EurekaMag
+ Translate
+ Most Popular
Gaucher's disease;thirty-two years experience at Siriraj Hospital
A study of Macrobathra Meyrick from China (Lepidoptera, Cosmopterigidae)
First occurrence in ores of tetragonal chalcocite
Effects of trace element nutrition on sleep patterns in adult women
N.Z. range management guidelines. 2. Design of grazing management systems for tussock country
A case of lipoma of the esophagus
A revision of world Acanthosomatidae (Heteroptera: Pentatomidae): keys to and descriptions of subfamilies, tribes and genera, with designation of types
Life history of the coronate scyphozoan Linuche unguiculata (Swartz, 1788)
Perceptual restoration of obliterated sounds
Mutagenicity studies on two chromium(III) coordination compounds
The formation of the skeleton. I. Growth of a long bone. 1st appearance of a center of calcification
Leucopenia and abnormal liver function in travellers on malaria chemoprophylaxis
The joint commission: four key root causes loom large in sentinel event data
Treatment of vitiligo with topical 15% lactic acid solution in combination with ultra violet-A
Behaviour of dairy cows within three hours after feed supply: I. Influence of housing type and time elapsing after feed supply
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Management and control of patients with type 2 diabetes mellitus in Lebanon: results from the International Diabetes Management Practices Study (IDMPS)
The diet composition and nutritional knowledge of patients with anorexia nervosa
Physoporella croatica Herak, 1958 of the Slovak karst Anisian (Slovakia, the West Carpathians Mts.)
Bright lights, big noise. How effective are vehicle warning systems?
Ein Plesiosaurier-Rest mit Magensteinen aus mittlerem Lias von Quedlinburg
Incidence of Chlamydia trachomatis in patients with sterility
Monster soup: the microscope and Victorian fantasy
Preliminary tests with residual sprays against poultry lice
Duration of the life of plants in phylogeny

Social class inequalities in the utilization of health care and preventive services in Spain, a country with a national health system


Social class inequalities in the utilization of health care and preventive services in Spain, a country with a national health system



International Journal of Health Services: Planning Administration Evaluation 40(3): 525-542



ISSN/ISBN: 0020-7314

PMID: 20799674

DOI: 10.2190/hs.40.3.h

In Spain, despite the existence of a National Health System (NHS), the utilization of some curative health services is related to social class. This study assesses (1) whether these inequalities are also observed for preventive health services and (2) the role of additional private health insurance for people of advantaged social classes. Using data from the Spanish National Health Survey of 2006, the authors analyze the relationships between social class and use of health services by means of Poisson regression models with robust variance, controlling for self-assessed health. Similar analyses were performed for waiting times for visits to a general practitioner (GP) and specialist. After controlling for self-perceived health, men and women from social classes IV-V had a higher probability of visiting the GP than other social classes, but a lower probability of visiting a specialist or dentist. No large class differences were observed in frequency of hospitalization or emergency services use, or in breast cancer screening or influenza vaccination; cervical cancer screening frequency was lower among women from social classes IV-V. The inequalities in specialist visits, dentist visits, and cervical cancer screening were larger among people with only NHS insurance than those with double health insurance. Social class differences in waiting times were observed for specialist visits, but not for GP visits. Men and women from social classes IV-V had longer waits for a specialist; this was most marked among people with only NHS insurance. Clearly, within the NHS, social class inequalities are still evident for some curative and preventive services. Further research is needed to identify the factors driving these inequalities and to tackle these factors from within the NHS. Priority areas include specialist services, dental care, and cervical cancer screening.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055826456

Download citation: RISBibTeXText

Related references

Trends in social class inequalities in the use of health care services within the Spanish National Health System, 1993-2006. European journal of health economics: HEPAC: health economics in prevention and care 14(2): 211-219, 2013

Inequalities in the utilization of health care services in a transition European country: results from the national population health survey. International Journal of Public Health 63(2): 261-272, 2018

Trends in social class inequalities in health status, health-related behaviors, and health services utilization in a Southern European urban area (1983-1994). Preventive medicine 31(6): 691-701, 2000

Social class inequalities in the use of and access to health services in Catalonia, Spain: what is the influence of supplemental private health insurance?. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care 13(2): 117-125, 2001

Social class and the utilization of medical care services: a study of British experience under the National Health Service. Hospitals 43(13): 43-54, 1969

Inequalities in caesarean section: influence of the type of maternity care and social class in an area with a national health system. Journal of Epidemiology and Community Health 63(3): 259-261, 2009

Inequalities in Health Services Usage in a National Health System Scheme: The Case of a Southern Social European Region. Nursing Research 67(1): 26-34, 2018

Short report: Inequalities in caesarean section: influence of the type of maternity care and social class in an area with a national health system. Journal of Epidemiology and Community Health 63(3): 259-261, 2009

Health-care utilization in elderly (Spain 2006-2012): Influence of health status and social class. Atencion primaria 48(4): 235-243, 2016

Awareness and utilization of preventive care services among the elderly under National Health Insurance. International Journal of Health Care Finance and Economics 13(3-4): 247-260, 2013

A comparison of the health status and health care utilization patterns between foreigners and the national population in Spain: new evidence from the Spanish National Health Survey. Social Science and Medicine 69(3): 370-378, 2009

The Impact of Family Structure on Utilization of Preventive Care Services among Children under National Health Insurance in Taiwan. Journal of Family and Economic Issues 33(4): 453-463, 2012

The effects of social characteristics on the utilization of preventive medical services in contrasting health care programs. Medical Care 14(5): 392-404, 1976

Gender Inequalities in Health and Health Care Services Use in Catalonia (Spain). Journal of Epidemiology and Community Health (1979-) 53(4): 218-222, 1999

Gender inequalities in health and health care services use in Catalonia (Spain). Journal of Epidemiology and Community Health 53(4): 218-222, 1999