Socioeconomic Inequalities in the Use of Healthcare Services: Comparison between the Roma and General Populations in Spain
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Título: | Socioeconomic Inequalities in the Use of Healthcare Services: Comparison between the Roma and General Populations in Spain |
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Autor/es: | La Parra-Casado, Daniel | Mosquera, Paola | Vives-Cases, Carmen | San Sebastián, Miguel |
Grupo/s de investigación o GITE: | Observatorio Europeo de Tendencias Sociales (OBETS) | Salud Pública | Investigación en Género (IG) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Sociología II | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia |
Palabras clave: | Ethnic groups | Social class | Roma | Healthcare disparities | Spain |
Área/s de conocimiento: | Sociología | Medicina Preventiva y Salud Pública |
Fecha de publicación: | 12-ene-2018 |
Editor: | MDPI |
Cita bibliográfica: | La Parra-Casado D, Mosquera PA, Vives-Cases C, San Sebastian M. Socioeconomic Inequalities in the Use of Healthcare Services: Comparison between the Roma and General Populations in Spain. International Journal of Environmental Research and Public Health. 2018; 15(1):121. doi:10.3390/ijerph15010121 |
Resumen: | This paper explores whether the principles of horizontal and vertical equity in healthcare are met by the Spanish national health system in the case of the Roma and general populations. The 2011/2012 Spanish National Health Survey (n = 21,650) and the 2014 National Health Survey of the Spanish Roma Population (n = 1167) were analyzed. Use of healthcare services was measured in terms of visits to a general practitioner (GP), visits to an emergency department, and hospitalizations. Healthcare need was measured using (a) self-rated health and (b) the reported number of chronic diseases. The Roma reported worse self-rated health and a higher prevalence of chronic diseases. A redistributive effect (increased healthcare service use among Roma and those in lower socio-economic classes) was found for hospitalizations and emergency visits. This effect was also observed in GP visits for women, but not for men. Vertical inequity was observed in the general population but not in the Roma population for GP visits. The results suggest the existence of horizontal inequity in the use of GP services (Roma women), emergency department visits (Roma and general population), and hospitalizations (Roma population) and of vertical inequity in the use of GP services among the general population. |
Patrocinador/es: | This work was supported by the Ministry of Economy and Competitiveness of Spain, FEDER Funds (“National Health Survey to Roma Population 2013–2014” [grant number PI12/00842]; and the Ministry of Health, Social Services and Equality of Spain. |
URI: | http://hdl.handle.net/10045/72703 |
ISSN: | 1661-7827 (Print) | 1660-4601 (Online) |
DOI: | 10.3390/ijerph15010121 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
Revisión científica: | si |
Versión del editor: | http://dx.doi.org/10.3390/ijerph15010121 |
Aparece en las colecciones: | INV - OBETS - Artículos de Revistas INV - SP - Artículos de Revistas INV - Investigación en Género - Artículos de Revistas INV - EQUIDIVERSIDAD - Artículos de Revistas |
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