Sorli Latorre Diego, Rubio Lahoz Noelia, Sorli Latorre Patricia, Aguilar Palacio Isabel
Rev Enferm. 2016 Jul-Aug;39(7-8):32-8.
To explore the use of health services in the Spanish population, according health insurance.
A cross-sectional study using data from the Spanish National Health Survey 2011-2012 was conducted. 21 007 people were included. Among individuals with health coverage, three groups were differentiated: people with public, private and mixed insurance. Univariate and bivariate analyses were developed to know health services and bivariate analyses were developed to know health services use differences by health insurance.
83.5 % of the population reported only a public coverage, 2.5 % has only private insurance and 14 % was enrolled in both forms. Individuals with public coverage visited with higher frequency the general physician (81.9 %), while those with only private insurance visited a specialist in the highest proportion (65.6 %). Individuals with only public health coverage presented the longest waiting times, for both programmed hospitalization and medical attention. In general terms, people with double coverage showed the greatest participation in preventive activities.
Public coverage is the most important coverage of the Spanish population. Different use of health resources were observed according to health insurance.
根据健康保险情况，探究西班牙人群健康服务的使用情况。
采用2011 - 2012年西班牙国家健康调查数据进行横断面研究。纳入21007人。在有健康保险的个体中，分为三组：有公共保险、私人保险和混合保险的人群。进行单变量和双变量分析以了解健康服务情况，并进行双变量分析以了解不同健康保险类型在健康服务使用上的差异。
83.5%的人群仅报告有公共保险，2.5%仅有私人保险，14%同时参加了两种保险。有公共保险的个体看全科医生的频率更高（81.9%），而仅有私人保险的个体看专科医生的比例最高（65.6%）。仅有公共健康保险的个体在预约住院和就医方面等待时间最长。总体而言，拥有双重保险的人群在预防活动中的参与度最高。
公共保险是西班牙人群最重要的保险类型。根据健康保险类型观察到了不同的健康资源使用情况。
