ArticlePloS one2017
Socioeconomic position and health services use in Germany and Spain during the Great Recession.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Hospitals during economic crisis: a systematic review based on resilience system capacities framework.BMC health services research · 2022Pooled it
- Evaluation of the Biases in the Studies that Assess the Effects of the Great Recession on Health. A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Utilization of Health Care Services and Accessibility Challenges among Adults Aged 50+ before and after Austerity Measures across 27 European Countries: Secular Trends in the SHARE Study from 2004/05 to 2019/20.Healthcare (Basel, Switzerland) · 2024Article
- Inequality in Healthcare Utilization in Italy: How Important Are Barriers to Access?International journal of environmental research and public health · 2022Article
- Does socioeconomic status affect hospital utilization and health outcomes of chronic disease patients?The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Determinants of Outpatient Health Service Utilization according to Andersen's Behavioral Model: A Systematic Scoping Review.Iranian journal of medical sciences · 2020Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe relationship of socioeconomic position with the use of health services may have changed with the emergence of the economic crisis. This study shows that relationship before and during the economic crisis, in Germany and in Spain.
methodsData from the 2006 and 2011 Socio-Economic Panel carried out in Germany, and from the 2006 and 2011 National Health Surveys carried out in Spain were used. The health services investigated were physician consultations and hospitalization. The measures of socioeconomic position used were education and household income. The magnitude of the relationship between socioeconomic position and the use of each health services was estimated by calculating the percentage ratio by binary regression.
resultsIn Germany, in both periods, after adjusting for age, sex, type of health insurance and need for care, subjects belonging to the lower educational categories had a lower frequency of physician consultations, while those belonging to the lower income categories had a higher frequency of hospitalization. In the model comparing the two lower socioeconomic categories to the two higher categories, the percentage ratio for physician consultation by education was 0.97 (95%CI 0.96-0.98) in 2006 and 0.96 (95%CI 0.95-0.97) in 2011, and the percentage ratio for hospitalization by income was 1.14 (95%CI 1.05-1.25) in 2006 and 1.12 (95%CI 1.03-1.21) in 2011. In Spain, no significant socioeconomic differences were observed in either period in the frequency of use of these health services in the fully adjusted model.
conclusionThe results suggest that the economic crisis did not alter accessibility to the health system in either country, given that the socioeconomic pattern in the use of these health services was similar before and during the crisis in both countries.
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