Income-related inequality in health and health care utilization in Chile, 2000-2009.
Objective. To measure and explain income-related inequalities in health and health care utilization in the period 2000-2009 in Chile, while assessing variations within the country and determinants of inequalities. Methods. Data from the National Socioeconomic Characterization Survey for 2000, 2003,...
| Publicado en: | Pan American Journal of Public Health Vol. 33; no. 2; pp. 98 - 107 |
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| Autores principales: | , , |
| Formato: | Artículo |
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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=85964279&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 85964279 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: 85964279 ppf: 98 ppct: 9 formats: fmt: @attributes: type: P size: 193KB tig: atl: Income-related inequality in health and health care utilization in Chile, 2000-2009. aug: au: Vásquez, Felipe Paraje, Guillermo Estay, Manuel affil: Facultad de Economía y Negocios, Universidad del Desarrollo, Concepción, Chile Escuela de Negocios, Universidad Adolfo Ibáñez, Santiago, Chile Departamento de Economía, Universidad de Concepción, Concepción, Chile su: Chile Health services accessibility Health status indicators Income Health insurance Health policy Self-evaluation Socioeconomic factors Educational attainment Health equity Cross-sectional method Hospital emergency services Questionnaires Research funding Descriptive statistics sug: subj: Health services accessibility Health status indicators Income Health insurance Health policy Self-evaluation Socioeconomic factors Educational attainment Health equity Cross-sectional method Chile Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Administration of Public Health Programs Hospital emergency services Questionnaires Research funding Descriptive statistics keyword: equity in access equity in health health economics Health inequalities Chile Desigualdades en la salud economía de la salud equidad en el acceso equidad en salud equity in access equity in health health economics Health inequalities Chile Desigualdades en la salud economía de la salud equidad en el acceso equidad en salud ab: Objective. To measure and explain income-related inequalities in health and health care utilization in the period 2000-2009 in Chile, while assessing variations within the country and determinants of inequalities. Methods. Data from the National Socioeconomic Characterization Survey for 2000, 2003, and 2009 were used to measure inequality in health and health care utilization. Income-related inequality in health care utilization was assessed with standardized concentration indices for the probability and total number of visits to specialized care, generalized care, emergency care, dental care, mental health care, and hospital care. Self-assessed health status and physical limitations were used as proxies for health care need. Standardization was performed with demographic and need variables. The decomposition method was applied to estimate the contribution of each factor used to calculate the concentration index, including ethnicity, employment status, health insurance, and region of residence. Results. In Chile, people in lower-income quintiles report worse health status and more physical limitations than people in higher quintiles. In terms of health service utilization, pro-rich inequities were found for specialized and dental visits with a slight pro-rich utilization for general practitioners and all physician visits. All pro-rich inequities have decreased over time. Emergency room visits and hospitalizations are concentrated among lower-income quintiles and have increased over time. Higher education and private health insurance contribute to a pro-rich inequity in dentist, general practitioner, specialized, and all physician visits. Income contributes to a pro-rich inequity in specialized and dentist visits, whereas urban residence and economic activity contribute to a pro-poor inequity in emergency room visits. Conclusions. The pattern of health care utilization in Chile is consistent with policies implemented in the country and in the intended direction. The significant income inequality in the use of specialized and dental services, which favor the rich, deserves policy makers' attention and further investigation related to the quality of these services. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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