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Use of primary health care services according to the different degrees of obesity in the Girona Health Region, Spain

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Author Info
Marc Saez
Carme Saurina (Research Group on Statistics, Applied Economics and Health (GRECS), University of Girona, Girona, Spain)
Germà Coenders (Research Group on Statistics, Applied Economics and Health (GRECS), University of Girona, Girona, Spain)
Sònia González-Raya (Research Group on Statistics, Applied Economics and Health (GRECS), University of Girona, Girona, Spain)

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Abstract

Our main hypothesis in this paper was that, once controlled for age and gender, the use of primary health care services of people in each of the groups defined by their degree of obesity (i.e. normal weight, overweight and obese) did not correspond to the need for care implied by the level of risk of the group he|she belonged to. This fact could reflect some inequity in the utilisation of such services. Using a survey of the general population from the Girona Health Region, Spain, carried out during the fourth quarter of 2002, we have found that: first, the probability of primary health care use decreased with income for GPs (until 1200€) and increased for specialists (from 1500€). Second, we could conclude by confirming our hypothesis, i.e. there was more probability of obese individuals using general practice care, public in particular, and less probability of them using specialists, private in particular, than the rest of individuals. Third, we conclude that the use of multilevel (also hierarchical or mixed) models could explain most of our original findings in this paper. Copyright © 2005 John Wiley & Sons, Ltd.

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File URL: http://hdl.handle.net/10.1002/hec.1059
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Publisher Info
Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 15 (2006)
Issue (Month): 2 ()
Pages: 173-193
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Handle: RePEc:wly:hlthec:v:15:y:2006:i:2:p:173-193

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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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  6. Mundlak, Yair, 1978. "On the Pooling of Time Series and Cross Section Data," Econometrica, Econometric Society, vol. 46(1), pages 69-85, January. [Downloadable!] (restricted)
  7. Victor R. Fuchs & Mark McClellan & Jonathan Skinner, 2001. "Area Differences in Utilization of Medical Care and Mortality Among U.S. Elderly," NBER Working Papers 8628, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  8. Sergi Jiménez-Martín & José M. Labeaga & Maite Martínez-Granado, 2002. "Latent class versus two-part models in the demand for physician services across the European Union," Health Economics, John Wiley & Sons, Ltd., vol. 11(4), pages 301-321. [Downloadable!]
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  1. Ignacio Abásolo & Jaime Pinilla & Miguel Negrín, 2008. "Equity in the utilization of public health care services by regions in Spain: a multinivel analysis," Hacienda Pública Española, IEF, vol. 187(4), pages 87-106, December. [Downloadable!]
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