Evidence map›Paper›PMID 28738806›Full record

ArticleInternational journal for equity in health2017

Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spain.

Ignacio Abásolo, Marc Saez, Guillem López-Casasnovas

Erratum issuedAbstract read
In one paragraph

Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  6. Austerity, healthcare provision, and health outcomes in Spain.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Ignacio AbásoloDepartment of Applied Economics and Quantitative Methods, University of La Laguna, La Laguna, Spain.
Marc SaezResearch Group on Statistics, Econometrics and Health (GRECS) University of Girona, Carrer de la Universitat de Girona 10 Campus de Montilivi, 17003, Girona, Spain. marc.saez@udg.edu.
Guillem López-CasasnovasCenter for Research in Health and Economics (CRES), University Pompeu Fabra, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this paper is to analyse whether the recent recession has altered health care utilisation patterns of different income groups in Spain.

methodsBased on information concerning individuals 'income and health care use, along with health need indicators and demographic characteristics (provided by the Spanish National Health Surveys from 2006/07 and 2011/12), econometric models are estimated in two parts (mixed logistic regressions and truncated negative binominal regressions) for each of the public health services studied (family doctor appointments, appointments with specialists, hospitalisations, emergencies and prescription drug use).

resultsThe results show that the principle of universal access to public health provision does not in fact prevent a financial crisis from affecting certain income groups more than others in their utilisation of public health services.

conclusionsSpecifically, in relative terms the recession has been more detrimental to low-income groups in the cases of specialist appointments and hospitalisations, whereas it has worked to their advantage in the cases of emergency services and family doctor appointments.

Indexed as

Economic RecessionHealthcare DisparitiesUniversal Health InsuranceAdolescentAdultAgedCross-Sectional StudiesDelivery of Health CareFemaleHealth Care SurveysHumansIncomeMaleMiddle AgedSpainYoung AdultAccess to the health systemFinancial crisisHealth servicesInequalityUniversality

Identifiers

PMID28738806
PMCPMC5525232

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.