Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis
Por:
Garcia-Subirats, I, Vargas, I, Sanz-Barbero, B, Malmusi, D, Ronda, E, Ballesta, M, Vazquez, ML
Publicada:
1 oct 2014
Resumen:
Aim: To analyze changes in access to health care and its determinants in the immigrant and native-born populations in Spain, before and during the economic crisis. Methods: Comparative analysis of two iterations of the Spanish National Health Survey (2006 and 2012). Outcome variables were: unmet need and use of different healthcare levels; explanatory variables: need, predisposing and enabling factors. Multivariate models were performed (1) to compare outcome variables in each group between years, (2) to compare outcome variables between both groups within each year, and (3) to determine the factors associated with health service use for each group and year. Results: unmet healthcare needs decreased in 2012 compared to 2006; the use of health services remained constant, with some changes worth highlighting, such as the decline in general practitioner visits among autochthons and a narrowed gap in specialist visits between the two populations. The factors associated with health service use in 2006 remained constant in 2012. Conclusion: Access to healthcare did not worsen, possibly due to the fact that, until 2012, the national health system may have cushioned the deterioration of social determinants as a consequence of the financial crisis. Further studies are necessary to evaluate the effects of health policy responses to the crisis after 2012.
Filiaciones:
Garcia-Subirats, I:
Consorci Salut & Social Catalunya, Hlth Policy & Hlth Serv Res Grp, Hlth Policy Res Unit, Barcelona 08022, Spain
CIBERESP, Sub Program Immigrat & Hlth, Madrid 28029, Spain
Vargas, I:
Consorci Salut & Social Catalunya, Hlth Policy & Hlth Serv Res Grp, Hlth Policy Res Unit, Barcelona 08022, Spain
CIBERESP, Sub Program Immigrat & Hlth, Madrid 28029, Spain
Sanz-Barbero, B:
Inst Salud Carlos III, Natl Sch Publ Hlth, Madrid 28029, Spain
CIBERESP, Madrid 28029, Spain
Malmusi, D:
CIBERESP, Sub Program Immigrat & Hlth, Madrid 28029, Spain
Agencia Salut Publ Barcelona IIB St Pau, Barcelona 08023, Spain
Ronda, E:
CIBERESP, Sub Program Immigrat & Hlth, Madrid 28029, Spain
Univ Alicante, Dept Publ Hlth, Alicante 03690, Spain
Univ Pompeu Fabra, Ctr Res Occupat Hlth CISAL, Barcelona 08003, Spain
Ballesta, M:
CIBERESP, Sub Program Immigrat & Hlth, Madrid 28029, Spain
Murcia Reg Heath Author, Dept Epidemiol, Consejeria Sanidad & Polit Social Reg Murcia, Murcia 30008, Spain
Vazquez, ML:
Consorci Salut & Social Catalunya, Hlth Policy & Hlth Serv Res Grp, Hlth Policy Res Unit, Barcelona 08022, Spain
CIBERESP, Sub Program Immigrat & Hlth, Madrid 28029, Spain
Gold, Green Published
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