ArticleInternational journal for equity in health2016
How social policies can improve financial accessibility of healthcare: a multi-level analysis of unmet medical need in European countries.
Article in International journal for equity in health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mobile technologies for rehabilitation in non-specific spinal disorders: a systematic review of the efficacy and potential for implementation in low- and middle-income countries.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Pooled it
- Decoding patient preferences: key drivers in selecting thyroid cancer surgery- a discrete choice experiment.Frontiers in endocrinology · 2026Trial
- Distribution, inequalities and associated factors of unmet medical needs among older adults: evidence from the national health service survey.BMC geriatrics · 2026Article
- Bridging theory and behavior for healthcare accessibility modeling: A mobility-driven revision of the E2SFCA.PloS one · 2026Article
- Inequalities in cervical cancer screening use: results of the Serbian National Health Survey.Central European journal of public health · 2025Article
- The Impact of Polycrisis on Healthcare Systems-Analyzing Challenges and the Role of Social Epidemiology.Healthcare (Basel, Switzerland) · 2025Review
- A cross-country analysis of the effects of spousal migration on health care access for families left behind.Health affairs scholar · 2025Article
- Application of the Analytical Hierarchy Process in the management of private ambulance care systems in three selected European countries: a strategic decision-making framework.Frontiers in public health · 2025Article
- Unmet need for healthcare in the Russian Federation: subnational retrospective modelling analysis (2014-2018).BMJ public health · 2024Article
- Article
- Barriers and facilitators in uptake of human papillomavirus vaccine across English Canada: A review.Human vaccines & immunotherapeutics · 2023Review
- Unmet healthcare needs among the population aged 50+ and their association with health outcomes during the COVID-19 pandemic.European journal of ageing · 2023Article
- Determinants of Patient-Perceived Primary Healthcare Quality in Lithuania.International journal of environmental research and public health · 2023Article
- Socio-demographic and regional differences in unmet healthcare needs among migrants in Europe.PloS one · 2023Article
- Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review.Iranian journal of public health · 2022Review
- Macro-contextual determinants of cancer screening participation and inequalities: A multilevel analysis of 29 European countries.SSM - population health · 2021Article
- Investigating unmet need for healthcare using the European Health Interview Survey: a cross-sectional survey study of Luxembourg.BMJ open · 2021Article
- Effects of spousal migration on access to healthcare for women left behind: A cross-sectional follow-up study.PloS one · 2021Article
- The effect of pharmaceutical co-payment increase on the use of social assistance-A natural experiment study.PloS one · 2021Article
- Does inpatient health services utilization vary by remoteness in the medical financial assistance population? Evidence from Shaanxi province, China.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe article explores in how far financial accessibility of healthcare (FAH) is restricted for low-income groups and identifies social protection policies that can supplement health policies in guaranteeing universal access to healthcare. The article is aimed to advance the literature on comparative European social epidemiology by focussing on income-related barriers of healthcare take-up.
methodThe research is carried out on the basis of multi-level cross-sectional analyses using 2012 EU-SILC data for 30 European countries. The social policy data stems from EU-SILC beneficiary information.
resultsIt is argued that unmet medical needs are a reality for many individuals within Europe - not only due to direct user fees but also due to indirect costs such as waiting time, travel costs, time not spent working. Moreover, low FAH affects not only the lowest income quintile but also the lower middle income class. The study observes that social allowance increases the purchasing power of both household types, thereby helping them to overcome financial barriers to healthcare uptake.
conclusionAlongside healthcare system reform aimed at improving the pro-poor availability of healthcare facilities and financing, policies directed at improving FAH should aim at providing a minimum income base to the low-income quintile. Moreover, categorical policies should address households exposed to debt which form the key vulnerable group within the low-income classes.
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