Dataset Information

Equity in access to health care services in Italy.

ABSTRACT:

Objective

To provide new evidence on whether and how patterns of health care utilization deviate from horizontal equity in a country with a universal and egalitarian public health care system: Italy.

Data sources

Secondary analysis of data from the Health Conditions and Health Care Utilization Survey 2005, conducted by the Italian National Institute of Statistics on a probability sample of the noninstitutionalized Italian population.

Study design

Using multilevel logistic regression, we investigated how the probability of utilizing five health care services varies among individuals with equal health status but different SES.

Data collection/extraction

Respondents aged 18 or older at the interview time (n = 103,651).

Principal findings

Overall, we found that use of primary care is inequitable in favor of the less well-off, hospitalization is equitable, and use of outpatient specialist care, basic medical tests, and diagnostic services is inequitable in favor of the well-off. Stratifying the analysis by health status, however, we found that the degree of inequity varies according to health status.

Conclusions

Despite its universal and egalitarian public health care system, Italy exhibits a significant degree of SES-related horizontal inequity in health services utilization.

SUBMITTER: Glorioso V

PROVIDER: S-EPMC4231580 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Equity in access to health care services in Italy.

Glorioso Valeria V Subramanian S V SV

Health services research 20140601 3

<h4>Objective</h4>To provide new evidence on whether and how patterns of health care utilization deviate from horizontal equity in a country with a universal and egalitarian public health care system: Italy.<h4>Data sources</h4>Secondary analysis of data from the Health Conditions and Health Care Utilization Survey 2005, conducted by the Italian National Institute of Statistics on a probability sample of the noninstitutionalized Italian population.<h4>Study design</h4>Using multilevel logistic r ...[more]

PMID: 24949515

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Dataset Information

Equity in access to health care services in Italy.

Objective

Data sources

Study design

Data collection/extraction

Principal findings

Conclusions

Publications

Equity in access to health care services in Italy.

Similar Datasets

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