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The link between income inequality and health in Europe, adding strength dimensions of primary care to the equation

(2018) SOCIAL SCIENCE & MEDICINE. 201. p.103-110
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Abstract
Income inequality has been dearly associated with reduced population health. A body of evidence suggests that a strong primary care system may mitigate this negative association. The aim of this study is to assess the strength of the primary care system's effect on the inverse association between income inequality and health in Europe. Health is operationalised using four cross-sectional outcomes: self-rated health, life expectancy, mental well-being, and infant mortality. Strength of the primary care system is measured using the framework of the Primary Health Care Activity Monitor Europe, and income inequality by the Gini coefficient. Multiple regression models with interaction terms were used. The results confirm that especially the structure and continuity dimension of primary care strength can buffer the inverse association between income inequality and health. European policymakers should therefore focus on strengthening primary care systems in order to reduce inequity in health.
Keywords
Europe, Primary care, Strength, Income inequality, Health, Gini, SELF-RATED HEALTH, POPULATION HEALTH, LIFE EXPECTANCY, SPECIALTY CARE, MORTALITY, COUNTRIES, STATES

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Chicago
Detollenaere, Jens, Ann-Sophie Desmarest, Pauline Boeckxstaens, and Sara Willems. 2018. “The Link Between Income Inequality and Health in Europe, Adding Strength Dimensions of Primary Care to the Equation.” Social Science & Medicine 201: 103–110.
APA
Detollenaere, J., Desmarest, A.-S., Boeckxstaens, P., & Willems, S. (2018). The link between income inequality and health in Europe, adding strength dimensions of primary care to the equation. SOCIAL SCIENCE & MEDICINE, 201, 103–110.
Vancouver
1.
Detollenaere J, Desmarest A-S, Boeckxstaens P, Willems S. The link between income inequality and health in Europe, adding strength dimensions of primary care to the equation. SOCIAL SCIENCE & MEDICINE. 2018;201:103–10.
MLA
Detollenaere, Jens, Ann-Sophie Desmarest, Pauline Boeckxstaens, et al. “The Link Between Income Inequality and Health in Europe, Adding Strength Dimensions of Primary Care to the Equation.” SOCIAL SCIENCE & MEDICINE 201 (2018): 103–110. Print.
@article{8551605,
  abstract     = {Income inequality has been dearly associated with reduced population health. A body of evidence suggests that a strong primary care system may mitigate this negative association. The aim of this study is to assess the strength of the primary care system's effect on the inverse association between income inequality and health in Europe. Health is operationalised using four cross-sectional outcomes: self-rated health, life expectancy, mental well-being, and infant mortality. Strength of the primary care system is measured using the framework of the Primary Health Care Activity Monitor Europe, and income inequality by the Gini coefficient. Multiple regression models with interaction terms were used. The results confirm that especially the structure and continuity dimension of primary care strength can buffer the inverse association between income inequality and health. European policymakers should therefore focus on strengthening primary care systems in order to reduce inequity in health.},
  author       = {Detollenaere, Jens and Desmarest, Ann-Sophie and Boeckxstaens, Pauline and Willems, Sara},
  issn         = {0277-9536},
  journal      = {SOCIAL SCIENCE \& MEDICINE},
  keyword      = {Europe,Primary care,Strength,Income inequality,Health,Gini,SELF-RATED HEALTH,POPULATION HEALTH,LIFE EXPECTANCY,SPECIALTY CARE,MORTALITY,COUNTRIES,STATES},
  language     = {eng},
  pages        = {103--110},
  title        = {The link between income inequality and health in Europe, adding strength dimensions of primary care to the equation},
  url          = {http://dx.doi.org/10.1016/j.socscimed.2018.01.041},
  volume       = {201},
  year         = {2018},
}

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