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Is socioeconomic status associated with utilization of health care services in a single-payer universal health care system?

Overview of attention for article published in International Journal for Equity in Health, November 2014
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (85th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (64th percentile)

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9 X users
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1 Facebook page
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1 Wikipedia page

Citations

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95 Dimensions

Readers on

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135 Mendeley
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Title
Is socioeconomic status associated with utilization of health care services in a single-payer universal health care system?
Published in
International Journal for Equity in Health, November 2014
DOI 10.1186/s12939-014-0115-1
Pubmed ID
Authors

Dani Filc, Nadav Davidovich, Lena Novack, Ran D Balicer

Abstract

ObjectivesTo assess an association of Socio-economic status with utilization of health care services between years 2002 and 2008 in Israel.MethodsWe retrospectively analyzed the utilization of health care services in a cohort of 100,000 members, 21 years and older, of a Clalit Health Services. The research compared utilization according to the neighborhood SES status; and clinic¿s location as another SES proxy. Data included: Charlson Score morbidity factor, utilization of health care services (visits to primary physicians and specialists, purchase of pharmaceuticals, number of hospitalization days, visits to ED, utilization of laboratory tests and imaging). The analysis was performed using Generalized Linear Model (GLM) technique.ResultsPeople with lower SES visited more the ED and primary physicians and were hospitalized for longer periods. People with higher SES visited more specialists, bought more prescription drugs and used more medical imaging. The associations between SES and most of the services we analyzed did not change between 2002 and 2008. However, the gap between lower and higher SES levels in ED visits and the use of prescription drugs slightly increased over time, while the gap in visits to specialists decreased.ConclusionsThe research shows that even in a universal health care system SES is associated with utilization of health care services. In order to improve equity in utilization of services the Israeli public health should reduce economic barriers and in parallel invest in making information accessible to improve ¿navigation skills¿ for all.

X Demographics

X Demographics

The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 135 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 <1%
Brazil 1 <1%
Unknown 133 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 29 21%
Researcher 16 12%
Student > Ph. D. Student 14 10%
Student > Bachelor 13 10%
Student > Doctoral Student 8 6%
Other 20 15%
Unknown 35 26%
Readers by discipline Count As %
Medicine and Dentistry 39 29%
Nursing and Health Professions 17 13%
Social Sciences 11 8%
Business, Management and Accounting 5 4%
Economics, Econometrics and Finance 5 4%
Other 16 12%
Unknown 42 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 May 2019.
All research outputs
#4,147,264
of 25,292,646 outputs
Outputs from International Journal for Equity in Health
#736
of 2,200 outputs
Outputs of similar age
#55,387
of 374,724 outputs
Outputs of similar age from International Journal for Equity in Health
#13
of 34 outputs
Altmetric has tracked 25,292,646 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,200 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.5. This one has gotten more attention than average, scoring higher than 66% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 374,724 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 85% of its contemporaries.
We're also able to compare this research output to 34 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 64% of its contemporaries.