El mapa de las desigualdades en salud por grupos de edad en España

Stoyanova, Alexandrina; Martínez, Marisol Rodríguez; Domínguez, Jaime Pinilla

doi:10.32796/cice.2008.75.5929

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…A concentration curve falling below the diagonal (concentration index >0) indicates that surgery rates are less concentrated in the first population group (lower quintiles of economic level) and more concentrated in the last population groups (higher quintiles of economic level). Conversely, a concentration curve located above the diagonal (concentration index < 0) indicates that surgical rates are more concentrated in the first population groups (lower economic level) and less concentrated in the last population groups (higher economic level) [ 16 , 17 ].…”

Section: Methodsmentioning

confidence: 99%

Income level and regional policies, underlying factors associated with unwarranted variations in conservative breast cancer surgery in Spain

et al. 2011

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BackgroundGeographical variations in medical practice are expected to be small when the evidence about the effectiveness and safety of a particular technology is abundant. This would be the case of the prescription of conservative surgery in breast cancer patients. In these cases, when variation is larger than expected by need, socioeconomic factors have been argued as an explanation. Objectives: Using an ecologic design, our study aims at describing the variability in the use of surgical conservative versus non-conservative treatment. Additionally, it seeks to establish whether the socioeconomic status of the healthcare area influences the use of one or the other technique.Methods81,868 mastectomies performed between 2002 and 2006 in 180 healthcare areas were studied. Standardized utilization rates of breast cancer conservative (CS) and non-conservative (NCS) procedures were estimated as well as the variation among areas, using small area statistics. Concentration curves and dominance tests were estimated to determine the impact of income and instruction levels in the healthcare area on surgery rates. Multilevel analyses were performed to determine the influence of regional policies.ResultsVariation in the use of CS was massive (4-fold factor between the highest and the lowest rate) and larger than in the case of NCS (2-fold), whichever the age group. Healthcare areas with higher economic and instruction levels showed highest rates of CS, regardless of the age group, while areas with lower economic and educational levels yielded higher rates of NCS interventions. Living in a particular Autonomous Community (AC), explained a substantial part of the CS residual variance (up to a 60.5% in women 50 to 70).ConclusionThe place where a woman lives -income level and regional policies- explain the unexpectedly high variation found in utilization rates of conservative breast cancer surgery.

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Section: Methodsmentioning

confidence: 99%

Income level and regional policies, underlying factors associated with unwarranted variations in conservative breast cancer surgery in Spain

et al. 2011

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“…Among the resources commonly considered, some authors [9,10] highlight outpatient care, medical consultation, hospitalization costs, medication and laboratory tests, as well as resources consumed in emergency services, nursing homes and home care. However, other authors also consider those resources consumed in rehabilitation and specialized care [11][12][13].…”

Section: The Direct Cost Of Disease Treatmentmentioning

confidence: 99%

The costs of cervical cancer treatment with a social focus

Melissa Aguayo Joza,

Javier Más López,

Enrique Terán Mogro

et al. 2024

Cervical Cancer - Recent Advances and New Perspectives

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The study of the value creation system in the strategic management of costs associated with diseases shows the need to focus the analysis on the activities that make it up, since they detail all the interrelated actions to achieve efficiency in their treatment, particularly in cervical cancer. The design of its value chain is important in the economic context in which it is created and the agents involved in its achievement, since the user, the provider and the financer of health care have different health, economic and political interests. Quantifying its economic impact on society is relevant for its economic evaluation, reducing uncertainty and optimizing the design of public policies. There are theoretical and methodological weaknesses in the methods for estimating their indirect costs, market imperfections and the postulates of economic theory as their main foundations. The objective of the article is to design the value chain of the disease and the calculation of its costs, which will be specified by highlighting which activities will be considered as contributing value to its treatments and which others will be considered as supporting activities for the beneficiary of its treatments, who will be the patient.

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Entendiendo la Economía de la Salud: Una revisión de los estudios sobre eficiencia, equidad y desigualdades

Sáez¹,

Prieto²

2020

EEA

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This paper examines the current development and influence of health economics to efficiency, equity and inequality issues. Besides, the current status of public and private sectors and their collaboration with health care provision and financing systems is showed. The results suggest that future evolution of health economics will create useful tools for improving quality and equity in access to health care services. Nevertheless, to obtain a comprehensive vision in relation with health economics studies, it is advisable to use a set of complementary measures.

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El mapa de las desigualdades en salud por grupos de edad en España

Cited by 4 publications

References 28 publications

Income level and regional policies, underlying factors associated with unwarranted variations in conservative breast cancer surgery in Spain

Income level and regional policies, underlying factors associated with unwarranted variations in conservative breast cancer surgery in Spain

The costs of cervical cancer treatment with a social focus

Entendiendo la Economía de la Salud: Una revisión de los estudios sobre eficiencia, equidad y desigualdades

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