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Equity in the Utilisation of Hospital Inpatient Services in Ireland? An Improved Approach to the Measurement of Health Need

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  • Richard Layte

    (Economic and Social Research Institute, Dublin)

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    Abstract

    The complex interweaving of public and private provision in Irish hospitals has led to concerns that hospital care is not available to all on the basis of need alone. Previous research on Irish hospitals found that utilisation was neutral across the income distribution controlling for health status – i.e., there was essentially equal treatment for equal need irrespective of income. However, the health indicator used in these analyses may not consistently measure health status across income groups. In this paper we combine multiple indicators into a composite "Ill Health Index" and find that the measure used for standardisation has important consequences.

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    File URL: http://www.esr.ie/Vol38_2/02ESRIVol38.pdf
    File Function: First version, 2007
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    Bibliographic Info

    Article provided by Economic and Social Studies in its journal Economic and Social Review.

    Volume (Year): 38 (2007)
    Issue (Month): 2 ()
    Pages: 191-210

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    Handle: RePEc:eso:journl:v:38:y:2007:i:2:p:191-210

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    Web page: http://www.esr.ie

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    1. Adda, Jerome & Chandola, Tarani & Marmot, Michael, 2003. "Socio-economic status and health: causality and pathways," Journal of Econometrics, Elsevier, vol. 112(1), pages 57-63, January.
    2. Tim Callan & Brian Nolan, 1991. "Distributional Aspects of Ireland's Fiscal Adjustment," Papers WP029, Economic and Social Research Institute (ESRI).
    3. Nolan, Brian, 1991. "The Utilisation and Financing of Health Services in Ireland," Research Series, Economic and Social Research Institute (ESRI), number GRS155.
    4. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    5. Richard Layte & Brian Nolan, 2004. "Equity in the Utilisation of Health Care in Ireland," The Economic and Social Review, Economic and Social Studies, vol. 35(2), pages 111–134.
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    Cited by:
    1. Jacqueline O'Reilly & Miriam M. Wiley, 2008. "How Local is Hospital Treatment? An Exploratory Analysis of Public/Private Variation in Location of Treatment in Irish Acute Public Hospitals," Papers WP237, Economic and Social Research Institute (ESRI).
    2. 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).
    3. Nolan, Anne, 2011. "An extension in eligibility for free primary care and avoidable hospitalisations: A natural experiment," Social Science & Medicine, Elsevier, vol. 73(7), pages 978-985.

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