Potentially excluded population from health coverage and health impact since Royal Decree 16/2012 : The Central Catalonia experience
Copyright © 2013 Elsevier España, S.L.U. All rights reserved..
OBJECTIVE: To assess the proportion of population potentially excluded from healthcare coverage since the Royal Decree-Law 16/2012. To describe the use of health services, the distribution of chronic and infectious diseases, and the pharmaceutical costs in 2012 of the persons potentially excluded compared to the those who maintain their coverage.
DESIGN AND SETTING: An observational analytical cross-sectional study was designed and conducted on a Primary Care based population in the Central Catalonia Management Area of the Institut Català de la Salut PARTICIPANTS AND MAIN MEASUREMENTS: Individuals potentially excluded since the application of the Royal Decree-Law 16/2012 were selected and compared with individuals who maintained their healthcare coverage, randomly matched by sex, age and Primary Care service. The information obtained included the use of health services, the distribution of chronic and infectious diseases, and the pharmaceutical costs during the year 2012.
RESULTS: A total of 1,699 individuals were identified as potentially excluded from healthcare coverage, 0.53% of the total of population (51.4% men), with a median of age of 34years (interquartile range, 28-43). The use of healthcare services, the chronic morbidity recorded, and the pharmaceutical costs during the year 2012 of the excluded individuals was lower than those of the non-excluded ones (P<.001). On the other hand, the infectious morbidity was higher in the excluded individuals (P<.001).
CONCLUSIONS: The results of the study suggests that this legislative measure does not seem to be justified for medical or economic reasons. It could also cause public health problems and contribute to the risk of social fracture.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2015 |
|---|---|
| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
|---|---|
| Enthalten in: |
Atencion primaria - 47(2015), 1 vom: 15. Jan., Seite 32-7 |
| Sprache: |
Spanisch |
|---|
| Weiterer Titel: |
Población potencialmente excluida de cobertura sanitaria con el Real Decreto 16/2012 y sus repercusiones sanitarias: la experiencia desde la Cataluña Central |
|---|
| Beteiligte Personen: |
Álamo-Junquera, Dolores [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Emigrantes e inmigrantes |
|---|
| Anmerkungen: |
Date Completed 10.01.2017 Date Revised 21.10.2021 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.aprim.2014.03.014 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM242084028 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM242084028 | ||
| 003 | DE-627 | ||
| 005 | 20231224125635.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231224s2015 xx |||||o 00| ||spa c | ||
| 024 | 7 | |a 10.1016/j.aprim.2014.03.014 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0807.xml |
| 035 | |a (DE-627)NLM242084028 | ||
| 035 | |a (NLM)25241354 | ||
| 035 | |a (PII)S0212-6567(14)00160-7 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a spa | ||
| 100 | 1 | |a Álamo-Junquera, Dolores |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Potentially excluded population from health coverage and health impact since Royal Decree 16/2012 |b The Central Catalonia experience |
| 246 | 3 | 3 | |a Población potencialmente excluida de cobertura sanitaria con el Real Decreto 16/2012 y sus repercusiones sanitarias: la experiencia desde la Cataluña Central |
| 264 | 1 | |c 2015 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 10.01.2017 | ||
| 500 | |a Date Revised 21.10.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2013 Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a OBJECTIVE: To assess the proportion of population potentially excluded from healthcare coverage since the Royal Decree-Law 16/2012. To describe the use of health services, the distribution of chronic and infectious diseases, and the pharmaceutical costs in 2012 of the persons potentially excluded compared to the those who maintain their coverage | ||
| 520 | |a DESIGN AND SETTING: An observational analytical cross-sectional study was designed and conducted on a Primary Care based population in the Central Catalonia Management Area of the Institut Català de la Salut PARTICIPANTS AND MAIN MEASUREMENTS: Individuals potentially excluded since the application of the Royal Decree-Law 16/2012 were selected and compared with individuals who maintained their healthcare coverage, randomly matched by sex, age and Primary Care service. The information obtained included the use of health services, the distribution of chronic and infectious diseases, and the pharmaceutical costs during the year 2012 | ||
| 520 | |a RESULTS: A total of 1,699 individuals were identified as potentially excluded from healthcare coverage, 0.53% of the total of population (51.4% men), with a median of age of 34years (interquartile range, 28-43). The use of healthcare services, the chronic morbidity recorded, and the pharmaceutical costs during the year 2012 of the excluded individuals was lower than those of the non-excluded ones (P<.001). On the other hand, the infectious morbidity was higher in the excluded individuals (P<.001) | ||
| 520 | |a CONCLUSIONS: The results of the study suggests that this legislative measure does not seem to be justified for medical or economic reasons. It could also cause public health problems and contribute to the risk of social fracture | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Emigrantes e inmigrantes | |
| 650 | 4 | |a Emigrants and immigrants | |
| 650 | 4 | |a España | |
| 650 | 4 | |a Medically uninsured | |
| 650 | 4 | |a Personas sin seguro médico | |
| 650 | 4 | |a Policy | |
| 650 | 4 | |a Políticas | |
| 650 | 4 | |a Spain | |
| 700 | 1 | |a Sala, Núria |e verfasserin |4 aut | |
| 700 | 1 | |a Millet, Joan-Pau |e verfasserin |4 aut | |
| 700 | 1 | |a Ortega-Gutiérrez, Lluïsa |e verfasserin |4 aut | |
| 700 | 1 | |a Planas-Giner, Albert |e verfasserin |4 aut | |
| 700 | 1 | |a Rovira, Carol |e verfasserin |4 aut | |
| 700 | 1 | |a Comet, Dolors |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Atencion primaria |d 1991 |g 47(2015), 1 vom: 15. Jan., Seite 32-7 |w (DE-627)NLM012612324 |x 1578-1275 |7 nnns |
| 773 | 1 | 8 | |g volume:47 |g year:2015 |g number:1 |g day:15 |g month:01 |g pages:32-7 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.aprim.2014.03.014 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 47 |j 2015 |e 1 |b 15 |c 01 |h 32-7 | ||