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[journal article]

dc.contributor.authorKnesebeck, Olaf von demde
dc.contributor.authorVonneilich, Nicode
dc.contributor.authorTae Jun, Kimde
dc.date.accessioned2019-03-01T10:29:33Z
dc.date.available2019-03-01T10:29:33Z
dc.date.issued2016de
dc.identifier.issn1475-9276de
dc.identifier.urihttps://www.ssoar.info/ssoar/handle/document/61603
dc.description.abstractBackground: In this article we focus on the following aims: (1) to analyze national and welfare state variations in the public perception of income-related health care inequalities, (2) to analyze associations of sociodemographic, socioeconomic, health-related, and health care factors with the perception of health care inequalities. Methods: Data were taken from the International Social Survey Programme (ISSP), an annually repeated cross-sectional survey based on nationally representative samples. 23 countries (N = 37,228) were included and assigned to six welfare states. Attitude towards income-related health care inequalities was assessed by asking: "Is it fair or unfair that people with higher incomes can afford better health care than people with lower incomes?" with response categories ranging from "very fair" (1) to "very unfair" (5). On the individual level, sociodemographic (gender, age), socioeconomic (income, education) health-related (self-rated health), and health care factors (health insurance coverage, financial barriers to health care) were introduced. Results: About two-thirds of the respondents in all countries think that it is unfair when people with higher incomes can afford better health care than people with lower incomes. Percentages vary between 42.8 in Taiwan and 84 in Slovenia. In terms of welfare states, this proportion is higher in Conservative, South European, and East European regimes than in East Asian, Liberal, and Social-Democratic regimes. Multilevel logistic regression analyses show that women, people affected by a low socioeconomic status, poor health, insufficient insurance coverage, and foregone care are more likely to perceive income-related health care inequalities as unfair. Conclusions: In most countries a majority of the population perceives income-related health care inequalities as unfair. Large differences between countries were observed. Welfare regime classification is important for explaining the variation across countries.de
dc.languageende
dc.subject.ddcSozialwissenschaften, Soziologiede
dc.subject.ddcSocial sciences, sociology, anthropologyen
dc.subject.ddcSoziologie, Anthropologiede
dc.subject.ddcSociology & anthropologyen
dc.subject.otherhealth care inequalities; public attitudes; perception of unfairness; International Social Survey Programmede
dc.titleAre health care inequalities unfair? A study on public attitudes in 23 countriesde
dc.description.reviewbegutachtet (peer reviewed)de
dc.description.reviewpeer revieweden
dc.source.journalInternational Journal for Equity in Health
dc.source.volume15de
dc.publisher.countryGBR
dc.subject.classozGesundheitspolitikde
dc.subject.classozHealth Policyen
dc.subject.classozMedizinsoziologiede
dc.subject.classozMedical Sociologyen
dc.subject.thesozGesundheitsversorgungde
dc.subject.thesozhealth careen
dc.subject.thesozEinkommensunterschiedde
dc.subject.thesozdifference in incomeen
dc.subject.thesozUngleichheitde
dc.subject.thesozinequalityen
dc.subject.thesozWahrnehmungde
dc.subject.thesozperceptionen
dc.subject.thesozöffentliche Meinungde
dc.subject.thesozpublic opinionen
dc.subject.thesozGesundheitsfürsorgede
dc.subject.thesozhealth care servicesen
dc.subject.thesozGerechtigkeitde
dc.subject.thesozjusticeen
dc.subject.thesozdemographische Faktorende
dc.subject.thesozdemographic factorsen
dc.subject.thesozsozioökonomische Faktorende
dc.subject.thesozsocioeconomic factorsen
dc.subject.thesozWohlfahrtsstaatde
dc.subject.thesozwelfare stateen
dc.subject.thesozinternationaler Vergleichde
dc.subject.thesozinternational comparisonen
dc.rights.licenceCreative Commons - Namensnennung 4.0de
dc.rights.licenceCreative Commons - Attribution 4.0en
internal.statusformal und inhaltlich fertig erschlossende
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dc.type.stockarticlede
dc.type.documentZeitschriftenartikelde
dc.type.documentjournal articleen
dc.source.pageinfo8de
internal.identifier.classoz11006
internal.identifier.classoz10215
internal.identifier.journal1464
internal.identifier.document32
internal.identifier.ddc300
internal.identifier.ddc301
dc.identifier.doihttps://doi.org/10.1186/s12939-016-0350-8de
dc.description.pubstatusVeröffentlichungsversionde
dc.description.pubstatusPublished Versionen
internal.identifier.licence16
internal.identifier.pubstatus1
internal.identifier.review1
dc.description.miscFDBde
internal.dda.referenceexcel-database-6@@journal article%%50
ssoar.urn.registrationfalsede


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