & Shaun Scholes & Martin O’Flaherty & Rosalind Raine & Paul Norman & Simon Capewell, 2013. "Unequal Trends in Coronary Heart Disease Mortality by Socioeconomic Circumstances, England 1982–2006: An Analytical Study," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-15, March.
    16. Marcela Arrivillaga, 2021. "Assesing Health Services in Colombia: Development of a Conceptual Framework and Measurement tools based on primary data," SAGE Open, , vol. 11(2), pages 21582440211, May.
    17. Lori J. Curtis & William J. MacMinn, 2008. "Health Care Utilization in Canada: Twenty-five Years of Evidence," Canadian Public Policy, University of Toronto Press, vol. 34(1), pages 65-88, March.
    18. William Boyce & Torbjorn Torsheim & Candace Currie & Alessio Zambon, 2006. "The Family Affluence Scale as a Measure of National Wealth: Validation of an Adolescent Self-Report Measure," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 78(3), pages 473-487, September.
    19. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.
    20. Yumei Zhu & August Österle, 2019. "China's policy experimentation on long‐term care insurance: Implications for access," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1661-1674, October.

    More about this item

    Keywords

    Health care use; Inequalities; Social class; Trends; National Health System; D63; I14; I18;
    All these keywords.

    JEL classification:

    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:eujhec:v:14:y:2013:i:2:p:211-219. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.