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

Jiménez-Rubio, Dolores and Hernández-Quevedo, Cristina (2011) 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, 12 (1). pp. 17-28. ISSN 1618-7598

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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.

Item Type: Article
Official URL: http://www.springer.com/economics/policy/journal/1...
Additional Information: © 2010 Springer Verlag
Library of Congress subject classification: R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 14 Feb 2011 13:45
URL: http://eprints.lse.ac.uk/32536/

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