Health care utilisation and immigration in Spain

The European Journal of Health Economics - Tập 11 - Trang 487-498 - 2009
José-Ignacio Antón1, Rafael Muñoz de Bustillo1
1Department of Applied Economics, University of Salamanca, Salamanca, Spain

Tóm tắt

The aim of this work was to analyse the use of health care services by immigrants in Spain. Using a nationally representative health survey from 2006–2007 and negative binomial and hurdle models, it was found that there is no statistically significant difference in the patterns of visits to general practitioners and hospital stays between migrants and natives in Spain. However, immigrants have a lower access to specialists and visit emergency rooms with a higher frequency than nationals.

Tài liệu tham khảo

European Commission: Eurobarometer 66. Full report. European Commission, Brussels (2006)

Centro de Investigaciones Sociológicas (CIS): Barómetro Septiembre 2006. CIS, Madrid (2006)

Winkelmann, R.: “Work and health in Switzerland: immigrants and Natives”, Socioeconomic Institute. University of Zurich, Working Paper 203. (2002)

Grossman, M.: On the concept of health capital and demand for health. J. Polit. Econ. 80(2), 223–255 (1972)

Muurinen, J.M.: Demand for health: a generalised Grossman model. J. Health Econ. 1(1), 5–28 (1982)

Wagstaff, A.: The demand for health: a simplified Grossman model. Bull. Econ. Res. 38(1), 93–95 (1986)

Cantarero, D., Pascual, M.: “Inmigración, Salud y Utilización en España”, paper presented at the 15th conference in public economics, Salamanca (Spain), February 7–8. (2008)

de Muñoz Bustillo, R., Antón, J.I.: “Inmigración y Estado de Bienestar. Una aproximación al caso español”. In: Domínguez, R. (ed.) Inmigración: crecimiento económico y bienestar social, pp. 117–146. Universidad de Cantabria and Parlamento de Cantabria, Santander (2007)

Canal-Domínguez, J., Rodríguez-Gutiérrez, C.: Analysis of wage differentials between native and immigrant workers in Spain. Span. Econ. Rev. 10(2), 109–134 (2008)

Fernández, C., Ortega, A.C.: Labor market assimilation of immigrants in Spain: employment at the expense of bad job-matches? Span. Econ. Rev. 10(2), 83–107 (2008)

Rivera, B.: “Inmigración y Atención Sanitaria en España: impacto sobre los Sistemas de Salud de las Comunidades Autónomas”, paper presented at the the conference of the Spanish health economics association 2005, November 1–5. Gran Canaria, Spain. (2005)

Van Houtven, C.H., Voils, C.I., Oddone, E.Z., Weinfurt, K.P., Friedman, J.Y., Schulman, K.A., Bosworth, H.B.: Perceived discrimination and reported delay of pharmacy prescriptions and medical tests. J. Gen. Intern. Med. 20(7), 578–583 (2005)

Weinik, R., Zuvekas, S., Cohen, J.: Racial and ethnic discrimination in access to and use of health services, 1977 to 1996. Med. Care Res. Rev. 57(1), 36–54 (2005)

Waidman, T.A., Rajan, S.: Race and ethnic disparities in health care access and utilization: an examination of state variation. Med. Care Res. Rev. 57(1), 55–84 (2000)

Lay, B., Lauber, C., Rössler, W.: Prediction of in-patient use in first-admitted patients with psychosis. Eur. Psychiatry 21, 401–409 (2006)

Bilger, M., Chaze, J.P.: What drives individual health expenditure in Switzerland. Swiss J. Econ. Stat. 144(3), 337–358 (2008)

Laroche, M.: Health status and health services utilization of Canada’s immigrant and non-immigrant population. Canadian Public Policy/Analyse de Politiques 26(1), 51–75 (2000)

Hjern, A., Haglund, B., Persson, G., Rosén, M.: Is there equity in access to health care ethnic minorities in Sweden. Eur. J. Public Health 11(2), 147–152 (2001)

Krasnik, A., Norredam, M., Sorensen, T.M., Michaelsen, J.J., Nielsen, A.S., Keiding, N.: Effect of ethnic background on Danish hospital utilization Patterns. Soc. Sci. Med. 55(7), 1207–1211 (2002)

Sander, M.: “Is there migration-related inequity in access to or in the utilization of health care in Germany”. SOEP papers on multidisciplinary panel data research, 147. (2008)

Cots, F., Castells, X., García, Ó., Riu, M., Aida, F. and Vall, O.: “Impact of immigration on the cost of emergency visits in Barcelona (Spain)”, BMC Health Serv. Res., 7(9). (2007)

Burón, A., Cots, F., García, Ó., Vall, Oriol, Castells, X: “Hospital emergency department utilization rates among the immigrant population in Barcelona, Spain”. BMC Health Serv. Res., 8(51). (2008)

García, P., González, S., Sáez, M.: “Diferencias en estado de salud y en los condicionantes de utilización de los servicios sanitarios entre la población de origen extranjero”. In: Argullol, I., Morgadas, E., López, I., Casanovas, G. (eds.) Inmigración y transformación social en Cataluña, pp. 257–304. Fundación BBVA, Bilbao (2007)

Instituto de Salud Pública de Madrid: Encuesta de salud de la ciudad de Madrid 2004–2005. Instituto de Salud Pública de Madrid, Madrid (2005)

Soler, J.: Inmigración: estado de salud incapacidades laborales, farmacia y utilización de los servicios sanitarios. Consejo Económico y Social, Madrid (2008)

Oporto del Olmo, A.: Emigración y ahorro en España 1959–1986. Ministerio de Trabajo y Seguridad Social, Madrid (1992)

Gerdtham, U.G.: Equity in health care utilization: further evidence based on hurdle models and Swedish micro data. Health Econ. 6(3), 303–319 (1997)

Abásolo, I.: Equidad horizontal en la distribución del gasto público en sanidad por grupos socioeconómicos en Canarias: un estudio comparado con el conjunto español. Hacienda Pública Española 147(4), 3–27 (1998)

Abásolo, I., Manning, R., Jones, A.M.: Equity in Utilization of and Access to Public-Sector GPs in Spain. Appl. Econ. 33(3), 349–364 (2001)

Álvarez, B.: La demanda atendida de consultas médicas y servicios urgentes en España. Investigaciones Económicas 25(1), 93–138 (2001)

Urbanos, R.M.: La prestación de los servicios sanitarios públicos en España: cálculo y análisis de la equidad horizontal interpersonal para el período 1987–1995. Hacienda Pública Española 153(2), 139–160 (2000)

Jiménez-Martín, S., Labeaga, J.M., Martínez-Granado, M.: An empirical analysis of the demand for physician services across the European union. Eur. J. Health Econ. 5(2), 150–165 (2004)

Clavero, A., González, M.L.: La demanda de asistencia sanitaria en España desde la perspectiva de la decisión del paciente. Estadística Española 47(158), 55–87 (2005)

Boeri, T., Hanson, G., McCormick, B.: Immigration policy and the welfare system. Oxford University Press, Oxford (2002)

Vera-Hernández, A.M.: Duplicate coverage and demand for health care. The case of Catalonia. Health Econ. 8(7), 579–598 (1999)

Szabó, T.: La demanda de seguros médicos privados y el uso servicios sanitarios en España, Msc dissertation, 9706. Center for Monetary and financial studies. (1997)

Rodríguez, M., Stoyanova, A.: The effect of private insurance access on the choice of GP/specialist and public/private provider in Spain. Health Econ. 13(7), 689–703 (2004)

Cameron, A.C., Trivedi, P.K.: Regression analysis of count data. Cambridge University Press, New York (1998)

Cameron, A.C., Trivedi, P.K.: Microeconometrics methods and applications. Cambridge University Press, New York (2005)

Wooldridge, J.M.: Econometric analysis of cross-section and panel data. MIT Press, Cambridge, MA (2002)

Greene, W.G.: Econometric analysis, 6th edn. Pearson, New Jersey (2008)

Zweifel, P.: “Supplier-induced demand in a model of physician behavior”. In: van der Gaag, J., Perlman, M. (eds.) Health, economics, and health economics, pp. 245–267. North Holland, New York (1981)

Pohlmeier, W., Ulrich, V.: An econometric model of the two-part decision making process in the demand for health care. J. Hum. Resour. 30(2), 339–361 (1995)

Jones, A.M.: “Health econometrics”. In: Newhouse, J.P., Culyer, A.J. (eds.) Handbook of health economics, 1A, pp. 265–344. Elservier, Amsterdam (2000)

Primoff, J.: Gender differences in days lost from work due to illness. Ind. Labor Relat. Rev. 50(2), 304–323 (1997)

Greene, W.H.: LIMDEP Version 7.0 user’s manual, Bellport. Econometric Software, New York (1995)

Jones, A.M.: Applied econometrics for health economists: a practical guide, 2nd edn. Office of Health Economics, Oxford (2007)

Gould, W., Pitblado, J., Sribney, W.: Maximum likelihood estimation with Stata, 3rd edn. Stata Press, Texas (2006)

Cotter, J.: The determinants of health care use utilization in Portugal: an approach with count data models. Swiss J. Econ. Stat. 144(3), 437–458 (2008)

Puig-Junoy, J., Saez, M., Martínez-García, E.: Why do patients prefer hospital emergency visits? A nested multinomial logit analysis for patient-initiated contacts. Health Care Manag. Sci. 1(1), 39–52 (1998)

Rosen, A.B., Tsai, J.S., Downs, S.M.: Variations in risk attitude across race, gender, and education. Med. Decis. Mak. 23(6), 511–517 (2003)

Bach, P.B., Pham, H.H., Schrag, D., Tate, R.C., Hargraves, J.L.: Primary physicians who treat blacks and whites. N. Engl. J. Med. 5(6), 575–584 (2004)

Navarro, V.: El Estado de Bienestar en España. Tecnos, Madrid (2004)

Romero-Ortuño, R.: Access to health care for illegal immigrants in the EU: should we be concerned. Eur. J. Health Law 11(3), 245–272 (2004)

Borjas, G.J., Trejo, S.J.: Immigrant participation and the welfare system. Ind. Labor Relat. Rev. 44(2), 195–211 (1991)

Hansen, M., Lofstrom, J.: Immigrant assimilation and welfare participation: do immigrants assimilate into or out of welfare? J. Hum. Resour. 38(1), 74–98 (2003)

Windmeijer, F., Santos Silva, J.: Endogeneity in count data models: an application to demand for health care. J. Appl. Econom. 12(3), 281–294 (1997)

Grogger, J.T., Carson, R.T.: Models for truncated counts. J Appl. Econom. 6(3), 225–238 (1991)

Gerdtham, U.G., Trivedi, P.K.: Equity in Swedish health care reconsidered: new results based on the finite mixture model. Health Econ. 10(6), 565–572 (2001)

Eurostat (2007)

Durán, A., Lara, J.L., Van Waveren, M.: Spain: health system review. Health Systems in Transition 8(4) 1–208 (2006)

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Thông tin xuất bản

The European Journal of Health Economics

Tập 11

487-498

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