No unmet needs without needs! Assessing the role of social capital using data from European social survey 2014.
This paper examines the determinants of unmet healthcare needs in Europe. Special emphasis is put on the impact of social capital. Data come from the European Social Survey, 2014. Our study includes 32,868 respondents in 20 countries. Because unmet needs are observed only in those individuals who ar...
| Publicado en: | Health Policy Vol. 123; no. 8; pp. 747 - 756 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138081775&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138081775 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01688510 3LC jtl: Health Policy issn: 01688510 maglogo: N pubinfo: dt: Aug2019 vid: 123 iid: 8 pid: 1004 pub: Elsevier B.V. artinfo: ui: 138081775 138081775 NLM31213332 138081775 10.1016/j.healthpol.2019.06.001 NLM31213332 138081775 ppf: 747 ppct: 9 formats: tig: atl: No unmet needs without needs! Assessing the role of social capital using data from European social survey 2014. aug: au: Quintal, Carlota Lourenço, Óscar Ramos, Luís Moura Antunes, Micaela affil: CeBER and Faculty of Economics, University of Coimbra, Portugal; CEISUC, Portugal sug: subj: Socioeconomic Factors Social Capital Health Services Needs and Demand Statistics and Numerical Data Female Adolescence Special Populations Middle Age Aged Aged, 80 and Over Male Europe Adult Health Services Accessibility Statistics and Numerical Data Health Status Human Adolescent: 13-18 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Adult: 19-44 years Female Male ab: This paper examines the determinants of unmet healthcare needs in Europe. Special emphasis is put on the impact of social capital. Data come from the European Social Survey, 2014. Our study includes 32,868 respondents in 20 countries. Because unmet needs are observed only in those individuals who are exposed to, and recognise, the need of medical care, sample selection can be an issue. To address it, we analyse the data using the bivariate sample selection model. When there is no need, there is no assessment of access to healthcare. Accordingly, in this situation, our model assumes that unmet need is unobserved. The magnitude and statistical significance of the error correlation support our modelling strategy. A high proportion (18.4%) of individuals in need in Europe reported unmet needs. Informal connections seem to mitigate barriers to access as well as trust in other people and institutions, particularly in health services. Financial strain still is a strong predictor of unmet needs. Other vulnerable groups include informal carers, minorities and individuals feeling discriminated. Unmet needs might also arise due to persistent needs of healthcare as it seems to be the case of individuals with lower health status and chronic conditions. A result that merits further research concerns the positive impact of civic engagement on unmet needs. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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