ArticleInternational journal for equity in health2020
Need and inequality in the use of health care services in a fragmented and decentralized health system: evidence for Argentina.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed.
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- Changes in health-related quality of life and inequality in China: evidence from a nationwide repeated cross-sectional survey (2021-2023).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Inequity in access to medications among communities in Eastern Ethiopia: a decomposition analysis.BMC health services research · 2025Article
- Hereditary Ataxias in Argentina.Cerebellum (London, England) · 2025Review
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- Health inequalities for China's low-income population: trends, subgroup differences, and influencing factors, 2010-2022.Frontiers in public health · 2025Article
- Caregiver-centred empowerment for families raising autistic children: A qualitative case study from Argentina.Autism : the international journal of research and practice · 2024Article
- Factors associated with financial risk due to health spending in Argentina.Health policy and planning · 2024Article
- Endometrial cancer treatment and outcomes in Argentina: ECHOS-A real-world study.Gynecologic oncology reports · 2024Article
- Budget Impact Analysis of Olaparib in Combination with Bevacizumab for Maintenance Therapy for Ovarian Cancer in Argentina.PharmacoEconomics - open · 2024Article
- Whoever wants better healthcare simply pays more: citizens' perception about voluntary private health insurance in Colombia.International journal for equity in health · 2024Article
- Article
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Authors and funding
3 authors.
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Abstract
backgroundThe high fragmentation and decentralization in the provision of health care services that characterizes Argentina's health system, as well as the economic and social inequalities, challenge the achievement of the Universal Health Coverage (UHC). The objective of this study is to measure socioeconomic-related inequality and horizontal inequity in the use of health care services in Argentina as well as identify the factors that contribute to these disparities.
methodsThe 2013 National Risk Factor Survey, developed by the Ministry of Health of Argentina, was used to measure socioeconomic-related inequality and inequity in the use of health care services through concentration curves, the Erreygers concentration index, and the index of horizontal inequity. Econometric micro-decomposition was applied to estimate the contribution of each determining factor to inequality in the use of health care services.
resultsThe Erreygers concentration index for the use of health care services was 0.1223, evidencing pro-rich inequalities. By adding variables of health care needs, the horizontal inequity index was 0.1296. Non-need factors such as education and health coverage with social security increase pro-rich inequality.
conclusionsThe Argentine health system shows pro-rich inequality in the use of health care services. It is necessary to design strategies to improve articulation between the three coverage subsectors and national, provincial, and municipal governments to keep the commitment of "not leaving anyone behind." The results showed here could provide lessons for countries with similar contexts and challenges in public health.
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