Socioeconomic Patterns in the Frequency of Doctor Visits in Germany and Spain in Subjects With and Without Chronic Diseases.
The objective of universal health care systems is to achieve equality in the use of health services at the same level of care need. This study evaluates the relationship of socioeconomic position with the frequency of doctor visits in subjects with and without chronic diseases in Germany and Spain....
| Publicado en: | International Journal of Social Determinants of Health & Health Services Vol. 54; no. 2; pp. 121 - 131 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Apr2024
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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=176182543&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176182543 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27551938 N7A8 jtl: International Journal of Social Determinants of Health & Health Services issn: 27551938 maglogo: Y pubinfo: dt: Apr2024 vid: 54 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 176182543 174568883 176182543 176182543 10.1177/27551938231224708 176182543 ppf: 121 ppct: 10 formats: tig: atl: Socioeconomic Patterns in the Frequency of Doctor Visits in Germany and Spain in Subjects With and Without Chronic Diseases. aug: au: Moreno, Almudena Lostao, Lourdes Sperlich, Stefanie Beller, Johannes Ronda, Elena Geyer, Siegfried Regidor, Enrique affil: Department of Sociology. Medical Sociology, Universidad Pública de Navarra, Pamplona, Spain sug: subj: Socioeconomic Factors Office Visits Evaluation Physicians Chronic Disease Spain Chronic Disease Germany Human Spain Germany Funding Source Universal Health Care Questionnaires Referral and Consultation Income Education Classification Regression Analysis of Covariance Sampling Methods Family Characteristics Surveys Interviews Insurance, Health Insurance Coverage Comorbidity Educational Status Adolescence Adult Middle Age Aged Male Female Confidence Intervals Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: The objective of universal health care systems is to achieve equality in the use of health services at the same level of care need. This study evaluates the relationship of socioeconomic position with the frequency of doctor visits in subjects with and without chronic diseases in Germany and Spain. The dependent variables included number of consultations and if a medical consultation occurred. The socioeconomic factors were income and education. The magnitude of the relationship between socioeconomic position and medical consultation frequency was estimated by calculating the percentage ratio using binomial regression and by calculating the difference in consultations by analysis of the covariance, in the case of number of visits. Statistically significant findings according to education were not observed. The percentage ratio in the medical consultations among those with lower and higher income was 1.03 (95% confidence interval [CI] 1.01-2.88) in Germany and 1.11 (95% CI 1.03-1.20) in Spain among subjects with any of the studied chronic conditions. Also, in Germany the difference in the average number of consultations comparing lower income subjects with higher was 3.98 (95% CI 2.40-5.57) in those with chronic conditions. In both countries, there were no differences in the frequency of doctor visits according to education. However, a pro-inequality trend exists in favor of subjects with lower income. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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