The Stratifying Effect of Healthcare Systems. An International Comparison of Inequalities in Healthcare Utilization and Quality of Life

Research question/goal: 

Disparities in health are a persistent form of stratification in all societies. This project examines the relationship between the healthcare system and inequalities in health within and between advanced industrialized societies. It argues that the institutional structure of the healthcare system is an important determinant of inequalities in health. The study combines institutional information on healthcare systems with data on population health (from OECD health data) and individual health status (from survey data).

Current stage: 

In 2013, one paper based on the methodological conclusions drawn from the project was published in the peer-reviewed journal “Health Policy”. Another paper on the effect of primary care on inequalities in healthcare utilization using the Medical Expenditure Panel Survey (MEPS) was presented at the Annual Meeting of the American Sociological Association and submitted for publication.

Fact sheet

CDSS, Studienstiftung des Deutschen Volkes
2009 to 2014
Data Sources: 
Comparative survey data, institutional data on health systems
Geographic Space: 
Europe, US