umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Socioeconomic Inequalities in the Use of Healthcare Services: Comparison between the Roma and General Populations in Spain
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Department of Nursing I, University of the Basque Country, 48940 Bilbao, Spain.
2018 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, no 1, article id 121Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2018. Vol. 15, no 1, article id 121
Keywords [en]
ethnic groups, social class, Roma, healthcare disparities, Spain
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-145609DOI: 10.3390/ijerph15010121ISI: 000424121200120OAI: oai:DiVA.org:umu-145609DiVA, id: diva2:1191990
Available from: 2018-03-21 Created: 2018-03-21 Last updated: 2018-06-09Bibliographically approved

Open Access in DiVA

fulltext(732 kB)59 downloads
File information
File name FULLTEXT01.pdfFile size 732 kBChecksum SHA-512
281f876d7e6185d9ada14110e5e12e29389277998b75c7300f05dc85d299ee65f437b568e1da371cfaacf2252ba430990a3b13357f8f5e1631eae442b380ff7b
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Authority records BETA

Mosquera, Paola A.San Sebastian, Miguel

Search in DiVA

By author/editor
Mosquera, Paola A.San Sebastian, Miguel
By organisation
Epidemiology and Global Health
In the same journal
International Journal of Environmental Research and Public Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 59 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 135 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf