Publication

Neighborhood Socioeconomic Status and Health Care Costs: A Population-Wide Study in the Netherlands

de Boer, W. I. J., Buskens, E., Koning, R. H. & Mierau, J. O., Jun-2019, In : AMERICAN JOURNAL OF PUBLIC HEALTH. 109, 6, p. 927-933 7 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

de Boer, W. I. J., Buskens, E., Koning, R. H., & Mierau, J. O. (2019). Neighborhood Socioeconomic Status and Health Care Costs: A Population-Wide Study in the Netherlands. AMERICAN JOURNAL OF PUBLIC HEALTH, 109(6), 927-933. https://doi.org/10.2105/AJPH.2019.305035

Author

de Boer, Willem I. J. ; Buskens, Erik ; Koning, Ruud H. ; Mierau, Jochen O. / Neighborhood Socioeconomic Status and Health Care Costs : A Population-Wide Study in the Netherlands. In: AMERICAN JOURNAL OF PUBLIC HEALTH. 2019 ; Vol. 109, No. 6. pp. 927-933.

Harvard

de Boer, WIJ, Buskens, E, Koning, RH & Mierau, JO 2019, 'Neighborhood Socioeconomic Status and Health Care Costs: A Population-Wide Study in the Netherlands', AMERICAN JOURNAL OF PUBLIC HEALTH, vol. 109, no. 6, pp. 927-933. https://doi.org/10.2105/AJPH.2019.305035

Standard

Neighborhood Socioeconomic Status and Health Care Costs : A Population-Wide Study in the Netherlands. / de Boer, Willem I. J.; Buskens, Erik; Koning, Ruud H.; Mierau, Jochen O.

In: AMERICAN JOURNAL OF PUBLIC HEALTH, Vol. 109, No. 6, 06.2019, p. 927-933.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

de Boer WIJ, Buskens E, Koning RH, Mierau JO. Neighborhood Socioeconomic Status and Health Care Costs: A Population-Wide Study in the Netherlands. AMERICAN JOURNAL OF PUBLIC HEALTH. 2019 Jun;109(6):927-933. https://doi.org/10.2105/AJPH.2019.305035


BibTeX

@article{2977da0e6006450a98f425c14df4736f,
title = "Neighborhood Socioeconomic Status and Health Care Costs: A Population-Wide Study in the Netherlands",
abstract = "Objectives. To identify disparities in several types of insured health care costs in the Netherlands across neighborhoods with different socioeconomic statuses and to assess the room for improvement.Methods. We used 2015 Dutch whole-population registry data to estimate the age- and gender-specific cost structure by neighborhood for total, specialist, pharmaceutical, and mental health care. Classifying neighborhoods by the quintile of their neighborhood socioeconomic status (NSES), we determined differences in observed and expected health care costs for several scenarios of NSES improvement.Results. From low to high NSES, we found a clear downward gradient in health care costs. Total health care costs would drop by 7.3{\%} if each neighborhood's cost structure was equal to that of the most affluent neighborhoods. The potential for cost reduction appeared highest for females, for age groups between 40 and 60 years, and for pharmaceutical care.Conclusions. Low NSES is associated with relatively high health care costs, and represents considerable potential for cost savings in health care.Public Health Implications. Our research suggests that policies aimed at improving the socioeconomic determinants of health locally may be pivotal in containing health care costs.",
keywords = "INEQUALITIES",
author = "{de Boer}, {Willem I. J.} and Erik Buskens and Koning, {Ruud H.} and Mierau, {Jochen O.}",
year = "2019",
month = "6",
doi = "10.2105/AJPH.2019.305035",
language = "English",
volume = "109",
pages = "927--933",
journal = "AMERICAN JOURNAL OF PUBLIC HEALTH",
issn = "0090-0036",
publisher = "AMER PUBLIC HEALTH ASSOC INC",
number = "6",

}

RIS

TY - JOUR

T1 - Neighborhood Socioeconomic Status and Health Care Costs

T2 - A Population-Wide Study in the Netherlands

AU - de Boer, Willem I. J.

AU - Buskens, Erik

AU - Koning, Ruud H.

AU - Mierau, Jochen O.

PY - 2019/6

Y1 - 2019/6

N2 - Objectives. To identify disparities in several types of insured health care costs in the Netherlands across neighborhoods with different socioeconomic statuses and to assess the room for improvement.Methods. We used 2015 Dutch whole-population registry data to estimate the age- and gender-specific cost structure by neighborhood for total, specialist, pharmaceutical, and mental health care. Classifying neighborhoods by the quintile of their neighborhood socioeconomic status (NSES), we determined differences in observed and expected health care costs for several scenarios of NSES improvement.Results. From low to high NSES, we found a clear downward gradient in health care costs. Total health care costs would drop by 7.3% if each neighborhood's cost structure was equal to that of the most affluent neighborhoods. The potential for cost reduction appeared highest for females, for age groups between 40 and 60 years, and for pharmaceutical care.Conclusions. Low NSES is associated with relatively high health care costs, and represents considerable potential for cost savings in health care.Public Health Implications. Our research suggests that policies aimed at improving the socioeconomic determinants of health locally may be pivotal in containing health care costs.

AB - Objectives. To identify disparities in several types of insured health care costs in the Netherlands across neighborhoods with different socioeconomic statuses and to assess the room for improvement.Methods. We used 2015 Dutch whole-population registry data to estimate the age- and gender-specific cost structure by neighborhood for total, specialist, pharmaceutical, and mental health care. Classifying neighborhoods by the quintile of their neighborhood socioeconomic status (NSES), we determined differences in observed and expected health care costs for several scenarios of NSES improvement.Results. From low to high NSES, we found a clear downward gradient in health care costs. Total health care costs would drop by 7.3% if each neighborhood's cost structure was equal to that of the most affluent neighborhoods. The potential for cost reduction appeared highest for females, for age groups between 40 and 60 years, and for pharmaceutical care.Conclusions. Low NSES is associated with relatively high health care costs, and represents considerable potential for cost savings in health care.Public Health Implications. Our research suggests that policies aimed at improving the socioeconomic determinants of health locally may be pivotal in containing health care costs.

KW - INEQUALITIES

U2 - 10.2105/AJPH.2019.305035

DO - 10.2105/AJPH.2019.305035

M3 - Article

VL - 109

SP - 927

EP - 933

JO - AMERICAN JOURNAL OF PUBLIC HEALTH

JF - AMERICAN JOURNAL OF PUBLIC HEALTH

SN - 0090-0036

IS - 6

ER -

ID: 83282695