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Las políticas de equidad en salud y las relaciones entre renta y salud

Author

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  • Guillem López-Casasnovas

    (Universidad Pompeu Fabra)

  • Berta Rivera

    (Universidad de A Coruña)

Abstract

El análisis de las desigualdades en salud plantea dificultades conceptuales a la hora de traducirse en políticas de equidad en la asignación de los recursos sanitarios. En este trabajo se analiza la evidencia empírica que estudia los determinantes de la salud de las poblaciones —y en especial de sus relaciones con la renta—, a efectos de la potencial articulación de políticas de equidad en salud. Se tratan los principales problemas metodológicos asociados al uso de diferentes factores de priorización, del nivel de agregación empleado de las variables empleadas y de la relación de causalidad existente entre ellas. Asimismo, se realizan algunas reflexiones finales sobre la necesidad de redefinir la agenda de investigación para mejorar las definiciones de las políticas de equidad en salud. Classification-JEL : D31, I31, H51, I18.

Suggested Citation

  • Guillem López-Casasnovas & Berta Rivera, 2002. "Las políticas de equidad en salud y las relaciones entre renta y salud," Hacienda Pública Española / Review of Public Economics, IEF, vol. 161(2), pages 99-126, June.
    • Handle: RePEc:hpe:journl:y:2002:v:161:i:2:p:99-126
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    1. Kawachi, I. & Kennedy, B.P. & Glass, R., 1999. "Social capital and self-rated health: A contextual analysis," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1187-1193.
    2. Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
    3. Parkin, David & McGuire, Alistair & Yule, Brian, 1987. "Aggregate health care expenditures and national income : Is health care a luxury good?," Journal of Health Economics, Elsevier, vol. 6(2), pages 109-127, June.
    4. Alan Williams, 1997. "Intergenerational Equity: An Exploration of the ‘Fair Innings’ Argument," Health Economics, John Wiley & Sons, Ltd., vol. 6(2), pages 117-132, March.
    5. D Feeny & G Torrance, 1989. "Incorporating Utility-based Quality-of-life Assessment Measures in Clinical Trials: Two Examples," Centre for Health Economics and Policy Analysis Working Paper Series 12, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    6. Kawachi, I. & Kennedy, B.P. & Lochner, K. & Prothrow-Stith, D., 1997. "Social capital, income inequality, and mortality," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1491-1498.
    7. Robert J. Waldmann, 1992. "Income Distribution and Infant Mortality," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 107(4), pages 1283-1302.
    8. Pierre‐Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639, November.
    9. Contoyannis, Paul & Forster, Martin, 1999. "The distribution of health and income: a theoretical framework," Journal of Health Economics, Elsevier, vol. 18(5), pages 603-620, October.
    10. Adam Wagstaff & Eddy Van Doorslaer, 1994. "Measuring inequalities in health in the presence of multiple‐category morbidity indicators," Health Economics, John Wiley & Sons, Ltd., vol. 3(4), pages 281-291, July.
    11. Gravelle, Hugh & Wildman, John & Sutton, Matthew, 2002. "Income, income inequality and health: what can we learn from aggregate data?," Social Science & Medicine, Elsevier, vol. 54(4), pages 577-589, February.
    12. van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, vol. 16(1), pages 93-112, February.
    13. Olsen, Jan Abel, 1997. "Theories of justice and their implications for priority setting in health care," Journal of Health Economics, Elsevier, vol. 16(6), pages 625-639, December.
    14. Arber, Sara & Lahelma, Eero, 1993. "Inequalities in women's and men's ill-health: Britain and Finland compared," Social Science & Medicine, Elsevier, vol. 37(8), pages 1055-1068, October.
    15. Berta Rivera & Luis Currais, 1999. "Economic growth and health: direct impact or reverse causation?," Applied Economics Letters, Taylor & Francis Journals, vol. 6(11), pages 761-764.
    16. Sudhir Anand & Martin Ravallion, 1993. "Human Development in Poor Countries: On the Role of Private Incomes and Public Services," Journal of Economic Perspectives, American Economic Association, vol. 7(1), pages 133-150, Winter.
    17. Jennifer Roberts, 1999. "Sensitivity of elasticity estimates for OECD health care spending: analysis of a dynamic heterogeneous data field," Health Economics, John Wiley & Sons, Ltd., vol. 8(5), pages 459-472, August.
    18. Johannesson, Magnus & Johansson, Per-Olov, 1997. "Quality of life and the WTP for an increased life expectancy at an advanced age," Journal of Public Economics, Elsevier, vol. 65(2), pages 219-228, August.
    19. Torrance, George W., 1986. "Measurement of health state utilities for economic appraisal : A review," Journal of Health Economics, Elsevier, vol. 5(1), pages 1-30, March.
    20. Le Grand, Julian, 1978. "The Distribution of Public Expenditure: The Case of Health Care," Economica, London School of Economics and Political Science, vol. 45(178), pages 125-142, May.
    21. José Ma. Abellán Perpiñán & José Luis PintoPrades, 2000. "Quality adjusted life years as expected utilities," Spanish Economic Review, Springer;Spanish Economic Association, vol. 2(1), pages 49-63.
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    Cited by:

    1. Raúl del Pozo Rubio & Pablo Moya Martínez & Francisco Escribano Sotos & María Elisa Amo Saus, 2018. "Gasto público en visitas a servicios sanitarios ocasionados por los hábitos de alimentación de personas mayores," Hacienda Pública Española / Review of Public Economics, IEF, vol. 227(4), pages 37-62, December.
    2. Roberto Montero Granados & José Jesús Martín Martín & Juan de Dios Jiménez Aguilera, 2008. "Horizontal Inequity in Access to Healthcare Services and Educational Level in Spain," FEG Working Paper Series 08/03, Faculty of Economics and Business (University of Granada).

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    More about this item

    Keywords

    distribución de renta; equidad; gasto sanitario; intervención pública.;
    All these keywords.

    JEL classification:

    • D31 - Microeconomics - - Distribution - - - Personal Income and Wealth Distribution
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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