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dc.contributor.authorFjær, Erlend Løvø
dc.contributor.authorBalaj, Mirza
dc.contributor.authorStornes, Per Gunnar
dc.contributor.authorTodd, Adam
dc.contributor.authorMcNamara, Courtney L.
dc.contributor.authorEikemo, Terje Andreas
dc.date.accessioned2018-03-14T11:49:28Z
dc.date.available2018-03-14T11:49:28Z
dc.date.created2017-03-09T12:33:58Z
dc.date.issued2017
dc.identifier.citationEuropean Journal of Public Health. 2017, 27 73-81.nb_NO
dc.identifier.issn1101-1262
dc.identifier.urihttp://hdl.handle.net/11250/2490450
dc.description.abstractBackground: Low socioeconomic position (SEP) tends to be linked to higher use of general practitioners (GPs), while the use of health care specialists is more common in higher SEPs. Despite extensive literature in this area, previous studies have, however, only studied health care use by income or education. The aim of this study is, therefore, to examine inequalities in GP and health care specialist use by four social markers that may be linked to health care utilization (educational level, occupational status, level of financial strain and size and frequency of social networks) across 20 European countries and Israel. Methods: Logistic regression models were employed using data from the seventh round of the European Social Survey; this study focused upon people aged 25–75 years, across 21 countries. Health care utilization was measured according to self-reported use of GP or specialist care within 12 months. Analyses tested four social markers: income (financial strain), occupational status, education and social networks. Results: We observed a cross-national tendency that countries with higher or equal probability of GP utilization by lower SEP groups had a more consistent probability of specialist use among high SEP groups. Moreover, countries with inequalities in GP use in favour of high SEP groups had comparable levels of inequalities in specialist care utilization. This was the case for three social markers (education, occupational class and social networks), while the pattern was less pronounced for income (financial strain). Conclusion: There are significant inequalities associated with GP and specialist health care use across Europe—with higher SEP groups more likely to use health care specialists, compared with lower SEP groups. In the context of health care specialist use, education and occupation appear to be particularly important factors.nb_NO
dc.language.isoengnb_NO
dc.publisherOxford University Press (OUP)nb_NO
dc.titleExploring the differences in general practitioner and health care specialist utilization according to education, occupation, income and social networks across Europe: findings from the European social survey (2014) special module on the social determinants of health.nb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.source.pagenumber73-81nb_NO
dc.source.volume27nb_NO
dc.source.journalEuropean Journal of Public Healthnb_NO
dc.identifier.doi10.1093/eurpub/ckw255
dc.identifier.cristin1456861
dc.description.localcodeThis is a pre-copyedited, author-produced version of an article accepted for publication in [European Journal of Public Health] following peer review. The version of record is available online at: https://academic.oup.com/eurpub/article/27/suppl_1/73/3045957nb_NO
cristin.unitcode194,67,25,0
cristin.unitnameInstitutt for sosiologi og statsvitenskap
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode1


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