Socioeconomic differences in healthcare utilization, with and without adjustment for need: An example from Stockholm, Sweden

Scandinavian Journal of Public Health

Volumn 41, Issue 3, 2013, Pages 318-325

  Agerholm, Janne ^a   Bruce, Daniel ^a   BurstrAm B ^a   Ponce Leon, Antonio ^b  

^a STOCKHOLM COUNTY COUNCIL   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Differentials; healthcare; need; socioeconomic; utilization

Indexed keywords

ADULT; AGED; ARTICLE; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE SURVEY; HEALTH SERVICE; HUMAN; INCOME; MALE; MIDDLE AGED; REGISTER; STATISTICS; SWEDEN; UTILIZATION REVIEW; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; DELIVERY OF HEALTH CARE; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INCOME; MALE; MIDDLE AGED; REGISTRIES; SWEDEN;

MLCS; MLOWN;

EID: 84876102890     PISSN: 14034948     EISSN: 16511905     Source Type: Journal    
DOI: 10.1177/1403494812473205     Document Type: Article

References (30)

1. Burström B. Market-oriented, demand-driven health care reforms and equity in health and health care utilization in Sweden. Int J Health Serv 2009;39:271–85.
2. Hälso- och sjukvårdslagen [Swedish Health Care Act]. In: SFS (ed.) 1982:736. Stockholm: Nordsteds, 1982.
3. Morris S. Sutton M. Gravelle H. Inequity and inequality in the use of health care in England: an empirical investigation. Soc Sci Med 2005;60:1251–66.
4. van der Heyden J.H. Demarest S. Tafforeau J. et al. Socio-economic differences in the utilisation of health services in Belgium. Health Policy 2003;65:153–65.
5. van Doorslaer E. Masseria C. Koolman X. Inequalities in access to medical care by income in developed countries. CMAJ 2006;174:177–83.
6. van Doorslaer E. Wagstaff A. van der Burg H. et al. Equity in the delivery of health care in Europe and the US. J Health Econ 2000;19:553–83.
7. Moorin R.E. Holman C.D. The effects of socioeconomic status, accessibility to services and patient type on hospital use in Western Australia: a retrospective cohort study of patients with homogenous health status. BMC Health Serv Res 2006;6:74.
8. Westin M. Åhs A. Bränd Persson K. et al. A large proportion of Swedish citizens refrain from seeking medical care–lack of confidence in the medical services a plausible explanation? Health Policy 2004;68:333–44.
9. Elofsson S. Unden A.L. Krakau I. Patient charges–a hindrance to financially and psychosocially disadvantage groups seeking care. Soc Sci Med 1998;46: 1375–80.
10. Westin M. Westerling R. Health and healthcare utilization among single mothers and single fathers in Sweden. Scand J Public Health 2006;34:182–9.
11. Burström B. Increasing inequalities in health care utilisation across income groups in Sweden during the 1990s? Health Policy 2002;62:117–29.
12. Gerdtham U.G. Sundberg G. Equity in the delivery of health care in Sweden. Scand J Soc Med 1998;26:259–64.
13. Eaker S. Halmin M. Bellocco R. et al. Social differences in breast cancer survival in relation to patient management within a National Health Care System (Sweden). Int J Cancer 2009;124:180–7.
14. Culyer A.J. Wagstaff A. Equity and equality in health and health care. J Health Econ 1993;12:431–57.
15. Gulliford M. Equity and access to health care. In: Ed. Gulliford M. Morgan M. (ed), Access to Health Care. London: Routledge, 2003.
16. Allebeck P. The use of population based registers in psychiatric research. Acta Psychiatr Scand 2009;120:386–91.
17. Beckman A. Merlo J. Lynch J.W. et al. Country of birth, socioeconomic position, and healthcare expenditure: a multilevel analysis of MalmÖ, Sweden. J Epidemiol Community Health 2004;58:145–9.
18. Walander A. Ålander S. Burström B. Sociala skillnader i vårdutnyttjande – Yrkesverksamma åldrar. Stockholm, Sweden: Stockholms läns landsting, 2004.
19. Kristenson M. Lundberg J. Garvin P. Socioeconomic differences in outpatient healthcare utilisation are mainly seen for musculoskeletal problems in groups with poor self-rated health. Scand J Public Health 2011;39:805–12.
20. Gerdtham U.G. Equity in health care utilization: further tests based on hurdle models and Swedish micro data. Health Econ 1997;6:303–19.
21. Lundberg O. Sjukvård och vårdutnyttjande. Stockholm, Sweden, 2000.
22. Miilunpalo S. Vuori I. Oja P. et al. Self-rated health status as a health measure: the predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. J Clin Epidemiol 1997;50:517–28.
23. Wallman T. Burell G. Kullman S. Svärdsudd K. et al. Health care utilisation before and after retirement due to illness – A 13-year population-based follow-up study of prematurely retired men and referents from the general population. Scand J Prim Health 2004;22:95–100.
24. Beckman A. Håkansson A. Råstam L. et al. The role country of birth plays in receiving disability pensions in relation to patterns of health care utilisation and socioeconomic differences: a multilevel analysis of Malmö, Sweden. BMC Public Health 2006;6:71.
25. Hanratty B. Burström B. Walander A. et al. Inequality in the face of death? Public expenditure on health care for different socioeconomic groups in the last year of life. J Health Serv Res Policy 2007;12:90–94.
26. Hilbe J. Negative binomial regression. 2nd ed. Cambridge, UK; New York: Cambridge University Press; 2011.
27. O'Donnell O. Propper C. Equity and the distribution of UK National Health Service resources. J Health Econ 1991;10:1–19.
28. O'Donnell O. Propper C. Equity and the distribution of UK National Health-Service resources – reply. J Health Econ 1991;10:247–9.
29. Sutton M. Carr-Hill R. Gravelle H. et al. Do measures of self-reported morbidity bias the estimation of the determinants of health care utilisation? Soc Sci & Med 1999;49:867–78.
30. Galobardes B. Shaw M. Lawlor D.A. et al. Indicators of socioeconomic position (part 1). J Epidemiol Community Health 2006;60:7–12.