[EQ] Health care utilization in Ecuador: a multilevel analysis of socio-economic determinants and inequality issues

Health care utilization in Ecuador:
a multilevel analysis of socio-economic determinants and inequality issues

Daniel F López-Cevallos^1,* and Chunhuei Chi^2
1Division of Health Education, Western Oregon University, Monmouth, Oregon, USA and ²Department of Public Health, Oregon State University, Corvallis, OR, USA
Health Policy and Planning Advance Access published online on November 16, 2009
Health Policy and Planning, doi:10.1093/heapol/czp052

Website: http://heapol.oxfordjournals.org/cgi/content/abstract/czp052

“…..This article examines socio-economic determinants and inequality of health care utilization in Ecuador. Despite health reform efforts in Latin America, drastic socio-economic inequalities persist across the region, including Ecuador. Almost a third of Ecuador's population lack regular access to health services, while more than two-thirds have no health insurance and insufficient resources to pay for health care services.

Using Andersen's model of health care utilization behaviour, relevant variables were selected from the 2004 National Demographic and Maternal & Child Health Survey (ENDEMAIN) household survey.

Four outcomes were assessed:
- use of preventive services,
- number of curative visits,
- hospitalization, and
- use of antiparasitic medicines…..”

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