Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries.
Objective. To describe the methodology used to measure and explain income-related inequalities in health and health care utilization over time in selected Latin American and Caribbean countries. Methods. Data from nationally representative household surveys in Brazil, Chile, Colombia, Jamaica, Mexic...
| Publicado en: | Pan American Journal of Public Health Vol. 33; no. 2; pp. 83 - 90 |
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| Autores principales: | , |
| Formato: | Artículo |
| Publicado: |
World Health Organization
Feb2013
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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=ssf&AN=85964277&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 85964277 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 55OA jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: Feb2013 vid: 33 iid: 2 pid: 437 pub: World Health Organization artinfo: ui: 85964277 10.1590/S1020-49892013000200002 ppf: 83 ppct: 7 formats: fmt: @attributes: type: P size: 301KB tig: atl: Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries. aug: au: Almeida, Gisele Sarti, Flavia Mori affil: Pan American Health Organization, Washington, D.C., United States of America Modelagem de Sistemas Complexos, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, Brazil su: Brazil Chile Colombia Jamaica Mexico Peru Health services accessibility Health status indicators Income Medical care Health policy Socioeconomic factors Health equity Cross-sectional method Experimental design Research methodology Questionnaires sug: subj: Health services accessibility Health status indicators Income Medical care Health policy Socioeconomic factors Health equity Cross-sectional method Brazil Chile Colombia Jamaica Mexico Peru Administration of Public Health Programs Experimental design Research methodology Questionnaires keyword: Caribbean region Equity in access equity in health health policy health systems Latin America América Latina Equidad en el acceso equidad en salud política de salud región del Caribe sistemas de salud Caribbean region Equity in access equity in health health policy health systems Latin America América Latina Equidad en el acceso equidad en salud política de salud región del Caribe sistemas de salud ab: Objective. To describe the methodology used to measure and explain income-related inequalities in health and health care utilization over time in selected Latin American and Caribbean countries. Methods. Data from nationally representative household surveys in Brazil, Chile, Colombia, Jamaica, Mexico, and Peru were used to analyze income-related inequalities in health status and health care utilization. Health was measured by self-reported health status, physical limitations, and chronic illness when available. Hospitalization, physician, dentist, preventive, curative, and preventive visits were proxies for health care utilization. Household income was a proxy for socioeconomic status except in Peru, which used household expenditures. Concentration indices were calculated before and after standardization for all dependent variables. Standardized concentration indices are also referred to as horizontal inequity index. Decomposition analysis was used to identify the main determinants of inequality in health care utilization. Results. Results of analysis of the evolution of income-related inequality in health and health care utilization in Brazil, Chile, Colombia, Jamaica, Mexico, and Peru are presented in separate articles in this issue. Conclusions. The methodology used for analysis of equity in all six country research studies attempts not to determine causality but to describe and explain income-related inequalities in health status and health care utilization over time. While this methodology is robust, it is not free of errors. When possible, errors have been identified and corrected. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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