Inequalities in health care utilization in Spain due to double insurance coverage: An Oaxaca-Ransom decomposition

Social Science and Medicine

Volumn 69, Issue 5, 2009, Pages 793-801

  González Álvarez, Ma Luz ^a   Barranquero, Antonio Clavero ^a  

^a UNIVERSITY OF MÁLAGA   (Spain)

Author keywords

Double coverage; Health care utilization; Inequality; Oaxaca Ransom decomposition

Indexed keywords

DECOMPOSITION ANALYSIS; HEALTH CARE; HEALTH INSURANCE; INSURANCE SYSTEM;

ARTICLE; CONSULTATION; GENERAL PRACTITIONER; HEALTH CARE DISPARITY; HEALTH CARE NEED; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HEALTH SERVICE; LONGITUDINAL STUDY; POPULATION RESEARCH; SPAIN; STATISTICAL ANALYSIS;

ADOLESCENT; ADULT; AGED; DELIVERY OF HEALTH CARE; FEMALE; HEALTHCARE DISPARITIES; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MALE; MIDDLE AGED; MODELS, ECONOMETRIC; NATIONAL HEALTH PROGRAMS; PATIENT ACCEPTANCE OF HEALTH CARE; PRIVATE SECTOR; SOCIOECONOMIC FACTORS; SPAIN; YOUNG ADULT;

EURASIA; EUROPE; SOUTHERN EUROPE; SPAIN;

EID: 68749089818     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.socscimed.2009.06.037     Document Type: Article

References (36)

1. Abásolo I. Equidad horizontal en la distribución del gasto público en sanidad por grupos socioeconómicos en Canarias. Un estudio comparado con el conjunto español. Hacienda Pública Española 147 4 (1998) 3-28
2. Abásolo I., Manning R., and Jones A. Equity in utilization of and access to public sector GPs in Spain. Applied Economics 33 (2001) 349-364
3. Álvarez B. La demanda atendida de consultas médicas y servicios urgentes en España. Investigaciones Económicas XXV 1 (2001) 93-138
4. Bauer T.K., and Sinning M. Blinder-Oaxaca decomposition for tobit models (2005), RWI, Essen Discussion Papers No. 32
5. Bauer T.K., and Sinning M. An extension of the Blinder-Oaxaca decomposition to non-linear models (2006), RWI, Essen Discussion Papers No. 49
6. Blinder A.S. Wage discrimination: reduced form and structural estimates. The Journal of Human Resources 8 4 (1973) 436-455
7. Costa J., and Gil J. Are there socio-economic inequalities in obesity in Spain?. Estudios de Economía Española (2005) n° 217, FEDEA
8. Cotton J. On the decomposition of wage differentials. Review of Economics and Statistics 70 (1988) 236-243
9. Fairlie R.W. The absence of the African-American owned business: an analysis of the dynamics of self-employment. Journal of Labor Economics 17 (1999) 80-108
10. Fairlie R.W. An extension of the Blinder-Oaxaca decomposition technique to logit and probit models (2003), Yale University: Economic Growth Center Discussion paper n° 873
11. García-Crespo M.D. Promotions in the Spanish labour market: differences by gender. Oxford Bulletin of Economics and Statistics 63 (2001) 599-615 n° 5
12. García P., and López-Nicolás A. Socio-economic inequalities in health in Catalonia. Hacienda Pública Española 175 (2005) 103-121
13. García P., and López-Nicolás A. Public and private health insurance and the utilisation of health care in Spain. Research on Economic Inequality vol. 15 (2007) 169-195
14. Gerdtham U.G. Equity in health care utilization: further tests based on hurdle models and Swedish micro data. Health Economics 6 (1997) 303-319
15. González M.L., and Clavero A. La contribución de variables socioeconómicas a la desigualdad en utilización de servicios sanitarios. Estadística Española 162 (2006) 359-396
16. González M.L., and Clavero A. Análisis de las desigualdades socioeconómicas en la utilización de asistencia sanitaria mediante modelos dinámicos. Hacienda Pública Española 183 (2008) 9-42
17. Hernández-Quevedo C., Jones A., López-Nicolás A., and Rice N. Socio-economic inequalities in health: a comparative longitudinal analysis using the European community household panel. Social Science & Medicine 63 5 (2006) 1246-1261
18. Jofre-Bonet M. Public health care and private insurance demand: the waiting time as a link. Health Care Management Science 3 1 (2000) 51-71
19. Jones A., Koolman X., and Van Doorslaer E. The impact of having supplementary private health insurance on the use of specialists. Annales d́Économie et de Statisque 83/84 (2006) 251-275
20. Jones A., and López-Nicolás A. Measurement and explanation of socioeconomic inequality in health with longitudinal data. Health Economics 13 10 (2004) 1015-1030
21. Kakwani N., Wagstaff A., and Van Doorslaer E. Socio-economic inequalities in health: measurement, computation and statistical inference. Journal of Econometrics 77 (1997) 87-103
22. Neumark D. Employers' discriminatory behaviour and the estimation of wage discrimination. The Journal of Human Resources 23 3 (1988) 279-295
23. Oaxaca R. Male-female wage differentials in urban labor markets. International Economic Review 14 3 (1973) 693-709
24. Oaxaca R., and Ransom M.R. On discrimination and the decomposition of wage differentials. Journal of Econometrics 61 (1994) 5-21
25. Pohlmeier W., and Ulrich V. An econometric model of the two-part decision-making process in the demand for health care. The Journal of Human Resources 30 2 (1995) 339-361
26. Puffer J. Access to primary health care: a comparison of the US and the UK. Journal of Social Policy 15 3 (1986) 293-313
27. Reimers C.W. Labor market discrimination against Hispanic and black men. Review of Economics and Statistics 65 (1983) 570-579
28. Rodríguez M., Calonge S., and Reñé J. Equity in the finance delivery of health care in Spain. In: Van Doorslaer E., Wagstaff A., and Rutten F. (Eds). Equity in the finance and delivery of health care. An international perspective (1993), Oxford University Press, Oxford 201-218
29. Rodríguez M., and Stoyanova A. The effect of private insurance access on the choice of GP/specialist and public/private provider in Spain. Health Economics 13 (2004) 689-703
30. Schokkaert E., and Van de Voorde C. Risk selection and the specification of the risk adjustment formula. Journal of Health Economics 23 6 (2004) 1237-1259
31. Urbanos R. La prestación de los servicios sanitarios públicos en España: cálculo y análisis de la equidad horizontal interpersonal para el período 1987-1995. Hacienda Pública Española 153 (2000) 139-160
32. Van Doorslaer E., Koolman X., and Jones A. Explaining income-related inequalities in doctor utilisation in Europe. Health Economics 13 (2004) 602-647
33. Vera-Hernández A.M. Duplicate coverage and demand for health care. The case of Catalonia. Health Economics 8 (1999) 579-598
34. Wagstaff A., and Van Doorslaer E. Measuring and testing for inequity in the delivery of health care. Journal of Human Resources XXXV 4 (2000) 716-733
35. Wagstaff A., Van Doorslaer E., and Paci P. Equity in the finance and delivery of health care: some tentative cross-country comparisons. Oxford Review of Economic Policy 5 1 (1989) 89-112
36. Wagstaff A., Van Doorslaer E., and Watanabe N. On decomposition the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam. Journal of Econometrics 112 (2003) 207-223