Inequalities in the use of health services between immigrants and the native population in Spain: what is driving the differences?

The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care
Dolores Jiménez-Rubio, Cristina Hernández-Quevedo

Abstract

In Spain, a growing body of literature has drawn attention to analysing the differences in health and health resource utilisation of immigrants relative to the autochthonous population. The results of these studies generally find substantial variations in health-related patterns between both population groups. In this study, we use the Oaxaca-Blinder decomposition technique to explore to what extent disparities in the probability of using medical care use can be attributed to differences in the determinants of use due to, e.g. a different demographic structure of the immigrant collective, rather than to a different effect of health care use determinants by nationality, holding all other factors equal. Our findings show that unexplained factors associated to immigrant status determine to a great extent disparities in the probability of using hospital, specialist and emergency services of immigrants relative to Spaniards, while individual characteristics, in particular self-reported health and chronic conditions, are much more important in explaining the differences in the probability of using general practitioner services between immigrants and Spaniards.

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Citations

Dec 15, 2010·International Journal of Public Health·Rebeca Terraza-NúñezTona Lizana
Feb 11, 2011·International Journal of Public Health·Belén SanzElisabeth Sánchez
Jul 4, 2013·International Journal of Public Health·Alessandra BujaVincenzo Baldo
Oct 18, 2012·Journal of Immigrant and Minority Health·Jennifer Villani, Karoline Mortensen
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May 5, 2011·American Journal of Epidemiology·Mohammad Hassan EmamianAkbar Fotouhi
Oct 2, 2014·International Journal of Environmental Research and Public Health·Irene Garcia-SubiratsMeisi I
Sep 7, 2013·Health Economics·Silvia Balia, Rinaldo Brau
Oct 16, 2014·The International Journal of Health Planning and Management·Marios KantarisDaphne Kaitelidou
Apr 12, 2015·Journal of Immigrant and Minority Health·Nazmy Villarroel, Lucía Artazcoz
Aug 3, 2014·European Journal of Public Health·Esperanza DiazLuis-Andrés Gimeno-Feliu
Jun 5, 2016·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Younsook Yeo
Nov 6, 2018·International Journal of Health Services : Planning, Administration, Evaluation·Elena Rodríguez-ÁlvarezLuisa N Borrell
Sep 6, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Amedeo SpadaroAngela Blanco-Moreno
Feb 9, 2020·International Journal of Environmental Research and Public Health·Dan LiRashed Nawaz
Apr 13, 2019·International Journal of Environmental Research and Public Health·Mar Seguí-CrespoElena Ronda-Pérez
Mar 30, 2020·Journal of the American Geriatrics Society·Sida XiYing Wang
Dec 1, 2019·International Journal for Equity in Health·Jaime PinillaIgnacio Abásolo
Mar 7, 2021·International Journal of Environmental Research and Public Health·Katja ÇilentiAnu E Castaneda
Apr 16, 2021·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Michael Berger, Thomas Czypionka

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