@unpublished{theses_frw4656,
           title = {Democracy's vital signs: unravelling the nexus between healthcare access and voting trends in Europe},
          author = {Marianne Luise Mayer},
            year = {2024},
        abstract = {With the recent rise in anti-establishment voting within Europe, it is evident that certain regions are feeling increasingly marginalised. Recent studies have shown the association between individual and contextual socioeconomic determinants on political discontent. Simultaneously, healthcare, as a core service of national governments, has seen centralisation policies in the name of efficiency impose barriers to healthcare access in certain regions. This thesis examines the influence of barriers to healthcare access on political discontent within the European Union. The individual and structural barriers to healthcare access were analysed on three levels; individual, regional and country level. A multilevel regression analysis with random intercepts was employed to identify the variance between these levels. The results indicate that sex, income and educational attainment have significant negative associations with political discontent. 8\% of variation in political discontent was identified as country-specific, whilst 3\% of variation was linked to the regional level. The remaining variation (89\%) can be attributed to the individual level. Future research should explore the country-specific variations of these findings, as well as expand on healthcare access barriers to include perceived barriers.},
             url = {https://frw.studenttheses.ub.rug.nl/4656/}
}