Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe
OBJECTIVE: To describe the methodology used to measure and explain income-related inequalities in health and health care utilization over time in selected Latin American and Caribbean countries. METHODS: Data from nationally representative household surveys in Brazil, Chile, Colombia, Jamaica, Mexic...
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Pan American Health Organization
2013
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ftdoajarticles:oai:doaj.org/article:4ebadcfafb184b28b0268acf33688a6d 2023-05-15T15:18:49+02:00 Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe Gisele Almeida Flavia Mori Sarti 2013-02-01T00:00:00Z https://doaj.org/article/4ebadcfafb184b28b0268acf33688a6d EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013000200002 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/4ebadcfafb184b28b0268acf33688a6d Revista Panamericana de Salud Pública, Vol 33, Iss 2, Pp 83-89 (2013) Equidad en el acceso equidad en salud sistemas de salud política de salud América Latina región del Caribe Equity in access equity in health health systems health policy Latin America Caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2013 ftdoajarticles 2022-12-30T21:51:39Z OBJECTIVE: To describe the methodology used to measure and explain income-related inequalities in health and health care utilization over time in selected Latin American and Caribbean countries. METHODS: Data from nationally representative household surveys in Brazil, Chile, Colombia, Jamaica, Mexico, and Peru were used to analyze income-related inequalities in health status and health care utilization. Health was measured by self-reported health status, physical limitations, and chronic illness when available. Hospitalization, physician, dentist, preventive, curative, and preventive visits were proxies for health care utilization. Household income was a proxy for socioeconomic status except in Peru, which used household expenditures. Concentration indices were calculated before and after standardization for all dependent variables. Standardized concentration indices are also referred to as horizontal inequity index. Decomposition analysis was used to identify the main determinants of inequality in health care utilization. RESULTS: Results of analysis of the evolution of income-related inequality in health and health care utilization in Brazil, Chile, Colombia, Jamaica, Mexico, and Peru are presented in separate articles in this issue. CONCLUSIONS: The methodology used for analysis of equity in all six country research studies attempts not to determine causality but to describe and explain income-related inequalities in health status and health care utilization over time. While this methodology is robust, it is not free of errors. When possible, errors have been identified and corrected. OBJETIVO: Describir la metodología usada para medir y explicar la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe. MéTODOS: Se utilizaron datos de encuestas nacionales de hogares representativas de Brasil, Chile, Colombia, Jamaica, México y Perú. La salud se midió mediante auto--informes del estado de salud, ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Equidad en el acceso equidad en salud sistemas de salud política de salud América Latina región del Caribe Equity in access equity in health health systems health policy Latin America Caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Equidad en el acceso equidad en salud sistemas de salud política de salud América Latina región del Caribe Equity in access equity in health health systems health policy Latin America Caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Gisele Almeida Flavia Mori Sarti Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe |
topic_facet |
Equidad en el acceso equidad en salud sistemas de salud política de salud América Latina región del Caribe Equity in access equity in health health systems health policy Latin America Caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To describe the methodology used to measure and explain income-related inequalities in health and health care utilization over time in selected Latin American and Caribbean countries. METHODS: Data from nationally representative household surveys in Brazil, Chile, Colombia, Jamaica, Mexico, and Peru were used to analyze income-related inequalities in health status and health care utilization. Health was measured by self-reported health status, physical limitations, and chronic illness when available. Hospitalization, physician, dentist, preventive, curative, and preventive visits were proxies for health care utilization. Household income was a proxy for socioeconomic status except in Peru, which used household expenditures. Concentration indices were calculated before and after standardization for all dependent variables. Standardized concentration indices are also referred to as horizontal inequity index. Decomposition analysis was used to identify the main determinants of inequality in health care utilization. RESULTS: Results of analysis of the evolution of income-related inequality in health and health care utilization in Brazil, Chile, Colombia, Jamaica, Mexico, and Peru are presented in separate articles in this issue. CONCLUSIONS: The methodology used for analysis of equity in all six country research studies attempts not to determine causality but to describe and explain income-related inequalities in health status and health care utilization over time. While this methodology is robust, it is not free of errors. When possible, errors have been identified and corrected. OBJETIVO: Describir la metodología usada para medir y explicar la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe. MéTODOS: Se utilizaron datos de encuestas nacionales de hogares representativas de Brasil, Chile, Colombia, Jamaica, México y Perú. La salud se midió mediante auto--informes del estado de salud, ... |
format |
Article in Journal/Newspaper |
author |
Gisele Almeida Flavia Mori Sarti |
author_facet |
Gisele Almeida Flavia Mori Sarti |
author_sort |
Gisele Almeida |
title |
Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe |
title_short |
Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe |
title_full |
Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe |
title_fullStr |
Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe |
title_full_unstemmed |
Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries Medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de América Latina y el Caribe |
title_sort |
measuring evolution of income-related inequalities in health and health care utilization in selected latin american and caribbean countries medición de la evolución de las desigualdades en la salud y la utilización de la atención sanitaria relacionadas con los ingresos en países seleccionados de américa latina y el caribe |
publisher |
Pan American Health Organization |
publishDate |
2013 |
url |
https://doaj.org/article/4ebadcfafb184b28b0268acf33688a6d |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 33, Iss 2, Pp 83-89 (2013) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013000200002 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/4ebadcfafb184b28b0268acf33688a6d |
_version_ |
1766349000050475008 |