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dc.contributor.authorGarcia-Subirats, Irene
dc.contributor.authorVargas, Ingrid
dc.contributor.authorSanz-Barbero, Belén 
dc.contributor.authorMalmusi, Davide
dc.contributor.authorRonda, Elena
dc.contributor.authorBallesta, Mónica
dc.contributor.authorVázquez, María Luisa
dc.date.accessioned2020-01-16T07:57:55Z
dc.date.available2020-01-16T07:57:55Z
dc.date.issued2014-09-30
dc.identifier.citationInt J Environ Res Public Health. 2014 Sep 30;11(10):10182-201.es_ES
dc.identifier.issn1660-4601es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/8910
dc.description.abstractAIM: To analyze changes in access to health care and its determinants in the immigrant and native-born populations in Spain, before and during the economic crisis. METHODS: Comparative analysis of two iterations of the Spanish National Health Survey (2006 and 2012). Outcome variables were: unmet need and use of different healthcare levels; explanatory variables: need, predisposing and enabling factors. Multivariate models were performed (1) to compare outcome variables in each group between years, (2) to compare outcome variables between both groups within each year, and (3) to determine the factors associated with health service use for each group and year. RESULTS: unmet healthcare needs decreased in 2012 compared to 2006; the use of health services remained constant, with some changes worth highlighting, such as the decline in general practitioner visits among autochthons and a narrowed gap in specialist visits between the two populations. The factors associated with health service use in 2006 remained constant in 2012. CONCLUSION: Access to healthcare did not worsen, possibly due to the fact that, until 2012, the national health system may have cushioned the deterioration of social determinants as a consequence of the financial crisis. Further studies are necessary to evaluate the effects of health policy responses to the crisis after 2012.es_ES
dc.description.sponsorshipThis work is part of the MEISI Project. Others researchers in the MEISI I Project are: Victoria Porthé, Marta Beatriz Aller (Consorci de Salut i Social de Catalunya ), Lola Bosch (Serveis de Salut Integrats Baix Empordà), Lluís Colomés (Grup SAGESSA), Josep Ramón Llopart (Badalona Serveis Asistencials) and Laura Otero (National School of Public Health, Instituto de Salud Carlos III). This research was partially financed by the Instituto de Salud Carlos III and FEDER as part of projects PI13/00261. We thank Emily Felt and Sina Waibel for the English version of this article.es_ES
dc.language.isoenges_ES
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI) es_ES
dc.relation.isversionofPublisher's versiones_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subject.meshAdolescent es_ES
dc.subject.meshAdult es_ES
dc.subject.meshEmigrants and Immigrants es_ES
dc.subject.meshFemale es_ES
dc.subject.meshGeneral Practice es_ES
dc.subject.meshHealth Services es_ES
dc.subject.meshHealth Services Accessibility es_ES
dc.subject.meshHealth Surveys es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshSpain es_ES
dc.subject.meshSpecialization es_ES
dc.subject.meshEconomic Recession es_ES
dc.subject.meshHealth Services Needs and Demand es_ES
dc.titleChanges in access to health services of the immigrant and native-born population in Spain in the context of economic crisises_ES
dc.typeArtículoes_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID25272078es_ES
dc.format.volume11es_ES
dc.format.number10es_ES
dc.format.page10182-201es_ES
dc.identifier.doi10.3390/ijerph111010182es_ES
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderEuropean Regional Development Fund 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1660-4601es_ES
dc.relation.publisherversionhttps://doi.org/10.3390/ijerph111010182es_ES
dc.identifier.journalInternational journal of environmental research and public healthes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/PI13/00261es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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