Horizontal equity in health care utilization evidence from three high-income Asian economies
AbstractThis paper compares the extent to which the principle of "equal treatment for equal need"(ETEN) is maintained in the health care delivery systems of Hong Kong, South Korea and Taiwan. Deviations in the degree to which health care is distributed according to need are measured by an index of horizontal inequity. Income-related inequality in utilization is split into four major sources: (i) direct effect of income; (ii) need indicators (self-assessed health status, activity limitation, and age and gender interaction terms); (iii) non-need variables (education, work status, private health insurance coverage, employer-provided medical benefits, Medicaid status (low-income medical assistance), geographic region and urban/rural residency and (iv) a residual term. Service types studied include western doctor, licensed traditional medicine practitioner (LTMP), dental and emergency room (ER) visits, as well as inpatient admissions. Violations of the ETEN principle are observed for physician and dental services in Hong Kong . There is pro-rich inequity in western doctor visits. Unusually, this inequity exists for general practitioner but not specialist care. In contrast, South Korea appears to have almost comprehensively maintained ETEN although the better-off have preferential access to higher levels of outpatient care. Taiwan shows intermediate results in that the rich are marginally more likely to use outpatient services, but quantities of western doctor and dental visits are evenly distributed while there is modest pro-rich bias in the number of LTMP episodes. ER visits and inpatient admissions in Taiwan are either proportional or slightly pro-poor. Future work should focus on the evaluation of policy interventions aimed at reducing the observed unequal distributions.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by Elsevier in its journal Social Science & Medicine.
Volume (Year): 64 (2007)
Issue (Month): 1 (January)
Contact details of provider:
Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Gabriel M. Leung & Keith Y. K. Tin & Owen O'Donnell, 2009. "Redistribution or horizontal equity in Hong Kong's mixed public-private health system: a policy conundrum," Health Economics, John Wiley & Sons, Ltd., vol. 18(1), pages 37-54.
- FLEURBAEY, Marc & SCHOKKAERT, Erik, 2011. "Equity in health and health care," CORE Discussion Papers 2011026, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
- Hai Zhong, 2010. "On decomposing the inequality and inequity change in health care utilization: change in means, or change in the distributions?," International Journal of Health Care Finance and Economics, Springer, vol. 10(4), pages 369-386, December.
- Mohammad Hajizadeh & Luke B. Connelly & James R.G. Butler & Aredshir Khosravi, 2012. "Unmet need and met unneed in health care utilisation in Iran," International Journal of Social Economics, Emerald Group Publishing, vol. 39(6), pages 400-422, May.
- Watanabe, Ryo & Hashimoto, Hideki, 2012. "Horizontal inequity in healthcare access under the universal coverage in Japan; 1986–2007," Social Science & Medicine, Elsevier, vol. 75(8), pages 1372-1378.
- Teresa Bago d'Uva & Andrew M. Jones & Eddy van Doorslaer, 2007.
"Measurement of Horizontal Inequity in Health Care Utilisation using European Panel Data,"
Tinbergen Institute Discussion Papers
07-059/3, Tinbergen Institute.
- Bago d'Uva, Teresa & Jones, Andrew M. & van Doorslaer, Eddy, 2009. "Measurement of horizontal inequity in health care utilisation using European panel data," Journal of Health Economics, Elsevier, vol. 28(2), pages 280-289, March.
- Teresa Bago d’Uva & Andrew M. Jones & Eddy van Doorslaer, 2007. "Measurement of horizontal inequity in health care utilisation using European Panel data," Health, Econometrics and Data Group (HEDG) Working Papers 07/17, HEDG, c/o Department of Economics, University of York.
- Sato, Azusa, 2012. "Do Inequalities in Health Care Utilization in Developing Countries Change When We Take into Account Traditional Medicines?," World Development, Elsevier, vol. 40(11), pages 2275-2289.
- E. Xie, 2011. "Income-related inequalities of health and health care utilization," Frontiers of Economics in China, Springer, vol. 6(1), pages 131-156, March.
- van Doorslaer, Eddy & O'Donnell, Owen, 2008.
"Measurement and Explanation of Inequality in Health and Health Care in Low-Income Settings,"
Working Paper Series
DP2008/04, World Institute for Development Economic Research (UNU-WIDER).
- Eddy van Doorslaer & Owen Oâ€™ Donnell, 2010. "Measurement and Explanation of Inequality in Health and Health Care in Low-Income Settings," Working Papers id:3177, eSocialSciences.
- Adam Wagstaff, 2007.
"Health systems in East Asia: what can developing countries learn from Japan and the Asian Tigers?,"
John Wiley & Sons, Ltd., vol. 16(5), pages 441-456.
- Wagstaff, Adam, 2005. "Health systems in East Asia : what can developing countrieslearn from Japan and the Asian tigers ?," Policy Research Working Paper Series 3790, The World Bank.
- 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.
- Van de Poel, Ellen & Van Doorslaer, Eddy & O’Donnell, Owen, 2012. "Measurement of inequity in health care with heterogeneous response of use to need," Journal of Health Economics, Elsevier, vol. 31(4), pages 676-689.
- 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.
- Layte, Richard & Nolan, Anne, 2013. "Income-Related Inequity in the Use of GP Services: A Comparison of Ireland and Scotland," Papers WP454, Economic and Social Research Institute (ESRI).
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If references are entirely missing, you can add them using this form.