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The distributive fairness of out-of-pocket healthcare expenditure in the Russian Federation

Author

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  • Pavitra Paul

    (University of Eastern Finland
    Aix-Marseille Université)

Abstract

This article examines the effects of socioeconomic position and urban–rural settlement on the distribution of out-of-pocket expenditure (OPE) for health in the Russian Federation. Data comes from 2005 to 2016 waves of the Russian Longitudinal Monitoring Survey. Concentration index reflects changes in the distribution of OPE between the worse-off and the better-off Russians over a 12-year period. Finally, unconditional quantile regression—a recentred influence function approach estimates differential impacts of covariates along the distribution of OPE. OPE is concentrated amongst the better-off Russians in 2016. Urban settlements contribute to top end OPE distribution for the richest and town settlements, at the median for the richest and the poorest. Our model for the analysis is unique in the context of study population, as it marginalises the effect over the distributions of other covariates used in the model.

Suggested Citation

  • Pavitra Paul, 2020. "The distributive fairness of out-of-pocket healthcare expenditure in the Russian Federation," International Journal of Health Economics and Management, Springer, vol. 20(1), pages 13-40, March.
    • Handle: RePEc:kap:ijhcfe:v:20:y:2020:i:1:d:10.1007_s10754-019-09268-9
    DOI: 10.1007/s10754-019-09268-9
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    More about this item

    Keywords

    Distribution; Expenditure; Fairness; Out-of-pocket; Quantile; Socioeconomic;
    All these keywords.

    JEL classification:

    • D39 - Microeconomics - - Distribution - - - Other
    • D69 - Microeconomics - - Welfare Economics - - - Other
    • H49 - Public Economics - - Publicly Provided Goods - - - Other
    • H89 - Public Economics - - Miscellaneous Issues - - - Other
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I39 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Other

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