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Utilización y tiempos de espera: dos vertientes inseparables del análisis de la equidad en el acceso al sistema sanitario público


  • Ignacio Abásolo

    () (Universidad de La Laguna)

  • Miguel Negrín

    () (Universidad de Las Palmas de Gran Canaria)

  • Jaime Pinilla

    () (Universidad de Las Palmas de Gran Canaria)


El objetivo de esta investigación consiste en analizar si existe equidad en el acceso a los servicios sanitarios públicos por niveles socioeconómicos. Se analiza conjuntamente la probabilidad de utilizar los servicios sanitarios y los tiempos de espera hasta ser atendidos, corrigiéndose así el sesgo de selección que se derivaría de su estudio separado, tal y como se evidencia en esta investigación. Se propone una aproximación bayesiana y se hace uso de la información a nivel individual sobre la utilización sanitaria, tiempos de espera, nivel socioeconómico, necesidad sanitaria y otras variables sociodemográficas contenidas en la En-cuesta nacional de salud (2006). Los resultados muestran que hay inequidad en el acceso a los servicios especializados y hospitalarios (tanto en utilización como en tiempos de espera) que perjudica a los niveles socioeconómicos inferiores. En los servicios de medicina general, si bien la utilización beneficia relativa-mente más a los grupos de menor nivel socioeconómico, los tiempos de espera perjudican a los de menor nivel educativo.

Suggested Citation

  • Ignacio Abásolo & Miguel Negrín & Jaime Pinilla, 2014. "Utilización y tiempos de espera: dos vertientes inseparables del análisis de la equidad en el acceso al sistema sanitario público," Hacienda Pública Española, IEF, vol. 208(1), pages 11-38, March.
  • Handle: RePEc:hpe:journl:y:2014:v:208:i:1:p:11-38

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    References listed on IDEAS

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    Cited by:

    1. David Cantarero-Prieto & Marta Pascual-Sáez & Javier Lera Torres, 2018. "Socioeconomic determinants and health care utilization among elderly people living in Europe: Evidence from the Survey of Health, Ageing and Retirement," Working Papers. Collection B: Regional and sectoral economics 1801, Universidade de Vigo, GEN - Governance and Economics research Network.

    More about this item


    Equidad en acceso; utilización de servicios sanitarios; tiempos de espera; sesgo de selección; modelos bayesianos;

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • C01 - Mathematical and Quantitative Methods - - General - - - Econometrics
    • D39 - Microeconomics - - Distribution - - - Other


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