2023-09-28 14:46:10 +00:00
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abstract: 'Objective. Most Latin American and Caribbean (LAC) countries are working
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toward the provision of universal health coverage, and ensuring equity
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is a priority for those nations. The goal of this study was to examine
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the extent to which adults'' socioeconomic status was related to health
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care experience in six LAC countries.
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Methods. This cross-sectional study examined the relationship between
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educational attainment and seven health experience outcomes in three
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areas: assessment of the health system, access to care, and experience
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with general practitioner. For this work, we used data from an
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Inter-American Development Bank survey of adults in Brazil, Colombia, El
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Salvador, Jamaica, Mexico, and Panama that was conducted in 2012-2014.
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Results. Brazil and Jamaica, the two countries with unified public
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coverage, stood out for having substantially greater inequality,
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according to the results of bivariate analyses, with more-educated
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respondents reporting better health care experiences for five of the
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seven outcomes. For Jamaica, educational differences largely remained in
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multivariate analyses: college graduates were less likely (odds ratio
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(OR) = 0.37) than those with primary education to report their health
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system needs major reform and were more likely (OR = 2.57) to have a
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regular doctor. In Brazil, educational differences were mostly
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eliminated in multivariate models, though people with private insurance
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consistently reported better outcomes than those with public coverage.
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Colombia, in contrast, exhibited the least inequality despite having the
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highest income inequality of the six countries.
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Conclusions. Future research is needed to understand the policies and
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strategies that have resulted in Colombia achieving high levels of
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equity in patient health care experience, and Jamaica and Brazil
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demonstrating high levels of inequality.'
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affiliation: 'Greene, J (Corresponding Author), CUNY, Baruch Coll, Marxe Sch Publ
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\& Int Affairs, New York, NY 10021 USA.
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Greene, Jessica, CUNY, Baruch Coll, Marxe Sch Publ \& Int Affairs, New York, NY
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10021 USA.
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Guanais, Frederico, Interamer Dev Bank, Lima, Peru.'
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article-number: e127
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author: Greene, Jessica and Guanais, Frederico
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author-email: jessica.greene@baruch.cuny.edu
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author_list:
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- family: Greene
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given: Jessica
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- family: Guanais
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given: Frederico
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da: '2023-09-28'
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doi: 10.26633/RPSP.2018.127
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files: []
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issn: 1020-4989
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journal: 'REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC
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HEALTH'
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keywords: 'Health equity; coverage equity; equity in access to health services;
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Latin America; West Indies'
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keywords-plus: 'INCOME-RELATED INEQUALITIES; CARE; SYSTEM; ACCESS; PERFORMANCE;
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INEQUITIES; COVERAGE; MEXICO; POLICY'
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language: English
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number-of-cited-references: '38'
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papis_id: 59a9c0f9652c4923a671533f43a8394e
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ref: Greene2018examinationsocioecon
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times-cited: '8'
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title: An examination of socioeconomic equity in health experiences in six Latin American
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and Caribbean countries
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000463257000030
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '42'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2018'
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