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Impact of health care system on socioeconomic inequalities in doctor use

  • Zeynep Or

    ()

    (IRDES institut for research and information in health economics)

  • Florence Jusot

    ()

    (IRDES institut for research and information in health economics)

  • Engin Yilmaz

    ()

    (IRDES institut for research and information in health economics)

This study examines the impact of health system characteristics on social inequities in health care use in Europe, using data from national surveys in 13 European countries. Multilevel logistic regression models are estimated to separate the individual level determinants of generalist and specialist use from the health system level and country specific factors. The results suggest that beyond the division between public and private funding and cost-sharing arrangements in health system, the role given to the general practitioners and/or the organization of the primary care might be essential for reducing social inequities in health care utilisation.

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File URL: http://www.irdes.fr/EspaceAnglais/Publications/WorkingPapers/DT17ImpactHealthCareSystSocioeconomicInequalities.pdf
File Function: First version, 2008
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Paper provided by IRDES institut for research and information in health economics in its series Working Papers with number DT17.

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Length: 23 pages
Date of creation: Sep 2008
Date of revision: Sep 2008
Handle: RePEc:irh:wpaper:dt17
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  1. Zeynep Or & Florence Jusot & Engin Yilmaz, 2008. "Impact of health care system on socioeconomic inequalities in doctor use," Working Papers DT17, IRDES institut for research and information in health economics, revised Sep 2008.
  2. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408 Elsevier.
  3. Alberts, Jantina F. & Sanderman, Robbert & Gerstenbluth, Izzy & van den Heuvel, Wim J. A., 1998. "Sociocultural variations in help-seeking behavior for everyday symptoms and chronic disorders," Health Policy, Elsevier, vol. 44(1), pages 57-72, April.
  4. Or, Zeynep & Wang, Jia & Jamison, Dean, 2005. "International differences in the impact of doctors on health: a multilevel analysis of OECD countries," Journal of Health Economics, Elsevier, vol. 24(3), pages 531-560, May.
  5. Alberts, Jantina F. & Sanderman, Robbert & Eimers, J. Marietta & Van Den Heuvel, Wim J. A., 1997. "Socioeconomic inequity in health care: A study of services utilization in Curaçao," Social Science & Medicine, Elsevier, vol. 45(2), pages 213-220, July.
  6. Michel Grignon & Marc Perronnin & John N. Lavis, 2008. "Does free complementary health insurance help the poor to access health care? Evidence from France," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 203-219.
  7. Bongers, Inge M. B. & Van Der Meer, Joost B. W. & Van Den Bos, Johannes & Mackenbach, Johan P., 1997. "Socio-economic differences in general practitioner and outpatient specialist care in the Netherlands: A matter of health insurance?," Social Science & Medicine, Elsevier, vol. 44(8), pages 1161-1168, April.
  8. Jusot, Florence, 2004. "Mortalité et inégalités de revenu en France," Economics Papers from University Paris Dauphine 123456789/7034, Paris Dauphine University.
  9. van Doorslaer, Eddy & Wagstaff, Adam & van der Burg, Hattem & Christiansen, Terkel & De Graeve, Diana & Duchesne, Inge & Gerdtham, Ulf-G & Gerfin, Michael & Geurts, Jose & Gross, Lorna, 2000. "Equity in the delivery of health care in Europe and the US," Journal of Health Economics, Elsevier, vol. 19(5), pages 553-583, September.
  10. Eddy van Doorslaer & Xander Koolman & Andrew M. Jones, 2004. "Explaining income-related inequalities in doctor utilisation in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 629-647.
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