Originales
Asociación de los ingresos económicos con la utilización y la accesibilidad de los servicios sanitarios en España al inicio del siglo XXI
Association of income with use of and access to health services in Spain at the beginning of the XXI century
Enrique Regidor
, David Martínez, Paloma Astasio, Paloma Ortega, María Elisa Calle, Vicente Domínguez
Autor para correspondencia
enriqueregidor@hotmail.com
Correspondencia: Dr. Enrique Regidor Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad Complutense de Madrid. Ciudad Universitaria, s/n. 28040 Madrid. España.
Correspondencia: Dr. Enrique Regidor Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad Complutense de Madrid. Ciudad Universitaria, s/n. 28040 Madrid. España.
Departamento de Medicina Preventiva y Salud Pública, Universidad Complutense de Madrid, España
Leído
961
Vecesse ha leído el artículo
333
Total PDF
628
Total HTML
Compartir estadísticas
array:24 [ "pii" => "S0213911106715205" "issn" => "02139111" "doi" => "10.1157/13093202" "estado" => "S300" "fechaPublicacion" => "2006-09-01" "aid" => "71520" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "copyrightAnyo" => "2006" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2006;20:352-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2934 "formatos" => array:3 [ "EPUB" => 117 "HTML" => 2381 "PDF" => 436 ] ] "itemSiguiente" => array:19 [ "pii" => "S0213911106715217" "issn" => "02139111" "doi" => "10.1157/13093203" "estado" => "S300" "fechaPublicacion" => "2006-09-01" "aid" => "71521" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2006;20:360-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4809 "formatos" => array:3 [ "EPUB" => 124 "HTML" => 4112 "PDF" => 573 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "El hambre en la Guerra Civil española y la mortalidad por cardiopatía isquémica: una perspectiva desde la hipótesis de Barker" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "360" "paginaFinal" => "367" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Famine in the Spanish civil war and mortality from coronary heart disease: a perspective from Baker's hypothesis" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura Inés González Zapata, Carlos Alvarez-Dardet Díaz, Andreu Nolasco Bonmatí, José Aurelio Pina Romero, María José Medrano" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Laura Inés" "apellidos" => "González Zapata" ] 1 => array:2 [ "nombre" => "Carlos" "apellidos" => "Alvarez-Dardet Díaz" ] 2 => array:2 [ "nombre" => "Andreu" "apellidos" => "Nolasco Bonmatí" ] 3 => array:2 [ "nombre" => "José Aurelio" "apellidos" => "Pina Romero" ] 4 => array:2 [ "nombre" => "María" "apellidos" => "José Medrano" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715217?idApp=WGSE" "url" => "/02139111/0000002000000005/v1_201301241603/S0213911106715217/v1_201301241603/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0213911106715199" "issn" => "02139111" "doi" => "10.1157/13093201" "estado" => "S300" "fechaPublicacion" => "2006-09-01" "aid" => "71519" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2006;20:342-51" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3839 "formatos" => array:3 [ "EPUB" => 119 "HTML" => 3201 "PDF" => 519 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Priorización de pacientes en lista de espera para cirugía de cataratas: diferencias en las preferencias entre ciudadanos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "342" "paginaFinal" => "351" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prioritizing patients on waiting list for cataract surgery:preference differences among citizens" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura Sampietro-Colom, Mireia Espallargues, Mercè Comas, Eva Rodríguez, Xavier Castells, José Luis Pinto" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Laura" "apellidos" => "Sampietro-Colom" ] 1 => array:2 [ "nombre" => "Mireia" "apellidos" => "Espallargues" ] 2 => array:2 [ "nombre" => "Mercè" "apellidos" => "Comas" ] 3 => array:2 [ "nombre" => "Eva" "apellidos" => "Rodríguez" ] 4 => array:2 [ "nombre" => "Xavier" "apellidos" => "Castells" ] 5 => array:2 [ "nombre" => "José" "apellidos" => "Luis Pinto" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715199?idApp=WGSE" "url" => "/02139111/0000002000000005/v1_201301241603/S0213911106715199/v1_201301241603/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Asociación de los ingresos económicos con la utilización y la accesibilidad de los servicios sanitarios en España al inicio del siglo XXI" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "352" "paginaFinal" => "359" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Enrique Regidor, David Martínez, Paloma Astasio, Paloma Ortega, María Elisa Calle, Vicente Domínguez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Enrique" "apellidos" => "Regidor" "email" => array:1 [ 0 => "enriqueregidor@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "David" "apellidos" => "Martínez" ] 2 => array:2 [ "nombre" => "Paloma" "apellidos" => "Astasio" ] 3 => array:2 [ "nombre" => "Paloma" "apellidos" => "Ortega" ] 4 => array:2 [ "nombre" => "María" "apellidos" => "Elisa Calle" ] 5 => array:2 [ "nombre" => "Vicente" "apellidos" => "Domínguez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Medicina Preventiva y Salud Pública, Universidad Complutense de Madrid, España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dr. Enrique Regidor Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad Complutense de Madrid. Ciudad Universitaria, s/n. 28040 Madrid. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Association of income with use of and access to health services in Spain at the beginning of the XXI century" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-10-06" "fechaAceptado" => "2006-01-26" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec14133" "palabras" => array:4 [ 0 => "Servicios sanitarios" 1 => "Utilización" 2 => "Accesibilidad a los servicios sanitarios" 3 => "Ingresos económicos" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec14134" "palabras" => array:4 [ 0 => "Health services" 1 => "Utilization" 2 => "Access to health care" 3 => "Income" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Estimar la asociación de los ingresos económicos del hogar y de la renta provincial con las consultas al medico general y al especialista y con la hospitalización. Estimar si el tiempo de espera para acceder a esos servicios varía con esas características.</p> <span class="elsevierStyleSectionTitle">Método</span><p class="elsevierStyleSimplePara elsevierViewall">Datos de la Encuesta Nacional de Salud de 2001. La asociación se estimó mediante la <span class="elsevierStyleItalic">odds ratio</span>, ajustada por edad y sexo, y en el caso de la renta per cápita se ajustó también por los ingresos económicos del hogar. Se estimaron los percentiles y la media geométrica de los tiempos de espera en cada servicio sanitario y se evaluó la significación estadística de su asociación con ambas variables económicas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Los sujetos con menores ingresos económicos presentan la mayor frecuencia de consultas al médico general y hospitalización, aunque esperan más tiempo para ser hospitalizados. Estos sujetos presentan la menor frecuencia de consultas al especialista: la <span class="elsevierStyleItalic">odds ratio</span> en el cuartil más bajo de ingresos frente al más alto fue 0,73 (intervalo de confianza del 95%, 0,62-0,87), aunque en las consultas financiadas públicamente la menor frecuencia se observa en los sujetos con mayores ingresos. No se han encontrado diferencias en la utilización y en los tiempos de espera según la renta provincial.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La frecuencia de consultas al especialista según los ingresos económicos del hogar muestra un patron distinto al observado en las consultas al médico general y en la hospitalización. El mayor tiempo de espera para hospitalización se observa en los sujetos con menores ingresos económicos.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To estimate the association of household income and provincial income with visits to general practitioners and specialists and with hospitalization and to determine whether waiting times to access these services vary with both economic variables.</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">Data from the 2001 National Health Survey were used. The association was estimated by sex- and age-adjusted odds ratios; in the case of per capita income, odds ratios were also adjusted for household income. Percentiles and the geometric mean of waiting times in each health service were estimated and the statistical significance of their association with both economic variables was evaluated.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Subjects with the lowest household income showed the highest frequency of visits to general practitioners and hospitalization, although they waited longer for hospital admission. Subjects with the lowest household income also showed the lowest frequency of specialist visits: the odds ratio in the lowest income quartile with respect to the highest income quartile was 0.73 (95% CI: 0.62-0.87). However, when only visits to specialists working in the public system were analyzed, the lowest frequency of visits was observed in subjects with the highest household income. No differences were found in health services utilization or in waiting times according to provincial income.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The frequency of specialist visits according to household income shows a different pattern from that observed for visits to general practitioners and hospitalizations. The longest waiting times for admission to hospital were observed in subjects with the lowest household income.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The roel of the NHS" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Benzeval" 1 => "K. Judge" 2 => "M. Whitehead" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:2 [ "titulo" => "Tackling inequalities in health. An agenda for action" "serieFecha" => "1995" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "As the health divide widens in Sweden and Britain, what's happening to access to care?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Whitehead" 1 => "M. Evandrou" 2 => "B. Haglund" 3 => "F. Diderichsen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "BMJ" "fecha" => "1997" "volumen" => "315" "paginaInicial" => "1006" "paginaFinal" => "1009" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9365303" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The contribution of medical care to mortality decline: McKeown revisited" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.P. Mackenbach" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Clin Epidemiol" "fecha" => "1996" "volumen" => "49" "paginaInicial" => "1207" "paginaFinal" => "1213" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8892485" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estimation of contribution of changes in coronary care to improving survival, event rates, and coronary heart disease mortality across the WHO MONICA Project populations" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H. Tunstall-Pedoe" 1 => "D. Vanuzo" 2 => "M. Hobbs" 3 => "M. Mahonen" 4 => "Z. Cepaitis" 5 => "K. Kuulasmaa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "2000" "volumen" => "355" "paginaInicial" => "688" "paginaFinal" => "700" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10703800" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Explanation for the Decline in Coronary Heart Disease Mortality Rates in Auckland, New Zealand, Between 1982 and 1993" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Capewell" 1 => "R. Beaglehole" 2 => "M. Seddon" 3 => "J. McMurray" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "2000" "volumen" => "102" "paginaInicial" => "1511" "paginaFinal" => "1516" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11004141" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "UK and USA breast cancer deaths down 25% in year 2000 at ages 20-69 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R. Peto" 1 => "J. Boreham" 2 => "M. Clarke" 3 => "C. Davies" 4 => "V. Beral" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(05)73078-6" "Revista" => array:5 [ "tituloSerie" => "Lancet" "fecha" => "2002" "volumen" => "355" "paginaInicial" => "1822" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10832854" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:1 [ "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:2 [ "titulo" => "Health inequalities. Decennial supplement" "serieFecha" => "1997" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Widening socioeconomic inequalities in mortality in six European countries" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.P. Mackenbach" 1 => "V. Bos" 2 => "O. Andersen" 3 => "M. Cardano" 4 => "G. Costa" 5 => "S. Harding" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Epidemiol" "fecha" => "2003" "volumen" => "32" "paginaInicial" => "830" "paginaFinal" => "837" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14559760" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trends in socio-economic inequalities in self assessed health in ten European countries" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.E. Kunst" 1 => "V. Bos" 2 => "E. Lahelma" 3 => "M. Bartley" 4 => "I. Lissau" 5 => "E. Regidor" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/ije/dyh342" "Revista" => array:6 [ "tituloSerie" => "Int J Epidemiol" "fecha" => "2005" "volumen" => "34" "paginaInicial" => "295" "paginaFinal" => "305" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15563586" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diferencias socioeconómicas en la utilización y accesibilidad de los servicios sanitarios en España" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E. Regidor" 1 => "S. De Mateo" 2 => "J.L. Gutiérrez-Fisac" 3 => "K. Fernández de la Hoz" 4 => "C. Rodríguez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "1996" "volumen" => "107" "paginaInicial" => "285" "paginaFinal" => "288" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Self-perceived health status and inequalities in use of health services in Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K. Fernández de la Hoz" 1 => "D. Leon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Epidemiol" "fecha" => "1996" "volumen" => "25" "paginaInicial" => "593" "paginaFinal" => "693" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8671561" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Social inequalities in perceived health and the use of health services in a southern European urban area" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Borrell" 1 => "I. Rohlfs" 2 => "J. Ferrando" 3 => "M.I. Pasarín" 4 => "F. Domínguez Berjón" 5 => "A. Plasencia" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Health Serv" "fecha" => "1999" "volumen" => "29" "paginaInicial" => "743" "paginaFinal" => "764" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10615572" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evolución de las diferencias socioeconómicas en la utilización y accesibilidad de los servicios sanitarios en España entre 1987 y 1995/1997" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L. Lostao" 1 => "E. Regidor" 2 => "M.E. Calle" 3 => "P. Navarro" 4 => "V. Domínguez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Salud Pública" "fecha" => "2001" "volumen" => "75" "paginaInicial" => "115" "paginaFinal" => "128" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11400422" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Equivalence scales, well-being, inequality and poverty: sensitivity estimates across 10 countries using the LIS database" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Buhmann" 1 => "L. Rainwater" 2 => "G. Schmauss" 3 => "T. Smeeding" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Income Wealth" "fecha" => "1988" "volumen" => "34" "paginaInicial" => "115" "paginaFinal" => "142" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Utilización de los modelos multinivel en investigación sanitaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.J. Catalán-Reyes" 1 => "MP. Galindo-Villardon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Gac Sanit" "fecha" => "2003" "volumen" => "17" "numero" => "Supl 3" "paginaInicial" => "35" "paginaFinal" => "52" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14980185" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Multilevel análisis in public health" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Díez Roux" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ann Rev Public Health" "fecha" => "2000" "volumen" => "21" "paginaInicial" => "193" "paginaFinal" => "221" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inequalities in income and longterm disability in the regions of Spain: analysis of recent hypotheses with a crosssectional study based on individual data" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Regidor" 1 => "P. Navarro" 2 => "V. Domínguez" 3 => "C. Rodríguez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "BMJ" "fecha" => "1997" "volumen" => "315" "paginaInicial" => "11306" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Income and health: what is the nature of the relationship?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Ecob" 1 => "G. Davey Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Soc Sci Med" "fecha" => "1999" "volumen" => "48" "paginaInicial" => "693" "paginaFinal" => "705" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10080369" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Características de la demanda sanitaria en las consultas de medicina de familia de un área de salud de la Comunidad Valenciana" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "V. Pedrera" 1 => "V. Gil" 2 => "D. Orozco" 3 => "I. Prieto" 4 => "G. Schwarz" 5 => "I. Moya" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "2005" "volumen" => "35" "paginaInicial" => "82" "paginaFinal" => "88" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15727750" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Condicionantes en la utilización de los servicios de atención primaria. Evidencias empíricas e inconsistencias metodológicas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Sáez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Gac Sanit" "fecha" => "2003" "volumen" => "17" "paginaInicial" => "412" "paginaFinal" => "419" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14599425" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The limits to demand for health care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Frankel" 1 => "S. Ebrahim" 2 => "G. Davey Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "BMJ" "fecha" => "2000" "volumen" => "321" "paginaInicial" => "40" "paginaFinal" => "45" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10875836" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The concept of access: definition and relationships to consumer satisfaction" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Penchansky" 1 => "J.W. Thomas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Care" "fecha" => "1981" "volumen" => "19" "paginaInicial" => "127" "paginaFinal" => "140" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7206846" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Características de las personas que acuden a las consultas de demanda del centro de salud sin cita previa" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Isanta" 1 => "P. Rivera" 2 => "M. Pedraja" 3 => "N. Jiménez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Salud Pública" "fecha" => "2000" "volumen" => "74" "paginaInicial" => "263" "paginaFinal" => "274" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10918813" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Socioeconomic and gender inequities in access to coronary artery bypass grafting in Finland" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I. Keskimäki" 1 => "S. Kosjkinen" 2 => "M. Salinto" 3 => "S. Aro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Eur J Public Health" "fecha" => "1997" "volumen" => "7" "paginaInicial" => "393" "paginaFinal" => "397" ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Does access to cardiac investigation and treatment contribute to social and ethnic differences in coronary heart disease? Whitehall II prospective cohort study ?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Britton" 1 => "M. Shipley" 2 => "M. Marmot" 3 => "H. Hemingway" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "BMJ" "fecha" => "2004" "volumen" => "329" "paginaInicial" => "18" "paginaFinal" => "323" ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib26" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Equity of access to health care: outlining the foundations for action" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A. Oliver" 1 => "E. Mossialos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/jech.2003.017731" "Revista" => array:6 [ "tituloSerie" => "J Epidemiol Community Health" "fecha" => "2004" "volumen" => "58" "paginaInicial" => "655" "paginaFinal" => "658" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15252067" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02139111/0000002000000005/v1_201301241603/S0213911106715205/v1_201301241603/es/main.assets" "Apartado" => array:4 [ "identificador" => "764" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02139111/0000002000000005/v1_201301241603/S0213911106715205/v1_201301241603/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715205?idApp=WGSE" ]
Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13093202
Datos actualizados diariamente
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 4 | 1 | 5 |
| 2024 Octubre | 58 | 37 | 95 |
| 2024 Septiembre | 43 | 16 | 59 |
| 2024 Agosto | 60 | 18 | 78 |
| 2024 Julio | 36 | 22 | 58 |
| 2024 Junio | 29 | 9 | 38 |
| 2024 Mayo | 42 | 25 | 67 |
| 2024 Abril | 34 | 15 | 49 |
| 2024 Marzo | 36 | 18 | 54 |
| 2024 Febrero | 31 | 48 | 79 |
| 2024 Enero | 29 | 18 | 47 |
| 2023 Diciembre | 24 | 13 | 37 |
| 2023 Noviembre | 20 | 11 | 31 |
| 2023 Octubre | 24 | 16 | 40 |
| 2023 Septiembre | 32 | 9 | 41 |
| 2023 Agosto | 28 | 12 | 40 |
| 2023 Julio | 34 | 24 | 58 |
| 2023 Junio | 47 | 15 | 62 |
| 2023 Mayo | 17 | 6 | 23 |
Mostrar todo
