A Decade of Monitoring Primary Healthcare Experiences through the Lens of Inequality.

Autor:	Pasarín MI; Agència de Salut Pública de Barcelona, 08023 Barcelona, Spain.; CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.; Institut de Recerca Sant Pau (IR Sant Pau), 08041 Barcelona, Spain.; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, 08003 Barcelona, Spain., Rodríguez-Sanz M; Agència de Salut Pública de Barcelona, 08023 Barcelona, Spain.; CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.; Institut de Recerca Sant Pau (IR Sant Pau), 08041 Barcelona, Spain.; Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, 08003 Barcelona, Spain., Berra S; Escuela de Salud Pública, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba 5000, Argentina.; Centro de Investigaciones y Estudios sobre Cultura y Sociedad, Consejo Nacional de Investigaciones Científicas y Técnicas, y Universidad Nacional de Córdoba, Córdoba 5000, Argentina., Borrell C; Agència de Salut Pública de Barcelona, 08023 Barcelona, Spain.; CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.; Institut de Recerca Sant Pau (IR Sant Pau), 08041 Barcelona, Spain., Rocha KB; School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre 90619-900, Brazil.; Departamento de Psicología Social y Metodología. Facultad de Psicología, Universidad Autónoma de Madrid (UAM), 28049 Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2024 Sep 13; Vol. 12 (18). Date of Electronic Publication: 2024 Sep 13.
DOI:	10.3390/healthcare12181833
Abstrakt:	Background: Health care is not exempt from harboring social inequalities, including in those countries with a universal public system. The objective was to ascertain whether the population's assessment of primary care (PC) changed between 2006 and 2016, the decade that included the economic crisis of 2008, and also if it exhibited patterns of social inequality in Barcelona (Spain). Methods: This was a cross-sectional study using Barcelona Health Surveys 2006 and 2016. Samples (4027 and 3082 respectively) comprised residents in Barcelona, over 15 years old. Dependent Variable: Primary Care (PC) index. Independent Variables: age, social class, and birthplace. Analyses included means and percentiles of PC index, and Somers' D test to compare the distribution of the groups. Results: Comparing 2016 with 2006, the distribution of the PC index remained in women (median of 73.3) and improved in men (from 70 to 73.3). By social class, the pattern of inequality observed in 2006 in men with perceived poor health status disappeared in 2016. Inequalities according to birthplace persisted in women, regardless of perceived health status, but disappeared in men. Conclusions: In the 10 years between which the global economic crisis occurred, the assessment of PC did not worsen, and it did improve for men, but the study points to the need for more focus on people born abroad.
Databáze:	MEDLINE
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