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A comparison of the health status and health care utilisation patterns between foreigners and the national population in Spain: new evidence from the Spanish National Health Survey

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Author Info
Hernández Quevedo, C
Jiménez Rubio, D

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Abstract

The reduction of inequalities in health and in the access to health services is one of the main objectives in any health care system. Various studies have analysed the existence of inequalities in health and in the use of health care for the Spanish population. However, the empirical evidence for the immigrant collective on this issue is as yet insufficient. This working paper aims to provide evidence on inequalities in health and in the access to health services for the immigrant population living in Spain, relative to that of the autochthonous population, by using the 2003 and 2006 Spanish National Health Survey. After using a pooled ordered probit for a measure of self-assessed health and pooled probit models for several utilisation variables, our results show that there are different patterns in health status and utilisation of health care between nationals and immigrants in Spain. Immigrants report better levels of health status than Spaniards, although they face barriers of entry to health care services. Health policies should focus on reducing legal, cultural and administrative barriers to access health services.

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Publisher Info
Paper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 08/22.

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Date of creation: Sep 2008
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Handle: RePEc:yor:hectdg:08/22

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Related research
Keywords: health care utilisation; health limitations; inequalities; immigrants; Spain;

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Find related papers by JEL classification:
I12 - Health, Education, and Welfare - - Health - - - Health Production
C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models

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Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Abasolo, Ignacio & Manning, Rob & Jones, Andrew M, 2001. "Equity in Utilization of and Access to Public-Sector GPs in Spain," Applied Economics, Taylor and Francis Journals, vol. 33(3), pages 349-64, February. [Downloadable!] (restricted)
  2. Eddy van Doorslaer & Cristina Masseria, 2004. "Income-Related Inequality in the Use of Medical Care in 21 OECD Countries," OECD Health Working Papers 14, OECD, Directorate for Employment, Labour and Social Affairs. [Downloadable!]
  3. Hernández-Quevedo, Cristina & Jones, Andrew M. & Rice, Nigel, 2008. "Persistence in health limitations: A European comparative analysis," Journal of Health Economics, Elsevier, vol. 27(6), pages 1472-1488, December. [Downloadable!] (restricted)
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  4. Jones, Andrew M., 2000. "Health econometrics," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 6, pages 265-344 Elsevier. [Downloadable!] (restricted)
  5. Ellen M. Gee & Karen M. Kobayashi & Steven Prus, 2007. "Ethnic Inequality in Canada: Economic and Health Dimensions," Social and Economic Dimensions of an Aging Population Research Papers 182, McMaster University. [Downloadable!]
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