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Lavindkomst og antal kontakter med almen praksis


  • Nielsen Arendt, Jacob

    () (University of Southern Denmark)

  • Nexøe, Jørgen
  • Toftgaard Jensen, Britt
  • Müntzberg, Gert
  • Sørensen, Jan


Introduction: The purpose of this study is to examine whether there exist differences in utilization of general practice between low income groups and citizens with higher income after adjustment for social and health-related factors Material and methods: Various registers from Statistics Denmark with information on all adult citizens of Odense Municipality in 2003-2005 are applied. Income is measured as equivalent disposable income and adjustment for social and health-related personal characteristics are conducted using Poisson regression. Results: Poor with income below 73.000 DKK have 2-3 fewer contacts with general practice annually than those with an income of 73.000-146.000 DKK, depending upon age groups. The difference in contacts with general practice between the poor and those with a higher income is statistically significant. The difference is reduced to 1.5 fewer contacts after adjustment for differences in social and health-related characteristics. Conclusion: Poor adults have significantly fewer contacts with general practice than those with higher income. The difference is not explained by social and health-related factors. This is in contrast to results from earlier studies and may be an indication of underutilization of general practice. Other explanations may be that the poor enter the primary health sector through other channels, that the type and quality of contacts vary between income groups or that adjustment for health or other need indicators are not sufficient.

Suggested Citation

  • Nielsen Arendt, Jacob & Nexøe, Jørgen & Toftgaard Jensen, Britt & Müntzberg, Gert & Sørensen, Jan, 2008. "Lavindkomst og antal kontakter med almen praksis," COHERE Working Paper 2008:12, University of Southern Denmark, COHERE - Centre of Health Economics Research.
  • Handle: RePEc:hhs:sduhec:2008_012

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    References listed on IDEAS

    1. Paul Allanson & Dennis Petrie, 2013. "On The Choice Of Health Inequality Measure For The Longitudinal Analysis Of Income‐Related Health Inequalities," Health Economics, John Wiley & Sons, Ltd., vol. 22(3), pages 353-365, March.
    2. Roselinde Kessels & Guido Erreygers, 2014. "A unified structural equation modeling approach for the decomposition of rank-dependent indicators of socioeconomic inequality of health," EcoMod2014 7065, EcoMod.
    3. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
    4. Andrew M. Jones, 2012. "health econometrics," The New Palgrave Dictionary of Economics, Palgrave Macmillan.
    5. Heckley, Gawain & Gerdtham, Ulf-G. & Kjellsson, Gustav, 2016. "A general method for decomposing the causes of socioeconomic inequality in health," Journal of Health Economics, Elsevier, vol. 48(C), pages 89-106.
    6. ERREYGERS, Guido & KESSELS, Roselinde, 2013. "Regression-based decompositions of rank-dependent indicators of socioeconomic inequality of health," Working Papers 2013007, University of Antwerp, Faculty of Applied Economics.
    7. ERREYGERS, Guido & KESSELS, Roselinde, 2015. "Socioeconomic status and health: A new approach to the measurement of bivariate inequality," Working Papers 2015017, University of Antwerp, Faculty of Applied Economics.
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    More about this item


    Health care utilization; General Practice; poverty; Social inequality;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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