Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis

Please use this identifier to cite or link to this item:
Información del item - Informació de l'item - Item information
Title: Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis
Authors: Garcia Subirats, Irene | Vargas, Ingrid | Sanz, Belén | Malmusi, Davide | Ronda-Pérez, Elena | Ballesta, Mónica | Vázquez Navarrete, María Luisa | MEISI I project
Research Group/s: Salud Pública
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Keywords: Immigration | Health care utilization | Access to health care | Economic crisis | Spain
Knowledge Area: Medicina Preventiva y Salud Pública
Issue Date: 30-Sep-2014
Publisher: MDPI
Citation: International Journal of Environmental Research and Public Health. 2014, 11(10):10182-10201. doi:10.3390/ijerph111010182
Abstract: Aim: To analyze changes in access to health care and its determinants in the immigrant and native-born populations in Spain, before and during the economic crisis. Methods: Comparative analysis of two iterations of the Spanish National Health Survey (2006 and 2012). Outcome variables were: unmet need and use of different healthcare levels; explanatory variables: need, predisposing and enabling factors. Multivariate models were performed (1) to compare outcome variables in each group between years, (2) to compare outcome variables between both groups within each year, and (3) to determine the factors associated with health service use for each group and year. Results: unmet healthcare needs decreased in 2012 compared to 2006; the use of health services remained constant, with some changes worth highlighting, such as the decline in general practitioner visits among autochthons and a narrowed gap in specialist visits between the two populations. The factors associated with health service use in 2006 remained constant in 2012. Conclusion: Access to healthcare did not worsen, possibly due to the fact that, until 2012, the national health system may have cushioned the deterioration of social determinants as a consequence of the financial crisis. Further studies are necessary to evaluate the effects of health policy responses to the crisis after 2012.
ISSN: 1661-7827 (Print) | 1660-4601 (Online)
DOI: 10.3390/ijerph111010182
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2014 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (
Peer Review: si
Publisher version:
Appears in Collections:INV - SP - Artículos de Revistas

Files in This Item:
Files in This Item:
File Description SizeFormat 
Thumbnail2014_Garcia-Subirats_etal_IntJEnvironResPublicHealth.pdf495,4 kBAdobe PDFOpen Preview

This item is licensed under a Creative Commons License Creative Commons