Use of health services according to income before and after elimination of copayment in Germany and restriction of universal health coverage in Spain
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Le résumé fourni par la source
BACKGROUND: In Germany copayment for medical consultation was eliminated in 2013, and in Spain universal health coverage was partly restricted in 2012. This study shows the relationship between income and the use of health services before and after these measures in each country. METHODS: Data were taken from the 2009 and 2014 Socio-Economic Panel conducted in Germany, and from the 2009 and 2014 European Health Surveys in Spain. The health services investigated were physician consultations and hospital admissions, and the measure of socioeconomic position used was household income. The magnitude of the relationship between socioeconomic position and the use of each health service in people from 16 to 74 years old was estimated by calculating the percentage ratio using binary regression. RESULTS: In Germany, after adjusting for age, sex, and need for care, in the model comparing the two lower income categories to the two higher categories, the percentage ratio for physician consultation was 0.97 (95% CI 0.96-0.99) in 2009 and 0.98 (95% CI 0.97-0.99) in 2014, and the percentage ratio for hospitalization was 1.01 (95% CI 0.93-1.10) in 2009 and 1.16 (95% CI 1.08-1.25) in 2014. In Spain, after adjusting for age, sex, and self-rated health, the percentage ratio for physician consultation was 0.99 (95% CI 0.94-1.05) in 2009 and 1.08 (95% CI 1.03-1.14) in 2014, and the percentage ratio for hospitalization was 1.04 (95% CI 0.92-1.18) in 2009 and 0.99 (95% CI 0.87-1.14) in 2014. CONCLUSION: The results suggest that elimination of the copayment in Germany did not change the frequency of physician consultations, whereas after the restriction of universal health coverage in Spain, subjects with lower incomes had a higher frequency of physician consultations.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Use of health services according to income before and after elimination of copayment in Germany and restriction of universal health coverage in Spain
- Date Crossref
- 27/01/2018
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Universidad Pública de Navarra (UPNA) pays non établi dans la noticeUniversité ou école supérieure
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Medizinische Hochschule Hannover pays non établi dans la noticeUniversité ou école supérieure
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Universidad Complutense de Madrid pays non établi dans la noticeUniversité ou école supérieure
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Universidad de Navarra pays non établi dans la noticeUniversité ou école supérieure
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University of Alicante pays non établi dans la noticeUniversité ou école supérieure
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Instituto de Investigación Sanitaria del Hospital Clínico San Carlos pays non établi dans la noticeÉtablissement de santé
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Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública pays non établi dans la noticeStructure de recherche
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Department of Medical Sociology pays non établi dans la noticeInstitution
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Medical Sociology Unit pays non établi dans la noticeInstitution
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Department of Preventive Medicine and Public Health pays non établi dans la noticeInstitution
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CIBER Epidemiología y Salud Pública (CIBERESP) pays non établi dans la noticeInstitution
Universidad Pública de Navarra (UPNA), Medizinische Hochschule Hannover et Universidad Complutense de Madrid, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.