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Titolo:
Social class inequalities in the use of and access to health services in Catalonia, Spain: what is the influence of supplemental private health insurance?
Autore:
Borrell, C; Fernandez, E; Schiaffino, A; Benach, J; Rajmil, L; Villalbi, JR; Segura, A;
Indirizzi:
Inst Municipal Salut Publ Barcelona, Barcelona 08023, Spain Inst MunicipalSalut Publ Barcelona Barcelona Spain 08023 a 08023, Spain Inst Catala Oncol, Barcelona, Spain Inst Catala Oncol Barcelona SpainInst Catala Oncol, Barcelona, Spain Univ Pompeu Fabra, Barcelona, Spain Univ Pompeu Fabra Barcelona SpainUniv Pompeu Fabra, Barcelona, Spain Inst Salut Publ Catalunya, Barcelona, Spain Inst Salut Publ Catalunya Barcelona Spain l Catalunya, Barcelona, Spain
Titolo Testata:
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
fascicolo: 2, volume: 13, anno: 2001,
pagine: 117 - 125
SICI:
1353-4505(200104)13:2<117:SCIITU>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
UNITED-STATES; SOCIOECONOMIC DIFFERENCES; HOSPITAL UTILIZATION; CONSULTATION RATES; GENERAL-PRACTICE; PERCEIVED HEALTH; CARE SERVICES; ONTARIO; EQUITY; STRATIFICATION;
Keywords:
Catalonia; health services utilization; inequalities in health; preventive services; social class; Spain; waiting time;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
57
Recensione:
Indirizzi per estratti:
Indirizzo: Borrell, C Inst Municipal Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Spain Inst Municipal Salut Publ Barcelona Pl Lesseps 1 Barcelona Spain 08023
Citazione:
C. Borrell et al., "Social class inequalities in the use of and access to health services in Catalonia, Spain: what is the influence of supplemental private health insurance?", INT J QUAL, 13(2), 2001, pp. 117-125

Abstract

Objective. To analyse social class inequalities in the access to and utilization of health services in Catalonia (Spain), and the influence of havingprivate health insurance supplementing the National Health System (NHS) coverage. Design. 1994 Catalan Health Interview Survey, a cross-sectional survey conducted in 1994. Setting. Catalonia (Spain). Study participants. The participants were a representative sample of people aged over 14 years from the non-institutionalized population of Catalonia(n = 12 245). Main outcome measures. Health services utilization, perceived health, having only NHS or NHS plus a private health insurance, and social class. Results. Although one-quarter of the population of Catalonia had a supplemental private health insurance, percentages were very different according to social class, ranging from almost 50% for classes I and II to 16% for classes IV and V in both sexes. No inequalities by social class were observed for the utilization of non-preventive health care services (consultation with a health professional in the last 2 weeks and hospitalization in the last year) among persons with poor self-perceived health status, i.e. those inmost need. However, social inequalities still remain in the use of health services provided only partially by the NHS, and when characteristics of last consultation are taken into account. Subjects who paid for a private service waited an average of 18.8 minutes less than those attending the NHS. Within the NHS, social classes ni and V waited longer (35.5 minutes) than social classes I and II (28.4 minutes). Conclusion. The NHS in Catalonia, Spain, has reduced inequalities in the use of health services. Social inequalities remain in the use of those health services provided only partially by the NHS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 13:58:17