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Inequality and polarisation in health systems' responsiveness: A cross-country analysis

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  • Jones, Andrew M.
  • Rice, Nigel
  • Robone, Silvana
  • Dias, Pedro Rosa

Abstract

The World Health Report 2000 proposed three fundamental goals for health systems encompassing population health, health care finance and health systems responsiveness. The goals incorporate both an efficiency and equity dimension. While inequalities in population health and health care finance have motivated two important strands of research, inequalities in responsiveness have received less attention in health economics. This paper examines inequality and polarisation in responsiveness, bridging this gap in the literature and contributing towards an integrated analysis of health systems performance. It uses data from the World Health Survey to measure and compare inequalities in responsiveness across 25 European countries. In order to respect the inherently ordinal nature of the responsiveness data, median-based measures of inequality and polarisation are employed. The results suggest that, in the face of wide differences in the health systems analysed, there exists large variability in inequality in responsiveness across countries.

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Bibliographic Info

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

Volume (Year): 30 (2011)
Issue (Month): 4 (July)
Pages: 616-625

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Handle: RePEc:eee:jhecon:v:30:y:2011:i:4:p:616-625

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

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Keywords: Health systems' responsiveness Ordered response data Inequality Polarisation;

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References

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Cited by:
  1. Ellen van de Poel & Eddy van Doorslaer & Owen O'Donnell, 2011. "Measurement of Inequity in Health Care with Heterogeneous Response of Use to Need," Tinbergen Institute Discussion Papers 11-155/3, Tinbergen Institute.
  2. Roemling, Cornelia & Qaim, Matin, 2013. "Dual burden households and intra-household nutritional inequality in Indonesia," Economics & Human Biology, Elsevier, vol. 11(4), pages 563-573.
  3. G. Fiorentini & G. Ragazzi & S. Robone, 2014. "Are bad health and pain making us grumpy? An empirical evaluation of reporting heterogeneity in rating health system responsiveness," Working Papers wp933, Dipartimento Scienze Economiche, Universita' di Bologna.
  4. Ellen van de Poel & Eddy van Doorslaer & Owen O'Donnell, 2011. "Measurement of Inequity in Health Care with Heterogeneous Response of Use to Need," Tinbergen Institute Discussion Papers 11-155/3, Tinbergen Institute.

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