736f824c9e5773c1627a348e9d468167 308600.pdf e2e798946ea767dce924d90725bfff8c0119907c 308600.pdf 54e49e540adb9a1628d74f46634d83d36ef7869de8ec7a34ed2e74646bb5d1ed 308600.pdf Title: A Decade of Monitoring Primary Healthcare Experiences through the Lens of Inequality Subject: Background: Health care is not exempt from harboring social inequalities, including in those countries with a universal public system. The objective was to ascertain whether the population’s assessment of primary care (PC) changed between 2006 and 2016, the decade that included the economic crisis of 2008, and also if it exhibited patterns of social inequality in Barcelona (Spain). Methods: This was a cross-sectional study using Barcelona Health Surveys 2006 and 2016. Samples (4027 and 3082 respectively) comprised residents in Barcelona, over 15 years old. Dependent variable: Primary Care (PC) index. Independent variables: age, social class, and birthplace. Analyses included means and percentiles of PC index, and Somers’ D test to compare the distribution of the groups. Results: Comparing 2016 with 2006, the distribution of the PC index remained in women (median of 73.3) and improved in men (from 70 to 73.3). By social class, the pattern of inequality observed in 2006 in men with perceived poor health status disappeared in 2016. Inequalities according to birthplace persisted in women, regardless of perceived health status, but disappeared in men. Conclusions: In the 10 years between which the global economic crisis occurred, the assessment of PC did not worsen, and it did improve for men, but the study points to the need for more focus on people born abroad. Keywords: primary care; health inequalities; public health; access to care; health information Author: M. Isabel Pasarín, Maica Rodríguez-Sanz, Silvina Berra, Carme Borrell and Kátia B. Rocha Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25 CreationDate: Fri Sep 13 08:37:16 2024 CEST ModDate: Fri Sep 13 08:40:51 2024 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 12 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 290362 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- SSNIUI+VnURWPalladioL-Bold Type 1 Custom yes yes yes 10 0 KPIRDJ+URWPalladioL-Bold Type 1 Custom yes yes yes 16 0 UMUIND+URWPalladioL-Roma Type 1 Custom yes yes yes 22 0 XASHEC+URWPalladioL-Ital Type 1 Custom yes yes yes 27 0 IPXDXF+VnURWPalladioL Type 1 Custom yes yes yes 32 0 XAOEUN+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 48 0 KWKPAT+CMSY10 Type 1 Builtin yes yes yes 68 0 JCMBAC+URWPalladioL-BoldItal Type 1 Custom yes yes yes 79 0 CRUZTT+VnURWPalladioL-Italic Type 1 Custom yes yes yes 106 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-03-04 02:44:12 CET RepresentationInformation: 308600.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-03-03 13:43:10 CET Size: 290362 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 273 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Item: Title: Results Destination: section.3 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions and Recommendations Destination: section.5 Item: Title: References Destination: section.6 Info: Title: A Decade of Monitoring Primary Healthcare Experiences through the Lens of Inequality Author: M. Isabel Pasarín, Maica Rodríguez-Sanz, Silvina Berra, Carme Borrell and Kátia B. Rocha Subject: Background: Health care is not exempt from harboring social inequalities, including in those countries with a universal public system. The objective was to ascertain whether the population’s assessment of primary care (PC) changed between 2006 and 2016, the decade that included the economic crisis of 2008, and also if it exhibited patterns of social inequality in Barcelona (Spain). Methods: This was a cross-sectional study using Barcelona Health Surveys 2006 and 2016. Samples (4027 and 3082 respectively) comprised residents in Barcelona, over 15 years old. Dependent variable: Primary Care (PC) index. Independent variables: age, social class, and birthplace. Analyses included means and percentiles of PC index, and Somers’ D test to compare the distribution of the groups. Results: Comparing 2016 with 2006, the distribution of the PC index remained in women (median of 73.3) and improved in men (from 70 to 73.3). By social class, the pattern of inequality observed in 2006 in men with perceived poor health status disappeared in 2016. Inequalities according to birthplace persisted in women, regardless of perceived health status, but disappeared in men. Conclusions: In the 10 years between which the global economic crisis occurred, the assessment of PC did not worsen, and it did improve for men, but the study points to the need for more focus on people born abroad. 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