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Reasons for unmet needs for health care: the role of social capital and social support in some Western EU countries

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  • Fiorillo, D.;

Abstract

This paper focuses on the demand side factors that determine access to health care and analyses the issues of unmet needs for health care and the reasons thereof in western EU countries. A probit model is estimated from a sample of the whole population, accounting for the possibility of individual selection in unmet needs for health care (UN) (selection equation). Expanded probit models (including the inverse Mills ratio) are then used on the reasons for unmet needs (RUN) with social capital and social support as determinants and using the European Union Statistics on Income and Living Conditions (EU-SILC) dataset carried out in 2006. In RUN equations, the findings show that females, large households, people with low income and financial constraints, the unemployed and those in poor health have a higher probability of declaring unmet needs due to economic costs. Additionally, people in tertiary education, those with high income and the employed have a higher probability of not visiting a doctor when needed due to time availability. Furthermore, the frequency of contact with friends and the ability to ask for help are correlated with a lower probability of unmet needs due to economic costs, while the frequency of contact with relatives is related with a lower probability of unmet needs due to time availability and distance. However, the ability to ask for help is also correlated with a higher probability of not having medical care due to time availability and the wait-and-see-approach.

Suggested Citation

  • Fiorillo, D.;, 2018. "Reasons for unmet needs for health care: the role of social capital and social support in some Western EU countries," Health, Econometrics and Data Group (HEDG) Working Papers 18/29, HEDG, c/o Department of Economics, University of York.
  • Handle: RePEc:yor:hectdg:18/29
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    References listed on IDEAS

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    1. Litaker, David & Love, Thomas Ezra, 2005. "Health care resource allocation and individuals' health care needs: examining the degree of fit," Health Policy, Elsevier, vol. 73(2), pages 183-193, August.
    2. Fiorillo, Damiano & Sabatini, Fabio, 2015. "Structural social capital and health in Italy," Economics & Human Biology, Elsevier, vol. 17(C), pages 129-142.
    3. repec:eme:jespps:v:43:y:2016:i:5:p:835-862 is not listed on IDEAS
    4. Lee, Sang-Yi & Kim, Chul-Woung & Kang, Jeong-Hee & Seo, Nam-Kyu, 2015. "Unmet healthcare needs depending on employment status," Health Policy, Elsevier, vol. 119(7), pages 899-906.
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    7. Lindstrom, Martin & Axen, Elin & Lindstrom, Christine & Beckman, Anders & Moghaddassi, Mahnaz & Merlo, Juan, 2006. "Social capital and administrative contextual determinants of lack of access to a regular doctor: A multilevel analysis in southern Sweden," Health Policy, Elsevier, vol. 79(2-3), pages 153-164, December.
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    More about this item

    Keywords

    unmet needs for healthcare; reasons for unmet needs; social capital; social support; EU Western countries; EU-SILC data; Heckman selection model;

    JEL classification:

    • C35 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • Z1 - Other Special Topics - - Cultural Economics

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