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Lavindkomst og antal kontakter med almen praksis

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Author Info

  • Nielsen Arendt, Jacob

    ()
    (University of Southern Denmark)

  • Nexøe, Jørgen
  • Toftgaard Jensen, Britt
  • Müntzberg, Gert
  • Sørensen, Jan

Abstract

Introduction: The purpose of this study is to examine whether there exist differences in utilization of general practice between low income groups and citizens with higher income after adjustment for social and health-related factors Material and methods: Various registers from Statistics Denmark with information on all adult citizens of Odense Municipality in 2003-2005 are applied. Income is measured as equivalent disposable income and adjustment for social and health-related personal characteristics are conducted using Poisson regression. Results: Poor with income below 73.000 DKK have 2-3 fewer contacts with general practice annually than those with an income of 73.000-146.000 DKK, depending upon age groups. The difference in contacts with general practice between the poor and those with a higher income is statistically significant. The difference is reduced to 1.5 fewer contacts after adjustment for differences in social and health-related characteristics. Conclusion: Poor adults have significantly fewer contacts with general practice than those with higher income. The difference is not explained by social and health-related factors. This is in contrast to results from earlier studies and may be an indication of underutilization of general practice. Other explanations may be that the poor enter the primary health sector through other channels, that the type and quality of contacts vary between income groups or that adjustment for health or other need indicators are not sufficient.

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Bibliographic Info

Paper provided by COHERE - Centre of Health Economics Research, University of Southern Denmark in its series COHERE Working Paper with number 2008:12.

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Length: 16 pages
Date of creation: 23 Oct 2008
Date of revision:
Handle: RePEc:hhs:sduhec:2008_012

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Postal: COHERE - Center for Sundhedsøkonomisk Forskning, Institut for Virksomhedsledelse og Økonomi, Syddansk Universitet, Campusvej 55, DK-5230 Odense M, Denmark
Phone: (+45) 6550 3081
Fax: (+45) 6550 3880
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Web page: http://www.sdu.dk/Om_SDU/Institutter_centre/cCohere
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Keywords: Health care utilization; General Practice; poverty; Social inequality;

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