Equity in access to health care in Italy: a disease-based approach

Masseria, Cristina; Giannoni, Margherita

doi:10.1093/eurpub/ckq029

Cited by 58 publications

(44 citation statements)

References 14 publications

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“…This result differentiates the Province of Trento from the rest of Italy, where health inequalities have been found by previous literature, especially in Southern regions (Atella et al 2004;Giannoni et al 2007;Masseria and Giannoni 2010), and confirms the exceptional performance of this territory in terms of indicators of well-being, as previously found by comparative studies on the Italian regions (Sabatini 2008a(Sabatini , 2009b. As is to be expected, the absence of health disparities markedly reduces the role of social capital which, by contrast, has been found to play a major role in other Italian regions Sabatini 2011a, 2011b).…”

Section: Discussionsupporting

confidence: 88%

The relationship between happiness and health: Evidence from Italy

Sabatini

2014

Social Science & Medicine

117

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We test the relationship between happiness and self-rated health in Italy. The analysis relies on a unique dataset collected through the administration of a questionnaire to a representative sample (n = 817) of the population of the Italian Province of Trento in March 2011. Based on probit regressions, instrumental variables estimates and structural equations modelling, we find that happiness is strongly correlated with perceived good health, after controlling for a number of relevant socio-economic phenomena. Health inequalities based on income, work status and education are relatively contained in respect to the rest of Italy. As expected, this scales down the role of social capital.

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Section: Discussionsupporting

confidence: 88%

The relationship between happiness and health: Evidence from Italy

Sabatini

2014

Social Science & Medicine

117

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“…Similar to previous studies, more educated people (white-collar workers) visited their dentist more frequently than less educated people (blue-collar workers) [27, 28]. The return to work by more patients in group A might be related to the association between a higher socioeconomic status and regular dental visits as well as resumption of work after tumor treatment [29, 30].…”

Section: Discussionsupporting

confidence: 72%

Regular Dental Visits: Influence on Health-Related Quality of Life in 1,607 Patients with Oral Squamous Cell Carcinoma

Spalthoff

Holtmann

Krüskemper

et al. 2017

International Journal of Dentistry

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Background The incidence of oral squamous cell carcinoma (OSCC) is in the top 10 of all cancer entities. Regular oral examinations by dentists play an important role in oral cancer prevention. Methods Patients with OSCC (n = 1,607) and physicians (n = 1,489) completed questionnaires during the DÖSAK Rehab Study. The psychosocial and functional factors collected in these questionnaires were assessed in the present study. We compared patients who visited their dentist at least once a year (group A) with those who visited their dentist less than once a year (group B). Results Patients in group A had significantly better health-related quality of life after tumor treatment than patients in group B. Patients in group A also had a smaller tumor size and less lymph node metastasis and lost fewer teeth during the treatment. This resulted in better prosthetic rehabilitation and better psychological status after tumor treatment. Conclusions Dentists play an important role in the early recognition of oral cancer. This study should encourage dentists to take a more active role in oral cancer prevention.

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“…In recent years an increasing number of studies have employed a concentration index methodology to calculate income-based horizontal inequity (HI index) in health care utilisation [4,5,8-10]. In the present study of socioeconomic gradients in health care utilisation we estimated both risk ratios and horizontal inequity indexes in order to ease interpretation and to facilitate comparison with other studies.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic inequalities in health care utilisation in Norway: the population-based HUNT3 survey

Vikum

Krokstad

Westin

2012

Int J Equity Health

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BackgroundIn this study we investigated the distribution of self-reported health care utilisation by education and household income in a county population in Norway, in a universal public health care system based on ideals of equal access for all according to need, and not according to wealth.MethodsThe study included 24,147 women and 20,608 men aged 20 years and above in the third Nord-Trøndelag Health Survey (HUNT 3) of 2006–2008. Income-related horizontal inequity was estimated through concentration indexes, and inequity by both education and income was estimated as risk ratios through conventional regression.ResultsWe found no overall pro-rich or pro-educated socioeconomic gradient in needs-adjusted utilisation of general practitioner or inpatient care. However, we found overall pro-rich and pro-educated inequity in utilisation of both private medical specialists and hospital outpatient care. For these services there were large differences in levels of inequity between younger and older men and women.ConclusionIn contrast with recent studies from Norway, we found pro-rich and pro-educated social inequalities in utilisation of hospital outpatient services and not only private medical specialists. Utilisation of general practitioner and inpatient services, which have low access threshold or are free of charge, we found to be equitable.

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Equity in access to health care in Italy: a disease-based approach

Cited by 58 publications

References 14 publications

The relationship between happiness and health: Evidence from Italy

The relationship between happiness and health: Evidence from Italy

Regular Dental Visits: Influence on Health-Related Quality of Life in 1,607 Patients with Oral Squamous Cell Carcinoma

Socioeconomic inequalities in health care utilisation in Norway: the population-based HUNT3 survey

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