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Centre for Policy on Ageing | |
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Perceived discrimination in primary healthcare in Europe
— evidence from the cross-sectional QUALICOPC study | | Author(s) | Lise G M Hanssens, Jene D J Detollenaere, Amelie Van Pottelberge |
| Journal title | Health and Social Care in the Community, vol 25, no 2, March 2017 |
| Publisher | Wiley Blackwell, March 2017 |
| Pages | pp 641-651 |
| Source | wileyonlinelibrary.com/journal/hsc |
| Keywords | General practice ; Attitudes to the old of general public ; Ageism ; Economic status [elderly] ; Socio-economic groups ; European Union ; Quantitative studies ; Europe. |
| Annotation | Recent figures show that discrimination in healthcare still persists in the European Union (EU). Research has confirmed these results but focused mainly on the outcomes of perceived discrimination. Studies that take into account socioeconomic determinants of discrimination limit themselves to either ethnicity, income or education. This article explores the influence of socioeconomic indicators (e.g. gender, age, income, education and ethnicity) on perceived discrimination in 30 European countries. Data from the EU-funded QUALICOPC (Quality and Costs of Primary Care in Europe) study were used. These data were collected between October 2011 and December 2013 in the participating countries. In total, 7183 GPs (general practitioners) and 61932 patients participated in the study, which had an average response rate of 74.1%. Data collection was co-ordinated by NIVEL (the Netherlands Institute for Health Services Research). Bivariate binomial logistic regressions were used to estimate the impact of each socioeconomic indicator on perceived discrimination. Multivariate logistic regressions were used to estimate the unique effect of each indicator. Results indicate that in Europe, overall 7% of the respondents felt discriminated against, ranging between 1.4% and 12.8% at the country level. With regard to socioeconomic determinants in perceived discrimination, income and age are both important indicators, with lower income groups and younger people having a higher chance to feel discrimination. In addition, significant influences of education, gender, age and ethnicity discrimination were found in several countries. In most countries, more highly educated people, older people, women and the indigenous population appeared to feel less discriminated against. In conclusion, perceived discrimination in healthcare is reported in almost all European countries, but there is large variation between these countries. A high prevalence of perceived discrimination within a country does not also imply a correlation between socioeconomic indicators and perceived discrimination. (RH). |
| Accession Number | CPA-170224210 A |
| Classmark | L5: TOB: B:TOB: F:W: T4: WFC: 3DQ: 74 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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