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Regional Disparities In Access To Health Care: A Multilevel Analysis In Selected OECD Countries

Author

Listed:
  • Monica Brezzi

    (OECD)

  • Patrizia Luongo

    (The World Bank)

Abstract

This paper investigates regional disparities in access to healthcare, measured by self-reported unmet medical needs. It looks at disparities across 86 regions in 5 European countries: Czech Republic, France, Italy, Spain and the United Kingdom. The results show that in addition to individual factors, such as age, gender, health status, or education, the characteristics of the region where people live, such as the average skill endowment or employment rate, have a significant impact on the probability of unmet medical needs. Individual and regional determinants play different roles across regions in these five countries. Moreover, in three of these countries (Czech Republic, Italy and Spain), age and chronic illness have different impacts on unmet medical needs depending on the region of residence, when all the other conditions are kept the same. The result calls for further investigation on regionalspecific factors that could be modified with targeted policies in order to reduce the probability of foregone health care.

Suggested Citation

  • Monica Brezzi & Patrizia Luongo, 2016. "Regional Disparities In Access To Health Care: A Multilevel Analysis In Selected OECD Countries," OECD Regional Development Working Papers 2016/4, OECD Publishing.
    • Handle: RePEc:oec:govaab:2016/4-en
    DOI: 10.1787/5jm0tn1s035c-en
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    Cited by:

    1. Romeo-Victor Ionescu, 2016. "European Union of the Regional Disparities," Acta Universitatis Danubius. OEconomica, Danubius University of Galati, issue 12(6), pages 168-178, DECEMBER.

    More about this item

    Keywords

    access to health care; health; multilevel logistic analysis; regional inequality;
    All these keywords.

    JEL classification:

    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • R11 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Regional Economic Activity: Growth, Development, Environmental Issues, and Changes
    • R12 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Size and Spatial Distributions of Regional Economic Activity; Interregional Trade (economic geography)

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