ArticleScandinavian journal of public health2013
Socioeconomic differences in healthcare utilization, with and without adjustment for need: an example from Stockholm, Sweden.
Article in Scandinavian journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 5 of them syntheses that pooled it.
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Who cites it
60 citing papers in PubMed, 5 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Impact of sex and socioeconomic status on the likelihood of surgery, hospitalization, and use of medications in inflammatory bowel disease: a systematic review and meta-analysis.Systematic reviews · 2024Pooled it
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- Approaches and Components of Health Workforce Planning Models: A Systematic Review.Iranian journal of medical sciences · 2023Pooled it
- Socioeconomic inequalities in primary-care and specialist physician visits: a systematic review.International journal for equity in health · 2021Pooled it
- The impact of reimbursement systems on equity in access and quality of primary care: A systematic literature review.BMC health services research · 2016Pooled it
- Downsizing and purchases of psychotropic drugs: A longitudinal study of stayers, changers and unemployed.PloS one · 2023Trial
- Exploring health system resilience during the COVID-19 pandemic in Sweden: an interrupted time series analysis of service utilisation and sociodemographic differences.BMC health services research · 2025Article
- Long-term trends in specialized outpatient health care utilization: an analysis in the context of a primary health care reform.BMC health services research · 2025Article
- Exploring Different Levels of Contact Frequency in Multiple Sclerosis Care.Brain and behavior · 2025Article
- Cognitive reserve and disparities in healthcare usage after traumatic brain injury and stroke: an observational cohort study.Journal of rehabilitation medicine · 2025Observational
- Nursing and medical students' views on their knowledge related to the Sustainable Development Goals - a mixed methods study at three Swedish universities.BMC medical education · 2025Article
- Risk Models to Predict Screen-Detected and Interval Breast Cancers in Population Mammography Screening Participants.Cancers · 2025Article
- Differences in eHealth Access, Use, and Perceived Benefit Between Different Socioeconomic Groups in the Dutch Context: Secondary Cross-Sectional Study.JMIR formative research · 2025Article
- Experiences in healthcare for weight management - a qualitative interview study of retired individuals with obesity and low or high education.BMC health services research · 2024Article
- Refraining from seeking dental care among the Sámi in Sweden: a cross-sectional study.International journal for equity in health · 2024Article
- Health Workforce Planning: Designing a Specialty and Subspecialty Supply Model for Iran.Medical journal of the Islamic Republic of Iran · 2024Article
- Lifetime healthcare expenditures across socioeconomic groups in Sweden.European journal of public health · 2023Article
- Income-based differences in healthcare utilization in relation to mortality in the Swedish population between 2004-2017: A nationwide register study.PLoS medicine · 2023Article
- Disparities in access to primary care are growing wider in Canada.Healthcare management forum · 2023Article
- Are doctors using more preventive medication for cardiovascular disease? A Swedish cross-sectional study.Scandinavian journal of primary health care · 2023Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimPrevious studies have shown varying degrees of inequity of utilization of healthcare in Sweden. Studies based solely on register data cannot take into account differences in health status while studies based solely on self-reported data from surveys may potentially have biased data on healthcare utilization. The aim of this study was to investigate socioeconomic differences in utilization of outpatient healthcare services in Stockholm County, comparing analysis based on only register data, with analysis based on health survey data linked to register data.
methodsWe linked data from a public health survey in Stockholm County 2006 (n = 34,707) to register data on sociodemographic background characteristics and outpatient healthcare utilization in 2007. Negative binomial regression analysis was used to estimate income differentials in healthcare utilization adjusting for self-rated health and limiting longstanding illness.
resultsIncome differentials in the number of visits to doctors were found in favour of lower-income groups among people aged 25-64 years when only controlling for age. When controlling for health status, income differentials in favour of higher-income groups were observed among men (all ages) and among women aged 65+ years, with higher-income groups having 11-49% more visits than the lowest income group.
conclusionsThe findings suggest that health status should be taken into account when analysing socioeconomic differences in healthcare utilization. When using only register based data there is a risk of underestimating or disregarding differences.
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