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Equity in Utilization of and Access to Public-Sector GPs in Spain

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Author Info
Abasolo, Ignacio
Manning, Rob
Jones, Andrew M

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Abstract

A framework is outlined for testing empirically whether utilization of and access to public-sector GPs in Spain in 1993 was consistent with the twin criteria of horizontal and vertical equity, where these are defined with respect to need. Vertical (horizontal) inequities in access are assessed by including interactions between determinants of access and need (non-need) variables in a utilization equation. Findings are consistent with the principle of vertical equity in the utilization of GP services, but are not consistent with horizontal equity. Travel time for individuals who did not visit their GP are imputed but it is not a significant determinant of utilization or access. However, caution is expressed when interpreting these findings, as they may be contaminated by biases arising from unit non-response, measurement error and simultaneity. The paper concludes with a set of recommendations for future studies. Copyright 2001 by Taylor and Francis Group

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File URL: http://taylorandfrancis.metapress.com/openurl.asp?genre=article&issn=0003-6846&volume=33&issue=3&spage=349
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Publisher Info
Article provided by Taylor and Francis Journals in its journal Applied Economics.

Volume (Year): 33 (2001)
Issue (Month): 3 (February)
Pages: 349-64
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Handle: RePEc:taf:applec:v:33:y:2001:i:3:p:349-64

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  1. Muñoz de Bustillo, Rafael & Antón, José-Ignacio, 2009. "Health care utilization and immigration in Spain," MPRA Paper 12382, University Library of Munich, Germany. [Downloadable!]
  2. Hernández Quevedo, C & Jiménez Rubio, D, 2008. "A comparison of the health status and health care utilisation patterns between foreigners and the national population in Spain: new evidence from the Spanish National Health Survey," Health, Econometrics and Data Group (HEDG) Working Papers 08/22, HEDG, c/o Department of Economics, University of York. [Downloadable!]
  3. Antonio Clavero Barranquero & Mª. Luz González Alvarez, 2005. "A survey of econometric models to analyze the demand and utilisation of health care," Hacienda Pública Española, IEF, vol. 173(2), pages 129-162, June. [Downloadable!]
  4. Guillem López-Casasnovas & Berta Rivera, 2002. "Las políticas de equidad en salud y las relaciones entre renta y salud," Hacienda Pública Española, IEF, vol. 161(2), pages 99-126, June. [Downloadable!]
  5. Jiménez Rubio, Dolores, 2008. "Equity in the Use of Health Care Services by Immigrants in the Spanish National Health Care System," Estudios de Economía Aplicada, Estudios de Economía Aplicada, vol. 26, pages 211-230, Septiembr. [Downloadable!] (restricted)
  6. Marisol Rodríguez & Alexandrina Stoyanova, 2004. "The effect of private insurance access on the choice of GP|specialist and public|private provider in Spain," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 689-703. [Downloadable!]
  7. Jürgen Maurer, 2007. "Modelling socioeconomic and health determinants of health care use: A semiparametric approach," MEA discussion paper series 07145, Mannheim Research Institute for the Economics of Aging (MEA), University of Mannheim. [Downloadable!]
  8. Jürgen Maurer, 2007. "Modelling socioeconomic and health determinants of health-care use: a semiparametric approach," Health Economics, John Wiley & Sons, Ltd., vol. 16(9), pages 967-979. [Downloadable!]
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