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Investigating the relationship between unmet need and utilisation of health care in European countries

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  • Moran, Valerie
  • Nolte, Ellen
  • Suhrcke, Marc
  • Ruiz-Castell, Maria

Abstract

Access to health care is a multidimensional concept, influenced by individual and health system factors and the relationship between different access dimensions is not well understood. We used individual-level data from the 2019 wave of the European Health Interview Survey, covering 27 European Union member states, Iceland, and Norway (n = 269,799 individuals) and country-level data from the Eurostat, OECD and World Bank databases to explore this important research gap.

Suggested Citation

  • Moran, Valerie & Nolte, Ellen & Suhrcke, Marc & Ruiz-Castell, Maria, 2025. "Investigating the relationship between unmet need and utilisation of health care in European countries," Social Science & Medicine, Elsevier, vol. 369(C).
    • Handle: RePEc:eee:socmed:v:369:y:2025:i:c:s0277953625000449
    DOI: 10.1016/j.socscimed.2025.117715
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    1. Han, Kyu-Tae & Park, Eun-Cheol & Kim, Sun Jung, 2016. "Unmet healthcare needs and community health center utilization among the low-income population based on a nationwide community health survey," Health Policy, Elsevier, vol. 120(6), pages 630-637.
    2. Ben Jann, 2014. "A new command for plotting regression coefficients and other estimates," German Stata Users' Group Meetings 2014 09, Stata Users Group.
    3. Marta González-Touya & Alexandrina Stoyanova & Rosa M. Urbanos-Garrido, 2021. "COVID-19 and Unmet Healthcare Needs of Older People: Did Inequity Arise in Europe?," IJERPH, MDPI, vol. 18(17), pages 1-15, August.
    4. 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.
    5. Sabine Chaupain-Guillot & Olivier Guillot, 2015. "Health system characteristics and unmet care needs in Europe: an analysis based on EU-SILC data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(7), pages 781-796, September.
    6. W. J. Browne & S. V. Subramanian & K. Jones & H. Goldstein, 2005. "Variance partitioning in multilevel logistic models that exhibit overdispersion," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 168(3), pages 599-613, July.
    7. Maria Cristina Majo & Arthur van Soest, 2012. "Income and health care utilization among the 50+ in Europe and the US," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 28(4), pages 3-22.
    8. Allin, Sara & Grignon, Michel & Le Grand, Julian, 2010. "Subjective unmet need and utilization of health care services in Canada: What are the equity implications?," Social Science & Medicine, Elsevier, vol. 70(3), pages 465-472, February.
    9. Martin, Steve & Siciliani, Luigi & Smith, Peter, 2020. "Socioeconomic inequalities in waiting times for primary care across ten OECD countries," Social Science & Medicine, Elsevier, vol. 263(C).
    10. Carnazza, Giovanni & Liberati, Paolo & Resce, Giuliano, 2023. "Income-related unmet needs in the European countries," Socio-Economic Planning Sciences, Elsevier, vol. 87(PA).
    11. Louis Arnault & Florence Jusot & Thomas Renaud, 2022. "Economic vulnerability and unmet healthcare needs among the population aged 50 + years during the COVID-19 pandemic in Europe," European Journal of Ageing, Springer, vol. 19(4), pages 811-825, December.
    12. Damiano Fiorillo, 2020. "Reasons for unmet needs for health care: the role of social capital and social support in some western EU countries," International Journal of Health Economics and Management, Springer, vol. 20(1), pages 79-98, March.
    13. Hübner, Wiebke & Phillimore, Jenny & Bradby, Hannah & Brand, Tilman, 2023. "Assessing the contribution of migration related policies to equity in access to healthcare in European countries. A multilevel analysis," Social Science & Medicine, Elsevier, vol. 321(C).
    14. Natasa Popovic & Zorica Terzic-Supic & Snezana Simic & Biljana Mladenovic, 2017. "Predictors of unmet health care needs in Serbia; Analysis based on EU-SILC data," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-20, November.
    15. 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.
    16. Ben Jann, 2014. "Plotting regression coefficients and other estimates," Stata Journal, StataCorp LLC, vol. 14(4), pages 708-737, December.
    17. Hana Bataineh & Rose Anne Devlin & Vicky Barham, 2019. "Unmet health care and health care utilization," Health Economics, John Wiley & Sons, Ltd., vol. 28(4), pages 529-542, April.
    18. Šime Smolić & Ivan Čipin & Petra Međimurec, 2022. "Access to healthcare for people aged 50+ in Europe during the COVID-19 outbreak," European Journal of Ageing, Springer, vol. 19(4), pages 793-809, December.
    19. Grant Gibson & Michel Grignon & Jeremiah Hurley & Li Wang, 2019. "Here comes the SUN: Self‐assessed unmet need, worsening health outcomes, and health care inequity," Health Economics, John Wiley & Sons, Ltd., vol. 28(6), pages 727-735, June.
    20. Jens Detollenaere & Lise Hanssens & Veerle Vyncke & Jan De Maeseneer & Sara Willems, 2017. "Do We Reap What We Sow? Exploring the Association between the Strength of European Primary Healthcare Systems and Inequity in Unmet Need," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-13, January.
    21. Cylus, Jonathan & Papanicolas, Irene, 2015. "An analysis of perceived access to health care in Europe: How universal is universal coverage?," Health Policy, Elsevier, vol. 119(9), pages 1133-1144.
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