Inequalities in health care utilization in Spain due to double insurance coverage: An Oaxaca-Ransom decomposition
In this article, the analysis of inequalities in health care utilization, produced by the taking out of a private health insurance policy to supplement the care provided by the Spanish National Health System, has been performed by the Oaxaca-Ransom decomposition. Using the European Community Househo...
Gespeichert in:
| Veröffentlicht in: | Social science & medicine (1982) 2009-09, Vol.69 (5), p.793-801 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 801 |
|---|---|
| container_issue | 5 |
| container_start_page | 793 |
| container_title | Social science & medicine (1982) |
| container_volume | 69 |
| creator | González Álvarez, M a Luz Barranquero, Antonio Clavero |
| description | In this article, the analysis of inequalities in health care utilization, produced by the taking out of a private health insurance policy to supplement the care provided by the Spanish National Health System, has been performed by the Oaxaca-Ransom decomposition. Using the European Community Household Panel, this method permits the conclusion that the majority of differences in the number of visits to a general practitioner are explained by the individual characteristics of the publicly insured, while the divergences in the number of consultations with specialists are the result of the overuse of this care by the population with double health insurance coverage. |
| doi_str_mv | 10.1016/j.socscimed.2009.06.037 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67604527</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0277953609004109</els_id><sourcerecordid>60040638</sourcerecordid><originalsourceid>FETCH-LOGICAL-c586t-f7431816a7e937b0103895f31dab898192335140694afb9522b983232eb1e4733</originalsourceid><addsrcrecordid>eNqFkkuP0zAUhSMEYsrAX4AIadil-P1gV414DBppJB5ry3FuqKskTu2kYvj1OLTqgk0X15bs71yda5-ieIPRGiMs3u_WKbjkfA_NmiCk10isEZVPihVWklacMvm0WCEiZaU5FVfFi5R2CCGMFH1eXGEtiKKErIr93QD72XZ-8pBKP5RbsN20LZ2NUM6T7_wfO_kwLFffR5vXZoZyCmUT5rqDfJzmaAcHpQsHiPYXfCg3Q_lgf1tnq292SKEvG3ChH0PyS6eXxbPWdglenfbr4uenjz9uv1T3D5_vbjf3leNKTFUrGcUKCytBU1ln51Rp3lLc2FpphTWhlGOGhGa2rTUnpNZ5JEqgxsAkpdfFu2PfMYb9DGkyvU8Ous4OEOZkhBSIcSIvg5gKzqS4DCKU_VB1EaSSIMU5zuDb_8BdmOOQn8UQiphiROkMySPkYkgpQmvG6HsbHw1GZkmD2ZlzGsySBoOEyWnIyq9HZYQR3FkGAJlf4IOhVui8POb6p6TW5-K5xlxSU6MQNtupz81en7zO9aI9mzhlKQM3J8AmZ7t2iYVPZ45gzQhDLHObIwf59w8eosnWIUeo8RHcZJrgL072F2hA7n8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>230484289</pqid></control><display><type>article</type><title>Inequalities in health care utilization in Spain due to double insurance coverage: An Oaxaca-Ransom decomposition</title><source>MEDLINE</source><source>RePEc</source><source>Elsevier ScienceDirect Journals Complete</source><source>Sociological Abstracts</source><creator>González Álvarez, M a Luz ; Barranquero, Antonio Clavero</creator><creatorcontrib>González Álvarez, M a Luz ; Barranquero, Antonio Clavero</creatorcontrib><description>In this article, the analysis of inequalities in health care utilization, produced by the taking out of a private health insurance policy to supplement the care provided by the Spanish National Health System, has been performed by the Oaxaca-Ransom decomposition. Using the European Community Household Panel, this method permits the conclusion that the majority of differences in the number of visits to a general practitioner are explained by the individual characteristics of the publicly insured, while the divergences in the number of consultations with specialists are the result of the overuse of this care by the population with double health insurance coverage.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/j.socscimed.2009.06.037</identifier><identifier>PMID: 19628322</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Access to health care ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Consumer behaviour ; Delivery of Health Care - utilization ; Divergence ; Double coverage ; Female ; Health Care Services ; Health Care Utilization ; Health inequality ; Health Insurance ; Health services utilization ; Healthcare Disparities - economics ; Humans ; Inequality ; Inequality Health care utilization Double coverage Oaxaca-Ransom decomposition ; Insurance coverage ; Insurance Coverage - economics ; Insurance policies ; Insurance, Health - economics ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Models, Econometric ; National Health Programs - utilization ; Oaxaca-Ransom decomposition ; Patient Acceptance of Health Care - statistics & numerical data ; Private Sector ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Socioeconomic Factors ; Spain ; Young Adult</subject><ispartof>Social science & medicine (1982), 2009-09, Vol.69 (5), p.793-801</ispartof><rights>2009 Elsevier Ltd</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Pergamon Press Inc. Sep 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c586t-f7431816a7e937b0103895f31dab898192335140694afb9522b983232eb1e4733</citedby><cites>FETCH-LOGICAL-c586t-f7431816a7e937b0103895f31dab898192335140694afb9522b983232eb1e4733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.socscimed.2009.06.037$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3554,4012,27933,27934,33783,33784,46004</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21942404$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19628322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://econpapers.repec.org/article/eeesocmed/v_3a69_3ay_3a2009_3ai_3a5_3ap_3a793-801.htm$$DView record in RePEc$$Hfree_for_read</backlink></links><search><creatorcontrib>González Álvarez, M a Luz</creatorcontrib><creatorcontrib>Barranquero, Antonio Clavero</creatorcontrib><title>Inequalities in health care utilization in Spain due to double insurance coverage: An Oaxaca-Ransom decomposition</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>In this article, the analysis of inequalities in health care utilization, produced by the taking out of a private health insurance policy to supplement the care provided by the Spanish National Health System, has been performed by the Oaxaca-Ransom decomposition. Using the European Community Household Panel, this method permits the conclusion that the majority of differences in the number of visits to a general practitioner are explained by the individual characteristics of the publicly insured, while the divergences in the number of consultations with specialists are the result of the overuse of this care by the population with double health insurance coverage.</description><subject>Access to health care</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Consumer behaviour</subject><subject>Delivery of Health Care - utilization</subject><subject>Divergence</subject><subject>Double coverage</subject><subject>Female</subject><subject>Health Care Services</subject><subject>Health Care Utilization</subject><subject>Health inequality</subject><subject>Health Insurance</subject><subject>Health services utilization</subject><subject>Healthcare Disparities - economics</subject><subject>Humans</subject><subject>Inequality</subject><subject>Inequality Health care utilization Double coverage Oaxaca-Ransom decomposition</subject><subject>Insurance coverage</subject><subject>Insurance Coverage - economics</subject><subject>Insurance policies</subject><subject>Insurance, Health - economics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Models, Econometric</subject><subject>National Health Programs - utilization</subject><subject>Oaxaca-Ransom decomposition</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Private Sector</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Socioeconomic Factors</subject><subject>Spain</subject><subject>Young Adult</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkkuP0zAUhSMEYsrAX4AIadil-P1gV414DBppJB5ry3FuqKskTu2kYvj1OLTqgk0X15bs71yda5-ieIPRGiMs3u_WKbjkfA_NmiCk10isEZVPihVWklacMvm0WCEiZaU5FVfFi5R2CCGMFH1eXGEtiKKErIr93QD72XZ-8pBKP5RbsN20LZ2NUM6T7_wfO_kwLFffR5vXZoZyCmUT5rqDfJzmaAcHpQsHiPYXfCg3Q_lgf1tnq292SKEvG3ChH0PyS6eXxbPWdglenfbr4uenjz9uv1T3D5_vbjf3leNKTFUrGcUKCytBU1ln51Rp3lLc2FpphTWhlGOGhGa2rTUnpNZ5JEqgxsAkpdfFu2PfMYb9DGkyvU8Ous4OEOZkhBSIcSIvg5gKzqS4DCKU_VB1EaSSIMU5zuDb_8BdmOOQn8UQiphiROkMySPkYkgpQmvG6HsbHw1GZkmD2ZlzGsySBoOEyWnIyq9HZYQR3FkGAJlf4IOhVui8POb6p6TW5-K5xlxSU6MQNtupz81en7zO9aI9mzhlKQM3J8AmZ7t2iYVPZ45gzQhDLHObIwf59w8eosnWIUeo8RHcZJrgL072F2hA7n8</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>González Álvarez, M a Luz</creator><creator>Barranquero, Antonio Clavero</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20090901</creationdate><title>Inequalities in health care utilization in Spain due to double insurance coverage: An Oaxaca-Ransom decomposition</title><author>González Álvarez, M a Luz ; Barranquero, Antonio Clavero</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c586t-f7431816a7e937b0103895f31dab898192335140694afb9522b983232eb1e4733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Access to health care</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Consumer behaviour</topic><topic>Delivery of Health Care - utilization</topic><topic>Divergence</topic><topic>Double coverage</topic><topic>Female</topic><topic>Health Care Services</topic><topic>Health Care Utilization</topic><topic>Health inequality</topic><topic>Health Insurance</topic><topic>Health services utilization</topic><topic>Healthcare Disparities - economics</topic><topic>Humans</topic><topic>Inequality</topic><topic>Inequality Health care utilization Double coverage Oaxaca-Ransom decomposition</topic><topic>Insurance coverage</topic><topic>Insurance Coverage - economics</topic><topic>Insurance policies</topic><topic>Insurance, Health - economics</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Models, Econometric</topic><topic>National Health Programs - utilization</topic><topic>Oaxaca-Ransom decomposition</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Private Sector</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Socioeconomic Factors</topic><topic>Spain</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>González Álvarez, M a Luz</creatorcontrib><creatorcontrib>Barranquero, Antonio Clavero</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>González Álvarez, M a Luz</au><au>Barranquero, Antonio Clavero</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inequalities in health care utilization in Spain due to double insurance coverage: An Oaxaca-Ransom decomposition</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>69</volume><issue>5</issue><spage>793</spage><epage>801</epage><pages>793-801</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>In this article, the analysis of inequalities in health care utilization, produced by the taking out of a private health insurance policy to supplement the care provided by the Spanish National Health System, has been performed by the Oaxaca-Ransom decomposition. Using the European Community Household Panel, this method permits the conclusion that the majority of differences in the number of visits to a general practitioner are explained by the individual characteristics of the publicly insured, while the divergences in the number of consultations with specialists are the result of the overuse of this care by the population with double health insurance coverage.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>19628322</pmid><doi>10.1016/j.socscimed.2009.06.037</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0277-9536 |
| ispartof | Social science & medicine (1982), 2009-09, Vol.69 (5), p.793-801 |
| issn | 0277-9536 1873-5347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67604527 |
| source | MEDLINE; RePEc; Elsevier ScienceDirect Journals Complete; Sociological Abstracts |
| subjects | Access to health care Adolescent Adult Aged Biological and medical sciences Consumer behaviour Delivery of Health Care - utilization Divergence Double coverage Female Health Care Services Health Care Utilization Health inequality Health Insurance Health services utilization Healthcare Disparities - economics Humans Inequality Inequality Health care utilization Double coverage Oaxaca-Ransom decomposition Insurance coverage Insurance Coverage - economics Insurance policies Insurance, Health - economics Male Medical sciences Middle Aged Miscellaneous Models, Econometric National Health Programs - utilization Oaxaca-Ransom decomposition Patient Acceptance of Health Care - statistics & numerical data Private Sector Public health. Hygiene Public health. Hygiene-occupational medicine Socioeconomic Factors Spain Young Adult |
| title | Inequalities in health care utilization in Spain due to double insurance coverage: An Oaxaca-Ransom decomposition |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-02T18%3A45%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Inequalities%20in%20health%20care%20utilization%20in%20Spain%20due%20to%20double%20insurance%20coverage:%20An%20Oaxaca-Ransom%20decomposition&rft.jtitle=Social%20science%20&%20medicine%20(1982)&rft.au=Gonz%C3%A1lez%20%C3%81lvarez,%20M%20a%20Luz&rft.date=2009-09-01&rft.volume=69&rft.issue=5&rft.spage=793&rft.epage=801&rft.pages=793-801&rft.issn=0277-9536&rft.eissn=1873-5347&rft.coden=SSMDEP&rft_id=info:doi/10.1016/j.socscimed.2009.06.037&rft_dat=%3Cproquest_cross%3E60040638%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=230484289&rft_id=info:pmid/19628322&rft_els_id=S0277953609004109&rfr_iscdi=true |