Private medicine and socioeconomic differences in the rates of common surgical procedures in Finland

The aim of the study was to evaluate socioeconomic equity in access to surgical services in Finland and to explore the contribution of private sector procedures to any inequities. Data on nine common surgical procedures performed on patients aged 25 and over were obtained from the 1987–1988 Finnish...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Health policy (Amsterdam) 1996-06, Vol.36 (3), p.245-259
Hauptverfasser: Keskimäki, Ilmo, Salinto, Marjo, Aro, Seppo
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 259
container_issue 3
container_start_page 245
container_title Health policy (Amsterdam)
container_volume 36
creator Keskimäki, Ilmo
Salinto, Marjo
Aro, Seppo
description The aim of the study was to evaluate socioeconomic equity in access to surgical services in Finland and to explore the contribution of private sector procedures to any inequities. Data on nine common surgical procedures performed on patients aged 25 and over were obtained from the 1987–1988 Finnish Hospital Discharge Register. Socioeconomic indicators were linked to the procedure data by personal identity numbers from the 1987 population census, which was also used to derive the data on population at risk. The study revealed marked differences in rates across socioeconomic categories for several procedures. Some of these disparities are probably explained by variations in need for surgery across socioeconomic groups. However, for cataract operations and hip replacements due to arthrosis or deformity, the surgery rates favoured the better-off, despite low social status being considered a risk factor for these disorders. The correlation of disposable family income with hysterectomy and prostatectomy rates, and the low surgery rates for many procedures in the lowest income quintile also suggested socioeconomic disparities in access to services. The specific effect of private services is difficult to assess, but the private sector seems to have contributed to the socioeconomic differences in rates for, at least, hysterectomy, prostatectomy, and cataract operations. Although the Finnish health care system operates universal coverage without formal barriers to equal access, systematic socioeconomic inequity in the use of individual surgical treatments prevail. Part of these inequities is evidently due to private sector services.
doi_str_mv 10.1016/0168-8510(96)00816-0
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78103351</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>0168851096008160</els_id><sourcerecordid>59714889</sourcerecordid><originalsourceid>FETCH-LOGICAL-c516t-d06a1d9fad37ff73ac7036f74b2a161e0286f76ceeb3a781f8848a1330ab36903</originalsourceid><addsrcrecordid>eNqFkUtv1TAUhC0EoreFf4CQV4guQo_jxLE3SKhqeahSWcDa8rWPuUZJHOzkSv33OE1VsaKL45dmxiN9hLxh8IEBExdlZCVbBu-VOAeQTFTwjOyY7OpKQNs8J7tHyQk5zfk3AHSci5fkpAR0tRD1jrjvKRzNjHRAF2wYkZrR0RxtiGjjGIdgqQveY8LRYqZhpPMBaSqWTKOnNg5DHGle0q9gTU-nFC26JW3S6zD2Je8VeeFNn_H1w35Gfl5f_bj8Ut3cfv56-emmsi0Tc-VAGOaUN4533nfc2A648F2zrw0TDKGW5SYs4p6bTjIvZSMN4xzMngsF_Iy823JLiz8L5lkPIVvsSweMS9bFA5y37ElhqzrWSKmeFHIF0NT3Xzeb0KaYc0KvpxQGk-40A73y0isMvcLQqlxWXnq1fdtsCSe0jx5EPOAU-6CPmhsuynJXhim1HsP6VmYqUzetrlulD_NQwt4-lF32Bec_DTbaRfBxE2CBcAyYdLZh5epCQjtrF8P_6_4Fx_a9xg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>39004290</pqid></control><display><type>article</type><title>Private medicine and socioeconomic differences in the rates of common surgical procedures in Finland</title><source>MEDLINE</source><source>RePEc</source><source>PAIS Index</source><source>Access via ScienceDirect (Elsevier)</source><creator>Keskimäki, Ilmo ; Salinto, Marjo ; Aro, Seppo</creator><creatorcontrib>Keskimäki, Ilmo ; Salinto, Marjo ; Aro, Seppo</creatorcontrib><description>The aim of the study was to evaluate socioeconomic equity in access to surgical services in Finland and to explore the contribution of private sector procedures to any inequities. Data on nine common surgical procedures performed on patients aged 25 and over were obtained from the 1987–1988 Finnish Hospital Discharge Register. Socioeconomic indicators were linked to the procedure data by personal identity numbers from the 1987 population census, which was also used to derive the data on population at risk. The study revealed marked differences in rates across socioeconomic categories for several procedures. Some of these disparities are probably explained by variations in need for surgery across socioeconomic groups. However, for cataract operations and hip replacements due to arthrosis or deformity, the surgery rates favoured the better-off, despite low social status being considered a risk factor for these disorders. The correlation of disposable family income with hysterectomy and prostatectomy rates, and the low surgery rates for many procedures in the lowest income quintile also suggested socioeconomic disparities in access to services. The specific effect of private services is difficult to assess, but the private sector seems to have contributed to the socioeconomic differences in rates for, at least, hysterectomy, prostatectomy, and cataract operations. Although the Finnish health care system operates universal coverage without formal barriers to equal access, systematic socioeconomic inequity in the use of individual surgical treatments prevail. Part of these inequities is evidently due to private sector services.</description><identifier>ISSN: 0168-8510</identifier><identifier>EISSN: 1872-6054</identifier><identifier>DOI: 10.1016/0168-8510(96)00816-0</identifier><identifier>PMID: 10172662</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adult ; Economic inequality ; Educational Status ; Equality ; Equity in health care ; Female ; Finland ; Health administration ; Health Services Accessibility - economics ; Health Services Accessibility - statistics &amp; numerical data ; Humans ; Income ; Male ; Medical sector ; Medical service ; Occupations ; Private health care ; Private sector ; Private Sector - economics ; Private Sector - statistics &amp; numerical data ; Public Sector - economics ; Public Sector - statistics &amp; numerical data ; Social Class ; Social inequality ; Social status ; Socioeconomic Factors ; Surgery ; Surgical Procedures, Operative - economics ; Surgical Procedures, Operative - statistics &amp; numerical data ; Surgical Procedures, Operative - utilization</subject><ispartof>Health policy (Amsterdam), 1996-06, Vol.36 (3), p.245-259</ispartof><rights>1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-d06a1d9fad37ff73ac7036f74b2a161e0286f76ceeb3a781f8848a1330ab36903</citedby><cites>FETCH-LOGICAL-c516t-d06a1d9fad37ff73ac7036f74b2a161e0286f76ceeb3a781f8848a1330ab36903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0168-8510(96)00816-0$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4008,27865,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10172662$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://econpapers.repec.org/article/eeehepoli/v_3a36_3ay_3a1996_3ai_3a3_3ap_3a245-259.htm$$DView record in RePEc$$Hfree_for_read</backlink></links><search><creatorcontrib>Keskimäki, Ilmo</creatorcontrib><creatorcontrib>Salinto, Marjo</creatorcontrib><creatorcontrib>Aro, Seppo</creatorcontrib><title>Private medicine and socioeconomic differences in the rates of common surgical procedures in Finland</title><title>Health policy (Amsterdam)</title><addtitle>Health Policy</addtitle><description>The aim of the study was to evaluate socioeconomic equity in access to surgical services in Finland and to explore the contribution of private sector procedures to any inequities. Data on nine common surgical procedures performed on patients aged 25 and over were obtained from the 1987–1988 Finnish Hospital Discharge Register. Socioeconomic indicators were linked to the procedure data by personal identity numbers from the 1987 population census, which was also used to derive the data on population at risk. The study revealed marked differences in rates across socioeconomic categories for several procedures. Some of these disparities are probably explained by variations in need for surgery across socioeconomic groups. However, for cataract operations and hip replacements due to arthrosis or deformity, the surgery rates favoured the better-off, despite low social status being considered a risk factor for these disorders. The correlation of disposable family income with hysterectomy and prostatectomy rates, and the low surgery rates for many procedures in the lowest income quintile also suggested socioeconomic disparities in access to services. The specific effect of private services is difficult to assess, but the private sector seems to have contributed to the socioeconomic differences in rates for, at least, hysterectomy, prostatectomy, and cataract operations. Although the Finnish health care system operates universal coverage without formal barriers to equal access, systematic socioeconomic inequity in the use of individual surgical treatments prevail. Part of these inequities is evidently due to private sector services.</description><subject>Adult</subject><subject>Economic inequality</subject><subject>Educational Status</subject><subject>Equality</subject><subject>Equity in health care</subject><subject>Female</subject><subject>Finland</subject><subject>Health administration</subject><subject>Health Services Accessibility - economics</subject><subject>Health Services Accessibility - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Income</subject><subject>Male</subject><subject>Medical sector</subject><subject>Medical service</subject><subject>Occupations</subject><subject>Private health care</subject><subject>Private sector</subject><subject>Private Sector - economics</subject><subject>Private Sector - statistics &amp; numerical data</subject><subject>Public Sector - economics</subject><subject>Public Sector - statistics &amp; numerical data</subject><subject>Social Class</subject><subject>Social inequality</subject><subject>Social status</subject><subject>Socioeconomic Factors</subject><subject>Surgery</subject><subject>Surgical Procedures, Operative - economics</subject><subject>Surgical Procedures, Operative - statistics &amp; numerical data</subject><subject>Surgical Procedures, Operative - utilization</subject><issn>0168-8510</issn><issn>1872-6054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkUtv1TAUhC0EoreFf4CQV4guQo_jxLE3SKhqeahSWcDa8rWPuUZJHOzkSv33OE1VsaKL45dmxiN9hLxh8IEBExdlZCVbBu-VOAeQTFTwjOyY7OpKQNs8J7tHyQk5zfk3AHSci5fkpAR0tRD1jrjvKRzNjHRAF2wYkZrR0RxtiGjjGIdgqQveY8LRYqZhpPMBaSqWTKOnNg5DHGle0q9gTU-nFC26JW3S6zD2Je8VeeFNn_H1w35Gfl5f_bj8Ut3cfv56-emmsi0Tc-VAGOaUN4533nfc2A648F2zrw0TDKGW5SYs4p6bTjIvZSMN4xzMngsF_Iy823JLiz8L5lkPIVvsSweMS9bFA5y37ElhqzrWSKmeFHIF0NT3Xzeb0KaYc0KvpxQGk-40A73y0isMvcLQqlxWXnq1fdtsCSe0jx5EPOAU-6CPmhsuynJXhim1HsP6VmYqUzetrlulD_NQwt4-lF32Bec_DTbaRfBxE2CBcAyYdLZh5epCQjtrF8P_6_4Fx_a9xg</recordid><startdate>19960601</startdate><enddate>19960601</enddate><creator>Keskimäki, Ilmo</creator><creator>Salinto, Marjo</creator><creator>Aro, Seppo</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><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>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>7X8</scope></search><sort><creationdate>19960601</creationdate><title>Private medicine and socioeconomic differences in the rates of common surgical procedures in Finland</title><author>Keskimäki, Ilmo ; Salinto, Marjo ; Aro, Seppo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c516t-d06a1d9fad37ff73ac7036f74b2a161e0286f76ceeb3a781f8848a1330ab36903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Economic inequality</topic><topic>Educational Status</topic><topic>Equality</topic><topic>Equity in health care</topic><topic>Female</topic><topic>Finland</topic><topic>Health administration</topic><topic>Health Services Accessibility - economics</topic><topic>Health Services Accessibility - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Income</topic><topic>Male</topic><topic>Medical sector</topic><topic>Medical service</topic><topic>Occupations</topic><topic>Private health care</topic><topic>Private sector</topic><topic>Private Sector - economics</topic><topic>Private Sector - statistics &amp; numerical data</topic><topic>Public Sector - economics</topic><topic>Public Sector - statistics &amp; numerical data</topic><topic>Social Class</topic><topic>Social inequality</topic><topic>Social status</topic><topic>Socioeconomic Factors</topic><topic>Surgery</topic><topic>Surgical Procedures, Operative - economics</topic><topic>Surgical Procedures, Operative - statistics &amp; numerical data</topic><topic>Surgical Procedures, Operative - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keskimäki, Ilmo</creatorcontrib><creatorcontrib>Salinto, Marjo</creatorcontrib><creatorcontrib>Aro, Seppo</creatorcontrib><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>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Health policy (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keskimäki, Ilmo</au><au>Salinto, Marjo</au><au>Aro, Seppo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Private medicine and socioeconomic differences in the rates of common surgical procedures in Finland</atitle><jtitle>Health policy (Amsterdam)</jtitle><addtitle>Health Policy</addtitle><date>1996-06-01</date><risdate>1996</risdate><volume>36</volume><issue>3</issue><spage>245</spage><epage>259</epage><pages>245-259</pages><issn>0168-8510</issn><eissn>1872-6054</eissn><abstract>The aim of the study was to evaluate socioeconomic equity in access to surgical services in Finland and to explore the contribution of private sector procedures to any inequities. Data on nine common surgical procedures performed on patients aged 25 and over were obtained from the 1987–1988 Finnish Hospital Discharge Register. Socioeconomic indicators were linked to the procedure data by personal identity numbers from the 1987 population census, which was also used to derive the data on population at risk. The study revealed marked differences in rates across socioeconomic categories for several procedures. Some of these disparities are probably explained by variations in need for surgery across socioeconomic groups. However, for cataract operations and hip replacements due to arthrosis or deformity, the surgery rates favoured the better-off, despite low social status being considered a risk factor for these disorders. The correlation of disposable family income with hysterectomy and prostatectomy rates, and the low surgery rates for many procedures in the lowest income quintile also suggested socioeconomic disparities in access to services. The specific effect of private services is difficult to assess, but the private sector seems to have contributed to the socioeconomic differences in rates for, at least, hysterectomy, prostatectomy, and cataract operations. Although the Finnish health care system operates universal coverage without formal barriers to equal access, systematic socioeconomic inequity in the use of individual surgical treatments prevail. Part of these inequities is evidently due to private sector services.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>10172662</pmid><doi>10.1016/0168-8510(96)00816-0</doi><tpages>15</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0168-8510
ispartof Health policy (Amsterdam), 1996-06, Vol.36 (3), p.245-259
issn 0168-8510
1872-6054
language eng
recordid cdi_proquest_miscellaneous_78103351
source MEDLINE; RePEc; PAIS Index; Access via ScienceDirect (Elsevier)
subjects Adult
Economic inequality
Educational Status
Equality
Equity in health care
Female
Finland
Health administration
Health Services Accessibility - economics
Health Services Accessibility - statistics & numerical data
Humans
Income
Male
Medical sector
Medical service
Occupations
Private health care
Private sector
Private Sector - economics
Private Sector - statistics & numerical data
Public Sector - economics
Public Sector - statistics & numerical data
Social Class
Social inequality
Social status
Socioeconomic Factors
Surgery
Surgical Procedures, Operative - economics
Surgical Procedures, Operative - statistics & numerical data
Surgical Procedures, Operative - utilization
title Private medicine and socioeconomic differences in the rates of common surgical procedures in Finland
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T10%3A04%3A12IST&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=Private%20medicine%20and%20socioeconomic%20differences%20in%20the%20rates%20of%20common%20surgical%20procedures%20in%20Finland&rft.jtitle=Health%20policy%20(Amsterdam)&rft.au=Keskim%C3%A4ki,%20Ilmo&rft.date=1996-06-01&rft.volume=36&rft.issue=3&rft.spage=245&rft.epage=259&rft.pages=245-259&rft.issn=0168-8510&rft.eissn=1872-6054&rft_id=info:doi/10.1016/0168-8510(96)00816-0&rft_dat=%3Cproquest_cross%3E59714889%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=39004290&rft_id=info:pmid/10172662&rft_els_id=0168851096008160&rfr_iscdi=true