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Analysis of the effect of the “double insularity” condition on the equity in the utilisation of public health care services: the case of the Canary Islands


  • Abásolo Alessón , Ignacio

    () (Universidad de La Laguna)

  • García Pérez , Lidia

    (Universidad de La Laguna)

  • Aguiar Ibáñez , Raquel

    (Universidad de La Laguna)

  • Amador Robayna , Asier

    (Universidad de La Laguna)


The aim of this paper is to test whether the condition of “double insularity”, -i.e. being resident in one of the five small islands of the seven Canary Islands- has any effect on equity in the utilisation of public health care services. Data on 4.320 participants from the 2004 Canary Health Survey were considered for this analysis. A zero inflated negative binomial (ZINB) model was estimated for each of the four health services analysed (general practice services, specialist services, emergency services and hospitalisations), controlling for area of residence, for health care need and for socioeconomic and demographic characteristics, measured at the individual level. The results show evidence that, in general, the “double insularity” condition represents a limitation in the utilisation of public health care services, therefore to the detriment of the residents in the small islands.

Suggested Citation

  • Abásolo Alessón , Ignacio & García Pérez , Lidia & Aguiar Ibáñez , Raquel & Amador Robayna , Asier, 2008. "Analysis of the effect of the “double insularity” condition on the equity in the utilisation of public health care services: the case of the Canary Islands," INVESTIGACIONES REGIONALES - Journal of REGIONAL RESEARCH, Asociación Española de Ciencia Regional, issue 13, pages 159-175.
  • Handle: RePEc:ris:invreg:0112

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    More about this item


    Equity; health care utilisation; small islands; Canary Islands;

    JEL classification:

    • C01 - Mathematical and Quantitative Methods - - General - - - Econometrics
    • D39 - Microeconomics - - Distribution - - - Other
    • I19 - Health, Education, and Welfare - - Health - - - Other
    • R53 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Regional Government Analysis - - - Public Facility Location Analysis; Public Investment and Capital Stock


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