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

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

ISSN: 0210-1173

Year of publication: 2014

Issue: 208

Pages: 11-38

Type: Article

DOI: 10.7866/hpe-rpe.14.1.1 DIALNET GOOGLE SCHOLAR

Abstract

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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