Inequity in the use of physician services in Norway before and after introducing patient lists in primary care
2011

Inequity in Physician Services in Norway

Sample size: 3371 publication 10 minutes Evidence: moderate

Author Information

Author(s): Astrid L. Grasdal, Karin Monstad

Primary Institution: Department of Economics, University of Bergen

Hypothesis

Did the introduction of patient lists in Norway improve equity in the use of physician services?

Conclusion

The introduction of patient lists improved access to private specialist services, particularly benefiting the less well-off.

Supporting Evidence

  • Pro-rich inequity in the probability of seeing a private outpatient specialist has declined.
  • Improved patient-doctor stability facilitated by the introduction of patient lists improved access to private specialist services.
  • Income-related inequity in the use of private specialists has decreased but still exists.

Takeaway

This study looked at how fair it is for people to see doctors in Norway. After a new system was put in place, more people who needed help could see specialists.

Methodology

The study analyzed data from the Surveys of Living Conditions for the years 2000, 2002, and 2005, measuring inequity using concentration indices.

Potential Biases

Potential reporting bias in self-assessed health measures may affect the results.

Limitations

The study does not claim to identify causal effects of the reform on equity.

Participant Demographics

The study included individuals aged 16-69 from various income levels in Norway.

Statistical Information

P-Value

0.0472

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-9276-10-25

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