ArticleScandinavian journal of public health2009
Change and persistence in healthcare inequities: access to elective surgery in Finland in 1992--2003.
Article in Scandinavian journal of public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 47 citations in OpenAlex.
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- Inequality in the distribution of resources in the health sector before and after the Health Transformation Plan in Qazvin, Iran.Journal of health, population, and nutrition · 2024Article
- Using geographically weighted Poisson regression to examine the association between socioeconomic factors and hysterectomy incidence in Wallonia, Belgium.BMC women's health · 2021Article
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- The effect of pharmaceutical co-payment increase on the use of social assistance-A natural experiment study.PloS one · 2021Article
- Measuring horizontal inequity in healthcare utilisation: a review of methodological developments and debates.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- The evolution of income-related inequalities in healthcare utilisation in Indonesia, 1993-2014.PloS one · 2019Article
- Children's educational attainment, occupation, and income and their parents' mortality.Population studies · 2018Article
- Has socioeconomic equity increased in somatic specialist care: a register-based cohort study from Finland in 1995-2010.BMC health services research · 2014Article
- Multiple social disadvantage does it have an effect on amenable mortality: a brief report.International journal for equity in health · 2014Article
- Trends in social class inequalities in the use of health care services within the Spanish National Health System, 1993-2006.The European journal of health economics : HEPAC : health economics in prevention and care · 2013Article
- Socioeconomic differences in mortality amenable to health care among Finnish adults 1992-2003: 12 year follow up using individual level linked population register data.BMC health services research · 2013Article
- Framing the decision to contract out elderly care and primary health care services - perspectives of local level politicians and civil servants in Finland.BMC health services research · 2012Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
aimsMany countries experience persistent or increasing socioeconomic disparities in specialist care. This study examines the socioeconomic distribution of elective surgery from 1992 to 2003 in Finland.
methodsAdministrative registers were used to identify common elective procedures performed in all public and private hospitals in Finland in 1992-2003. Patients' individual sociodemographic data came from 1990-2003 census and employment statistics databases. First coronary revascularisation, hip and knee replacement, lumbar disc operation, cataract extraction, hysterectomy and prostatectomy on residents aged 25-84 years were analysed. Age-standardized procedure rates by income quintile were calculated for both genders, and concentration indices were developed and applied to age-standardized procedure rates in 5% income groups for each study year.
resultsMost procedure rates increased during the study period. Three trends emerged: declining inequality for coronary revascularisations, an increase and then a decline in cataract extractions and primary knee replacements among men, and positive relationships between income and treatment for hysterectomy and lumbar disc operations.
conclusionsOur results suggest that structural features - uneven availability, co-payments and plurality of provision - sustain inequity in access; decreasing inequities reflect directed service expansion. Increased attention to collective, prospective funding of primary and specialist ambulatory care is required to increase equity of access to elective surgery.
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