ArticlePloS one2015
Did Socioeconomic Inequality in Self-Reported Health in Chile Fall after the Equity-Based Healthcare Reform of 2005? A Concentration Index Decomposition Analysis.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 32 citations in OpenAlex.
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- The socioeconomic distribution of life expectancy and healthy life expectancy in Chile.International journal for equity in health · 2023Article
- Health in Chile's Recent Constitutional Process: A Qualitative Thematic Analysis of Civil Proposals.International journal of environmental research and public health · 2022Review
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- Income-related health inequality among rural residents in western China.Frontiers in public health · 2022Article
- Horizontal inequity in self-reported morbidity and untreated morbidity in India: Evidence from National Sample Survey Data.International journal for equity in health · 2021Article
- Explaining Income-Related Inequalities in Dietary Knowledge: Evidence from the China Health and Nutrition Survey.International journal of environmental research and public health · 2020Article
- Under five and infant mortality in Chile (1990-2016): Trends, disparities, and causes of death.PloS one · 2020Article
- Decomposing Income-Related Inequalities in Self-Reported Depression and Self-Rated Health Among Married Immigrants in South Korea.International journal of environmental research and public health · 2019Article
- The impact of Medicare part D on income-related inequality in pharmaceutical expenditure.International journal for equity in health · 2019Article
- Socio-Economic Status Inequity in Self Rated Health in Patients with Breast Cancer.Open access Macedonian journal of medical sciences · 2019Article
- Evaluation of the effectiveness and equity of the maternity protection reform in Chile from 2000 to 2015.PloS one · 2019Article
- Effects of Iranian Economic Reforms on Equity in Social and Healthcare Financing: A Segmented Regression Analysis.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2018Article
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveChile, a South American country recently defined as a high-income nation, carried out a major healthcare system reform from 2005 onwards that aimed at reducing socioeconomic inequality in health. This study aimed to estimate income-related inequality in self-reported health status (SRHS) in 2000 and 2013, before and after the reform, for the entire adult Chilean population.
methodsUsing data on equivalized household income and adult SRHS from the 2000 and 2013 CASEN surveys (independent samples of 101 046 and 172 330 adult participants, respectively) we estimated Erreygers concentration indices (CIs) for above average SRHS for both years. We also decomposed the contribution of both "legitimate" standardizing variables (age and sex) and "illegitimate" variables (income, education, occupation, ethnicity, urban/rural, marital status, number of people living in the household, and healthcare entitlement).
resultsThere was a significant concentration of above average SRHS favoring richer people in Chile in both years, which was less pronounced in 2013 than 2000 (Erreygers corrected CI 0.165 [Standard Error, SE 0.007] in 2000 and 0.047 [SE 0.008] in 2013). To help interpret the magnitude of this decline, adults in the richest fifth of households were 33% more likely than those in the poorest fifth to report above-average health in 2000, falling to 11% in 2013. In 2013, the contribution of illegitimate factors to income-related inequality in SRHS remained higher than the contribution of legitimate factors.
conclusionsIncome-related inequality in SRHS in Chile has fallen after the equity-based healthcare reform. Further research is needed to ascertain how far this fall in health inequality can be attributed to the 2005 healthcare reform as opposed to economic growth and other determinants of health that changed during the period.
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