González Alvarez M Luz, Barranquero Antonio Clavero
University of Málaga, Spain.
Soc Sci Med. 2009 Sep;69(5):793-801. doi: 10.1016/j.socscimed.2009.06.037. Epub 2009 Jul 21.
In this article, the analysis of inequalities in health care utilization, produced by the taking out of a private health insurance policy to supplement the care provided by the Spanish National Health System, has been performed by the Oaxaca-Ransom decomposition. Using the European Community Household Panel, this method permits the conclusion that the majority of differences in the number of visits to a general practitioner are explained by the individual characteristics of the publicly insured, while the divergences in the number of consultations with specialists are the result of the overuse of this care by the population with double health insurance coverage.
在本文中，通过奥瓦卡-兰塞姆分解法，对购买私人健康保险政策以补充西班牙国家卫生系统所提供护理而产生的医疗保健利用不平等现象进行了分析。利用欧洲共同体家庭调查数据，该方法得出的结论是，普通科医生就诊次数的大部分差异可由公共保险人群的个体特征来解释，而专科医生会诊次数的差异则是拥有双重医疗保险的人群过度使用此类医疗服务的结果。
