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Equity in utilization of and access to public-sector GPs in Spain

Author

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  • Ignacio Abasolo
  • Rob Manning
  • Andrew Jones

Abstract

A framework is outlined for testing empirically whether utilization of and access to public-sector GPs in Spain in 1993 was consistent with the twin criteria of horizontal and vertical equity, where these are defined with respect to need. Vertical (horizontal) inequities in access are assessed by including interactions between determinants of access and need (non-need) variables in a utilization equation. Findings are consistent with the principle of vertical equity in the utilization of GP services, but are not consistent with horizontal equity. Travel time for individuals who did not visit their GP are imputed but it is not a significant determinant of utilization or access. However, caution is expressed when interpreting these findings, as they may be contaminated by biases arising from unit non-response, measurement error and simultaneity. The paper concludes with a set of recommendations for future studies.

Suggested Citation

  • Ignacio Abasolo & Rob Manning & Andrew Jones, 2001. "Equity in utilization of and access to public-sector GPs in Spain," Applied Economics, Taylor & Francis Journals, vol. 33(3), pages 349-364.
  • Handle: RePEc:taf:applec:v:33:y:2001:i:3:p:349-364
    DOI: 10.1080/00036840122511
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    Citations

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    Cited by:

    1. Crespo-Cebada, Eva & Urbanos-Garrido, Rosa M., 2012. "Equity and equality in the use of GP services for elderly people: The Spanish case," Health Policy, Elsevier, vol. 104(2), pages 193-199.
    2. José-Ignacio Antón & Rafael Muñoz de Bustillo, 2010. "Health care utilisation and immigration in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(5), pages 487-498, October.
    3. Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores, 2009. "A comparison of the health status and health care utilization patterns between foreigners and the national population in Spain: New evidence from the Spanish National Health Survey," Social Science & Medicine, Elsevier, vol. 69(3), pages 370-378, August.
    4. Jürgen Maurer, 2007. "Modelling socioeconomic and health determinants of health‐care use: a semiparametric approach," Health Economics, John Wiley & Sons, Ltd., vol. 16(9), pages 967-979, September.
    5. 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 / Review of Public Economics, IEF, vol. 208(1), pages 11-38, March.
    6. Marisol Rodríguez & Alexandrina Stoyanova, 2004. "The effect of private insurance access on the choice of GP/specialist and public/private provider in Spain," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 689-703, July.
    7. González Álvarez, M Luz & Barranquero, Antonio Clavero, 2009. "Inequalities in health care utilization in Spain due to double insurance coverage: An Oaxaca-Ransom decomposition," Social Science & Medicine, Elsevier, vol. 69(5), pages 793-801, September.
    8. Morris, Stephen & Sutton, Matthew & Gravelle, Hugh, 2005. "Inequity and inequality in the use of health care in England: an empirical investigation," Social Science & Medicine, Elsevier, vol. 60(6), pages 1251-1266, March.
    9. Paulos Teckle & Matt Sutton, 2008. "How Do the Determinants of Demand for GP Visits Respond to Higher Supply? An Analysis of Grouped Counts," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 144(III), pages 495-513, September.
    10. Angulo, Ana María & Barberán, Ramón & Egea, Pilar & Mur, Jesús, 2011. "An analysis of health expenditure on a microdata population basis," Economic Modelling, Elsevier, vol. 28(1), pages 169-180.
    11. Hugh Gravelle & Stephen Morris & Matt Sutton, 2012. "Economic Studies of Equity in the Consumption of Health Care," Chapters, in: Andrew M. Jones (ed.),The Elgar Companion to Health Economics, Second Edition, chapter 18, Edward Elgar Publishing.
    12. Laura Vallejo-Torres & Stephen Morris, 2011. "Factors associated with the use of primary care services: the role of practice nurses," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(4), pages 373-381, August.

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