Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain

Includes supplementary materials for the online appendix.

Detalles Bibliográficos
Autores: Bosque Mercader, Laia, Carrilero, Neus, García-Altés, Anna, López i Casasnovas, Guillem, Siciliani, Luigi
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/56933
Acceso en línea:http://hdl.handle.net/10230/56933
http://dx.doi.org/10.1002/hec.4661
Access Level:acceso abierto
Palabra clave:Healthcare inequalities
Socioeconomic status
Waiting times
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spelling Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from SpainBosque Mercader, LaiaCarrilero, NeusGarcía-Altés, AnnaLópez i Casasnovas, GuillemSiciliani, LuigiHealthcare inequalitiesSocioeconomic statusWaiting timesIncludes supplementary materials for the online appendix.Waiting times act as a non-price rationing mechanism to bring together the demand for and the supply of public healthcare services and ensure equal access independently of ability to pay. This study tests for the presence of socioeconomic inequalities in waiting times for ten publicly-funded planned and cancer surgeries in Catalonia (Spain) in 2015–2019. Socioeconomic status (SES), measured by four categories (very low, low, middle, high), is based on co-payment levels for medicines which depend on patient's income. Using administrative data, we estimate the association between SES and waiting times controlling for patient characteristics and hospital fixed effects. Compared to patients with low SES, patients with middle SES wait 2–6 fewer days for hip replacement, cataract surgery, and hysterectomy, and less than a day for breast cancer surgery. These inequalities arise within hospitals and are not explained by patient nor hospital characteristics. For some surgeries, the results also show that patients with higher SES are more likely to voluntarily exit the waiting list and have a lower probability of having a surgery canceled for medical reasons and dying while waiting.Wiley202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/56933http://dx.doi.org/10.1002/hec.4661reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésHealth Economics. 2023 May;32(5):1181-201This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2023 The Authors. Health Economics published by John Wiley & Sons Ltd.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/569332026-06-12T07:21:37Z
dc.title.none.fl_str_mv Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain
title Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain
spellingShingle Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain
Bosque Mercader, Laia
Healthcare inequalities
Socioeconomic status
Waiting times
title_short Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain
title_full Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain
title_fullStr Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain
title_full_unstemmed Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain
title_sort Socioeconomic inequalities in waiting times for planned and cancer surgery: evidence from Spain
dc.creator.none.fl_str_mv Bosque Mercader, Laia
Carrilero, Neus
García-Altés, Anna
López i Casasnovas, Guillem
Siciliani, Luigi
author Bosque Mercader, Laia
author_facet Bosque Mercader, Laia
Carrilero, Neus
García-Altés, Anna
López i Casasnovas, Guillem
Siciliani, Luigi
author_role author
author2 Carrilero, Neus
García-Altés, Anna
López i Casasnovas, Guillem
Siciliani, Luigi
author2_role author
author
author
author
dc.subject.none.fl_str_mv Healthcare inequalities
Socioeconomic status
Waiting times
topic Healthcare inequalities
Socioeconomic status
Waiting times
description Includes supplementary materials for the online appendix.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/56933
http://dx.doi.org/10.1002/hec.4661
url http://hdl.handle.net/10230/56933
http://dx.doi.org/10.1002/hec.4661
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Health Economics. 2023 May;32(5):1181-201
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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