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Income inequality in health, where do we stand?: A scope review of income related health inequality in Sweden.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
2019 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Although Sweden is showing pronounced evidence of welfare among Nordic nation, there is a great increase in income-related health and healthcare inequalities.

Aim: To provide an overview of existing research on income-related health inequalities in Sweden with special focus on inequalities in healthcare access/utilization.

Method: A scoping literature review was carried out which covered all literature published until Dec 2018. The search used the following electronic databases: PubMed, Scopus and JSTOR. 400 articles were screened with inclusion and exclusion criteria. 80 titles were selected to map put the development of the field in Sweden and 28 articles were included to identify income related inequalities in health care utilization/access.

Results: Overall results show inequality in dental health care utilization. Basic medical childcare, GP visits in children and youth, specialist visits and phone calls showed more equal distribution. Access/utilization of some medical care services in adults were more equitably distributed as utilization of GP ,specialist, hospitalization, access to stroke unit ,knee replacement surgery, health care expenditure in inpatient and outpatient and waiting time for consultation in a cross-county comparison. While other showed pro-rich distribution as prescription of oral anti-coagulant, lipid lowering drugs and angiotensin-converting-enzyme (ACE), picking up a prescription for alcohol use disorder(AUD), waiting time for cataract surgery, general surgery and orthopaedic surgery as well as access to kidney transplantation.

Conclusion: The study shows that research on income related health inequality is increasing in Sweden. Income contributes to decreased dental care utilization among low income groups. Utilization of basic child care seems to be more equitable distributed across all income groups, while utilization of medical care in youth and adults show different patterns depending on the outcome. Although Sweden has universal health coverage there is still income related inequalities in utilization/access of health services. Careful monitoring of health care services should be applied to ensure equitable utilization/access .Especial focus should be directed to services which require considerable amount of co-payment as dental care and drug prescription to reduce income related inequalities in access.

Place, publisher, year, edition, pages
2019. , p. 49
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2019:19
Keywords [en]
Income - Heath equity - Inequality - Income inequality – Sweden.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-165962OAI: oai:DiVA.org:umu-165962DiVA, id: diva2:1375455
Educational program
Master's Programme in Public Health
Presentation
2019-05-23, Room A110, Caring Sciences Building, Umeå University, Umeå, 13:00 (English)
Supervisors
Examiners
Available from: 2019-12-06 Created: 2019-12-05 Last updated: 2019-12-06Bibliographically approved

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CiteExportLink to record
Permanent link

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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