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Variations in preventive care utilisation in Europe.

Florence Jusot1, Zeynep Or2, Nicolas Sirven2

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Keywords:
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Area of Science:

  • Gerontology
  • Public Health
  • Health Services Research

Background:

  • Preventive services are crucial for healthy aging and independence in older populations.
  • Understanding factors influencing service utilization is key for effective prevention programs.
  • Variations in preventive care access exist across European countries.

Purpose of the Study:

  • To examine individual and health system factors influencing the utilization of preventive services among individuals aged 50 and over in 14 European countries.
  • To identify disparities in preventive care use within and across European nations.
  • To analyze the impact of socioeconomic status and health system characteristics on preventive service uptake.

Main Methods:

  • Utilized pooled data from the Survey of Health Ageing and Retirement in Europe (SHARE) and the British Household Panel Survey (BHPS).
  • Employed regression models to differentiate between individual demand-side factors and health system supply-side features.
  • Analyzed variations in preventive care utilization across 14 European countries.

Main Results:

  • Significant variations in preventive service utilization were observed both within and between European countries.
  • Higher education and income levels were consistently associated with increased use of preventive services, irrespective of country.
  • Higher public health expenditure and General Practitioner (GP) density correlated with greater preventive care use, while specialist density showed no significant effect.
  • Fee-for-service payment models for healthcare providers were linked to higher utilization of all health services, including cancer screening.

Conclusions:

  • Socioeconomic status and health system characteristics significantly influence preventive service utilization in older European populations.
  • Public health spending and GP availability are positively associated with preventive care uptake.
  • Payment structures for healthcare providers, particularly fee-for-service, can incentivize higher service utilization, including preventive screenings.