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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Use of health services according to income before and after elimination of copayment in Germany and restriction of universal health coverage in Spain
|
|---|---|
| Published in |
International Journal for Equity in Health, January 2018
|
| DOI | 10.1186/s12939-018-0725-0 |
| Pubmed ID | |
| Authors |
Lourdes Lostao, Siegfried Geyer, Romana Albaladejo, Almudena Moreno-Lostao, Elena Ronda, Enrique Regidor |
| Abstract |
In Germany copayment for medical consultation was eliminated in 2013, and in Spain universal health coverage was partly restricted in 2012. This study shows the relationship between income and the use of health services before and after these measures in each country. Data were taken from the 2009 and 2014 Socio-Economic Panel conducted in Germany, and from the 2009 and 2014 European Health Surveys in Spain. The health services investigated were physician consultations and hospital admissions, and the measure of socioeconomic position used was household income. The magnitude of the relationship between socioeconomic position and the use of each health service in people from 16 to 74 years old was estimated by calculating the percentage ratio using binary regression. In Germany, after adjusting for age, sex, and need for care, in the model comparing the two lower income categories to the two higher categories, the percentage ratio for physician consultation was 0.97 (95% CI 0.96-0.99) in 2009 and 0.98 (95% CI 0.97-0.99) in 2014, and the percentage ratio for hospitalization was 1.01 (95% CI 0.93-1.10) in 2009 and 1.16 (95% CI 1.08-1.25) in 2014. In Spain, after adjusting for age, sex, and self-rated health, the percentage ratio for physician consultation was 0.99 (95% CI 0.94-1.05) in 2009 and 1.08 (95% CI 1.03-1.14) in 2014, and the percentage ratio for hospitalization was 1.04 (95% CI 0.92-1.18) in 2009 and 0.99 (95% CI 0.87-1.14) in 2014. The results suggest that elimination of the copayment in Germany did not change the frequency of physician consultations, whereas after the restriction of universal health coverage in Spain, subjects with lower incomes had a higher frequency of physician consultations. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 42 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 42 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Unspecified | 10 | 24% |
| Student > Bachelor | 4 | 10% |
| Student > Master | 4 | 10% |
| Other | 3 | 7% |
| Professor > Associate Professor | 3 | 7% |
| Other | 7 | 17% |
| Unknown | 11 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Unspecified | 11 | 26% |
| Medicine and Dentistry | 6 | 14% |
| Economics, Econometrics and Finance | 3 | 7% |
| Social Sciences | 3 | 7% |
| Nursing and Health Professions | 2 | 5% |
| Other | 3 | 7% |
| Unknown | 14 | 33% |
Attention Score in Context
This research output has an Altmetric Attention Score of 10. 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 16 February 2018.
All research outputs
#3,233,424
of 23,018,998 outputs
Outputs from International Journal for Equity in Health
#609
of 1,924 outputs
Outputs of similar age
#76,499
of 440,718 outputs
Outputs of similar age from International Journal for Equity in Health
#19
of 34 outputs
Altmetric has tracked 23,018,998 research outputs across all sources so far. Compared to these this one has done well and is in the 85th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,924 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.3. This one has gotten more attention than average, scoring higher than 68% 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 440,718 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 82% 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 is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.