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Reasons for unmet needs for health care: the role of social capital and social support in some Western EU countries

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  • Fiorillo, Damiano

Abstract

The paper focus on the patient-side factors that determine access to health care and analyzes the issues of unmet needs and reasons for unmet needs for health care in Western EU countries. The paper has two main objectives: first, to study the determinants of unmet health care needs (UN) with a particular hub on social capital and social support; second, to analyze whether social capital and social support are predictors of the reasons for unmet needs (RUN). A probit model is estimated from the whole population sample accounting for the possibility of individual selection in unmet needs for health care (UN) (selection equation). Then expanded probit models (including inverse Mills ratio) are used on the reasons for unmet needs (RUN) with social capital and social support as determinants and using the European Union Statistics on Income and Living Conditions (EU-SILC) dataset carried out in 2006. In UN equation, results indicate higher unmet health care needs for younger, people with tertiary education, low economic situation, unemployed and in poor health status. Moreover, the frequency of visiting relatives and friends and the ability to ask for help are correlated with a lower likelihood of declaring unmet needs, instead volunteering and participation in formal organizations present a higher probability of not visiting a doctor when needed. In RUN equations, findings show that female, large households, people with low economic situation and financial constraints, unemployed and in poor health status have a higher probability of declaring unmet needs due to economic costs. Additionally, people with tertiary education, high income and employed have a higher probability of not visiting a doctor when needed due to time availability. Furthermore, the frequency of contact with friends and the ability to ask for help are related with a lower probability of unmet needs due to economic costs, while the frequency of contact with relatives is related with a lower probability of unmet needs due to time availability and distance. However, the ability to ask for help is also correlated with a higher probability of not having medical care due to time availability and wait and see.

Suggested Citation

  • Fiorillo, Damiano, 2017. "Reasons for unmet needs for health care: the role of social capital and social support in some Western EU countries," MPRA Paper 82680, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:82680
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    References listed on IDEAS

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    Cited by:

    1. Pengfei Sheng & Tingting Yang & Tengfei Zhang, 2021. "The Unmet Medical Demand among China’s Urban Residents," IJERPH, MDPI, vol. 18(21), pages 1-13, November.
    2. Bich-Na Jang & Hwi-Jun Kim & Bo-Ram Kim & Seonyeong Woo & Woo-Jin Lee & Eun-Cheol Park, 2021. "Effect of Practicing Health Behaviors on Unmet Needs among Patients with Chronic Diseases: A Longitudinal Study," IJERPH, MDPI, vol. 18(15), pages 1-10, July.
    3. Carnazza, Giovanni & Liberati, Paolo & Resce, Giuliano, 2023. "Income-related unmet needs in the European countries," Socio-Economic Planning Sciences, Elsevier, vol. 87(PA).
    4. Quintal, Carlota & Lourenço, Óscar & Ramos, Luís Moura & Antunes, Micaela, 2019. "No unmet needs without needs! Assessing the role of social capital using data from European social survey 2014," Health Policy, Elsevier, vol. 123(8), pages 747-755.
    5. Domenica Matranga & Laura Maniscalco, 2022. "Inequality in Healthcare Utilization in Italy: How Important Are Barriers to Access?," IJERPH, MDPI, vol. 19(3), pages 1-14, February.

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    More about this item

    Keywords

    Unmet needs for healthcare; reasons for unmet needs; social capital; social support; EU Western countries; EU-SILC data; Heckman selection model;
    All these keywords.

    JEL classification:

    • C35 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • Z1 - Other Special Topics - - Cultural Economics

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