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Health care deprivation profiles in the measurement of inequality and inequity: An application to GP fundholding in the English NHS

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  • Laudicella, Mauro
  • Cookson, Richard
  • Jones, Andrew M.
  • Rice, Nigel

Abstract

This paper proposes a new approach to the measurement of inequality and inequity in the delivery of health care based on contributions from the literature on poverty and deprivation. This approach has some appealing characteristics: (1) inequity is additively decomposable by population subgroups; (2) the approach does not rely on socio-economic ranks; (3) it provides a graphical representation of the distribution of inequity; (4) it offers a range of indices consistent with dominance. An empirical application is provided investigating the effect of the GP fundholding reform on equity in English NHS. The results show that the most equitable GP practices self-selected into the scheme in 1991; evidence of an inequity-reducing treatment effect as well as a self-selection effect are found in 1992 and 1993; the self-selection process reduces and no evidence of a treatment effect is present thereafter.

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Bibliographic Info

Article provided by Elsevier in its journal Journal of Health Economics.

Volume (Year): 28 (2009)
Issue (Month): 6 (December)
Pages: 1048-1061

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Handle: RePEc:eee:jhecon:v:28:y:2009:i:6:p:1048-1061

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Web page: http://www.elsevier.com/locate/inca/505560

Related research

Keywords: Inequality Inequity Health care Deprivation GP fundholding;

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References

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Cited by:
  1. Richard Cookson & Mauro Laudicella & Paolo Li Donni, 2011. "Does hospital competition harm equity? Evidence from the English National Health Service," Working Papers 066cherp, Centre for Health Economics, University of York.
  2. Nádia Simões & Nuno Crespo & Sandrina B. Moreira & Celeste A. Varum, 2013. "Measurement and Determinants of Health Poverty and Richness – Evidence from Portugal," Working Papers Series 2 13-08, ISCTE-IUL, Business Research Unit (BRU-IUL).

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