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Impact of health care system on socioeconomic inequalities in doctor use

Author

Listed:
  • Zeynep Or

    (IRDES Institute for research and information in health economics)

  • Florence Jusot

    (IRDES Institute for research and information in health economics)

  • Engin Yilmaz

    (IRDES Institute for research and information in health economics)

Abstract

This study examines the impact of health system characteristics on social inequities in health care use in Europe, using data from national surveys in 13 European countries. Multilevel logistic regression models are estimated to separate the individual level determinants of generalist and specialist use from the health system level and country specific factors. The results suggest that beyond the division between public and private funding and cost-sharing arrangements in health system, the role given to the general practitioners and/or the organization of the primary care might be essential for reducing social inequities in health care utilisation.

Suggested Citation

  • Zeynep Or & Florence Jusot & Engin Yilmaz, 2008. "Impact of health care system on socioeconomic inequalities in doctor use," Working Papers DT17, IRDES institut for research and information in health economics, revised Sep 2008.
    • Handle: RePEc:irh:wpaper:dt17
    as

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    File URL: https://www.irdes.fr/EspaceAnglais/Publications/WorkingPapers/DT17ImpactHealthCareSystSocioeconomicInequalities.pdf
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    References listed on IDEAS

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    Cited by:

    1. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(3), pages 269-293, July.
    2. Marion Devaux, 2015. "Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 21-33, January.
    3. Slavka Mitričević & Janko Janković & Željka Stamenković & Vesna Bjegović-Mikanović & Marko Savić & Dejana Stanisavljević & Stefan Mandić-Rajčević, 2021. "Factors Influencing Utilization of Preventive Health Services in Primary Health Care in the Republic of Serbia," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    4. Terraneo, Marco, 2015. "Inequities in health care utilization by people aged 50+: Evidence from 12 European countries," Social Science & Medicine, Elsevier, vol. 126(C), pages 154-163.
    5. Pulok, Mohammad Habibullah & Hajizadeh, Mohammad, 2022. "Equity in the use of physician services in Canada's universal health system: A longitudinal analysis of older adults," Social Science & Medicine, Elsevier, vol. 307(C).
    6. Ana Poças & Elias Soukiazis, 2013. "Are health factors important for regional growth and convergence? An empirical analysis for the Portuguese districts," International Journal of Public Policy, Inderscience Enterprises Ltd, vol. 9(1/2), pages 44-64.
    7. Groenewegen, Peter P. & Dourgnon, Paul & Greß, Stefan & Jurgutis, Arnoldas & Willems, Sara, 2013. "Strengthening weak primary care systems: Steps towards stronger primary care in selected Western and Eastern European countries," Health Policy, Elsevier, vol. 113(1), pages 170-179.
    8. Astrid Kiil & Kurt Houlberg, 2014. "How does copayment for health care services affect demand, health and redistribution? A systematic review of the empirical evidence from 1990 to 2011," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(8), pages 813-828, November.
    9. Jenni Blomgren & Lauri J Virta, 2020. "Socioeconomic differences in use of public, occupational and private health care: A register-linkage study of a working-age population in Finland," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-18, April.
    10. Selcuk Beduk, 2018. "Missing the Unhealthy? Examining Empirical Validity of Material Deprivation Indices (MDIs) Using a Partial Criterion Variable," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(1), pages 91-115, January.
    11. Thierry Debrand & Christine Sorasith, 2010. "Out-of-Pocket Maximum Rules under a Compulsatory Health Care Insurance Scheme: A Choice between Equality and Equity," Working Papers DT34, IRDES institut for research and information in health economics, revised Nov 2010.
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    More about this item

    Keywords

    Equity; Health system; Doctor utilisation; Multilevel; International;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O57 - Economic Development, Innovation, Technological Change, and Growth - - Economywide Country Studies - - - Comparative Studies of Countries

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