Utilización y tiempos de espera: dos vertientes inseparables del análisis de la equidad en el acceso al sistema sanitario público

  1. Abásolo Alessón, Ignacio
  2. Negrín Hernández, Miguel Angel
  3. Pinilla Domínguez, Jaime
Hacienda Pública Española / Review of Public Economics

ISSN: 0210-1173

Year of publication: 2014

Issue: 208

Pages: 11-38

Type: Article


More publications in: Hacienda Pública Española / Review of Public Economics


El objetivo de esta investigación consiste en analizar si existe equidad en el acceso a los servicios sanita-rios públicos por niveles socioeconómicos. se analiza conjuntamente la probabilidad de utilizar los servi-cios sanitarios y los tiempos de espera hasta ser atendidos, corrigiéndose así el sesgo de selección que sederivaría de su estudio separado, tal y como se evidencia en esta investigación. se propone una aproxima-ción bayesiana y se hace uso de la información a nivel individual sobre la utilización sanitaria, tiempos deespera, nivel socioeconómico, necesidad sanitaria y otras variables sociodemográficas contenidas en la En-cuesta nacional de salud (2006). Los resultados muestran que hay inequidad en el acceso a los serviciosespecializados y hospitalarios (tanto en utilización como en tiempos de espera) que perjudica a los nivelessocioeconómicos inferiores. En los servicios de medicina general, si bien la utilización beneficia relativa-mente más a los grupos de menor nivel socioeconómico, los tiempos de espera perjudican a los de menornivel educativo.

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