Analysis of the effect of the “double insularity” condition on the equity in the utilisation of public health care services: the case of the Canary Islands

Ignacio Abasolo, Lidia García Pérez, Raquel Aguiar Ibáñez and Asier Amador Robayna
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Lidia García Pérez: Universidad de La Laguna
Raquel Aguiar Ibáñez: Universidad de La Laguna
Asier Amador Robayna: Universidad de La Laguna

INVESTIGACIONES REGIONALES - Journal of REGIONAL RESEARCH, 2008, issue 13, 159-175

Abstract: The aim of this paper is to test whether the condition of “double insularity”, -i.e. being resident in one of the five small islands of the seven Canary Islands- has any effect on equity in the utilisation of public health care services. Data on 4.320 participants from the 2004 Canary Health Survey were considered for this analysis. A zero inflated negative binomial (ZINB) model was estimated for each of the four health services analysed (general practice services, specialist services, emergency services and hospitalisations), controlling for area of residence, for health care need and for socioeconomic and demographic characteristics, measured at the individual level. The results show evidence that, in general, the “double insularity” condition represents a limitation in the utilisation of public health care services, therefore to the detriment of the residents in the small islands.

Keywords: Equity; health care utilisation; small islands; Canary Islands (search for similar items in EconPapers)
JEL-codes: C01 D39 I19 R53 (search for similar items in EconPapers)
Date: 2008
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