Did the Great Recession matter for health care utilization? An approach from the working-age population in Spain

Autores/as

  • Carla Universidad de Cantabria
  • David Cantarero-Prieto Universidad de Cantabria
  • Patricio Perez

DOI:

https://doi.org/10.17811/ebl.13.3.2024.122-131

Palabras clave:

health care utilization, economic downturn, count data modelling, Spain

Resumen

This paper tests for the determinants of health care services utilization in Spain. Data from the Spanish National Health Survey for 2006 and 2011-2012, two different phases of the economic cycle, is used. The analysis is carried out using count data models. Results show that the determinants are mainly related to gender, age, and health status. However, we find some differences prior the Great Recession and through it. Besides, there appear to be some differences between the services analysed. Findings should be considered first, under the framework of the Spanish National Health Care System and secondly, in terms of austerity measures. From a policy economic perspective, this contribution would be valuable to policymakers when planning to improve health services management.

Citas

• Abásolo, I., Negrín-Hernández, M. A., and Pinilla, J. (2014a) Equity in specialist waiting times by socioeconomic groups: evidence from Spain. The European Journal of Health Economics, 15(3), 323-334.

• Abásolo, I., Negrín-Hernández, M. Á., and Pinilla, J. (2014b) Utilización y tiempos de espera: dos vertientes inseparables del análisis de la equidad en el acceso al sistema sanitario público. Hacienda Publica Española, 208(1), 11-38.

• Åhs, A. M. H., and Westerling, R. (2006) Health care utilization among persons who are unemployed or outside the labour force. Health Policy, 78(2), 178-193.

• Arrow, K. J. (1963) Uncertainty and the welfare economics of medical care. American Economic Review, 53, 941-973.

• Bosch, X., Moreno, P., and López-Soto, A. (2014) The painful effects of the financial crisis on Spanish health care. International Journal of Health Services, 44(1), 25-51.

• Clavero-Barranquero, A., and González-Álvarez, M. L. (2005). Una revisión de modelos econométricos aplicados al análisis de demanda y utilización de servicios sanitarios. Hacienda Pública Española, 173, 129-162.

• Cameron, A. C., and Trivedi, P. K. (1986) Econometric models based on count data. Comparisons and applications of some estimators and tests. Journal of Applied Econometrics, 1(1), 29-53.

• Devaux, M. (2015) Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries. The European Journal of Health Economics, 16(1), 21-33.

• Evans, R. (2009) Unhealthy markets: financial crisis, fiscal crisis... health care crisis?. Journal of Health Services Research and Policy, 14(2), 68-69.

• Fell, D. B., Kephart, G., Curtis, L. J., Bower, K., Muhajarine, N., Reid, R., and Roos, L. (2007) The relationship between work hours and utilization of general practitioners in four Canadian provinces. Health Services Research, 42(4), 1483-1498.

• García-Pérez, M. Á., Martín-Moreno, V., Ramírez-Puerta, D., González-Martínez, Y., Hidalgo-Vicario, I., Escribano-Ceruelo, E., and Gómez de la Cámara, A. (2007) Factores socioeconómicos y frecuentación en las consultas de medicina de familia de la red sanitaria pública madrileña. Gaceta Sanitaria, 21(3), 219-226.

• González-Álvarez, M. L., and Clavero-Barranquero, A. (2008) Análisis de las desigualdades socioeconómicas en la utilización de asistencia sanitaria mediante modelos dinámicos. Hacienda Pública Española, (186), 9-42.

• Grossman, M. (1972a) The demand for health: a theoretical and empirical investigation, New York: National Bureau of Economic Research: Columbia University Press.

• Grossman, M. (1972b) On the concept of health capital and the demand for health. Journal of Political economy, 80(2), 223-255.

• Jones, A. M., Rice, N., Bago, T., et al. (2012) Applied Health Economics. 2nd Edition, Routledge.

• Lopez-Pereira, P., Casanova, A. P., and Sanz-Barbero, B. (2016) A “Before and After” in the Use of Emergency Services in Spain? The Impact of the Economic Crisis. International Journal of Health Services, 46(3), 430-447.

• Lostao, L., Regidor, E., Calle, M., Navarro, P., and Domínguez, V. (2001) Evolución de las diferencias socioeconómicas en la utilización y accesibilidad de los servicios sanitarios en España entre 1987 y 1995/97. Revista Española de Salud Pública, 75, 115-128.

• Morris, S., Sutton, M., and Gravelle, H. (2005) Inequity and inequality in the use of health care in England: an empirical investigation. Social Science and Medicine, 60(6), 1251-1266.

• Regidor, E., Martínez, D., Calle, M. E., Astasio, P., Ortega, P., and Domínguez, V. (2008) Socioeconomic patterns in the use of public and private health services and equity in health care. BMC Health Services Research, 8(1), 183.

• Rivera, B. (2004) Evidence on the relationship between public medical resources and health indicators. Journal of Economic Studies, 31(2), 98-111.

• Spanish Ministry of Health (2007) National health survey 2006.

• Spanish Ministry of Health (2013) National health survey 2011-2012.

• Urbanos-Garrido, R. M. (2011) Determinantes de salud y utilización de servicios sanitarios: un análisis de desigualdad desde la perspectiva de género. Presupuesto y Gasto Público, 64, 117-130.

• Urbanos-Garrido, R. M., and Lopez-Valcarcel, B. G. (2015) The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain. The European Journal of Health Economics, 16(2), 175-184.

• Van der Heyden, J. H. A., Demarest, S., Tafforeau, J., and Van Oyen, H. (2003) Socio-economic differences in the utilisation of health services in Belgium. Health Policy, 65(2), 153-165.

• Wang, F. (2015) More health expenditure, better economic performance? Empirical evidence from OECD countries. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 52, 0046958015602666.

• Zweifel, P. (1981) Supplier-induced demand in a model of physician behaviour. In Van der Gaag, J., Perlman, M. (eds.): Health, Economics, and Health Economics. Amsterdam: North Holland.

Descargas

Publicado

2024-07-10

Cómo citar

Carla, Cantarero-Prieto, D., & Perez, P. (2024). Did the Great Recession matter for health care utilization? An approach from the working-age population in Spain. Economics and Business Letters, 13(3), 122–131. https://doi.org/10.17811/ebl.13.3.2024.122-131

Número

Sección

Artículos