title: [Austerity policies and changes in healthcare use patterns. SESPAS report 2014].
abstract: This article analyzes the main changes in healthcare use patterns in Spain related to the economic recession and to the measures taken to address it. The impact of the reform of drug copayment is examined; the number of prescriptions has decreased, although the effects of this reform on adherence, access to necessary and effective treatments, and health, are still unknown. This article also describes how waiting times and waiting lists for surgery have increased in recent years, as has the population's dissatisfaction with the national health system. Analysis of microdata from the Spanish national health surveys for 2006 and 2011/12 show that the economic recession is deterring the use of uncovered dental visits among the lowest social class. We recommend clearer definition of the role played by copayments within the national health system, and focussing on those who most need healthcare in order to prevent the more socioeconomically advantaged collectives from consuming a larger share of available services after the cuts.
authors.affiliation: Departamento de Economía Aplicada VI, Facultad de CC. Económicas y Empresariales, Universidad Complutense de Madrid, Madrid, España. Electronic address: urbanos@ccee.ucm.es.
authors.forename: Rosa
authors.initials: R
authors.lastname: Urbanos Garrido
authors.affiliation: Departament d'Economia i Empresa, Facultat de Ciències Econòmiques i Empresarials, i Centre de Recerca en Economia i Salud (CRES), Universitat Pompeu Fabra, Barcelona, España.
authors.forename: Jaume
authors.initials: J
authors.lastname: Puig-Junoy
mesh_terms: D002017:Budgets; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D057172:Economic Recession; D006801:Humans; D007348:Insurance, Health; D057766:Policy; D012051:Reimbursement Mechanisms; D013030:Spain
keywords: Copago; Copayments; Crisis; Drugs; Equidad; Equity; Healthcare use; Medicamentos; Utilización sanitaria