Advanced Search
MyIDEAS: Login to save this article or follow this journal

Measuring Income-Related Inequalities in Health in Multi-Country Analysis/Midiendo las desigualdades en salud relacionadas con la renta entre países

Contents:

Author Info

  • HERNÁNDEZ-QUEVEDO, CRISTINA

    ()
    (European Observatory on Health Systems and Policies, LSE Health, Cowdray House, Houghton Street, WC2A 2AE London, United Kingdom.)

  • MASSERIA, CRISTINA

    ()
    (GSK Vaccines, 2301 Renaissance Boulevard King of Prussia, PA 19406, Philadelphia, USA.)

Abstract

Health inequalities remain a cause of concern for policymakers across the world. However, the measurement and monitoring of health inequalities over time and across countries remain a research challenge. The concentration index is one of the most popular measurement tools, however, it presents several drawbacks, especially for bounded variables, which are discussed in this study. Results from the European Community Household Panel dataset and the Statistics of Income and Living Conditions for Europe suggest that there is evidence of persistent socioeconomic inequalities in health in Europe. Further, results show the need of reporting both absolute and relative inequalities for appropriately monitoring and comparing trends in health inequalities across countries. Las desigualdades en salud siguen siendo prioritarias en la agenda política de los países. Sin embargo, la medida y la monitorización de dichas desigualdades en el tiempo y entre países continúan siendo un desafío para los investigado¬res. El Índice de Concentración es una de las herramientas más utilizadas; sin embargo, éste presenta limitaciones, especialmente para variables limitadas, que son comentadas en este estudio. Los resultados obtenidos a partir del Panel de Hogares de la Unión Europea y las Estadísticas de Renta y Condiciones de Vida Europea demuestran que existen desigualdades socioeconómicas en salud en Europa persistentes en el tiempo. Además, de los resultados se desprende la necesidad de mostrar las desigualdades tanto absolutas como relativas, para realizar el seguimiento adecuado de las mismas y asimismo, favorecer la comparación de las desigualdades en salud entre países.

Download Info

If 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.
File URL: http://www.revista-eea.net
Download Restriction: Access to full text is restricted to subscribers.

As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

Bibliographic Info

Article provided by Estudios de Economía Aplicada in its journal Estudios de Economía Aplicada.

Volume (Year): 31 (2013)
Issue (Month): (Septiembre)
Pages: 455-476

as in new window
Handle: RePEc:lrk:eeaart:31_2_12

Contact details of provider:
Postal: Beatriz Rodríguez Prado. Facultad de CC.EE. y EE. Avda. Valle del Esgueva. Valladolid 47011 SPAIN
Phone: (34) 983 423320
Fax: (34) 983 184568
Web page: http://www.revista-eea.net
More information through EDIRC

Order Information:
Email:
Web: http://www.revista-eea.net

Related research

Keywords: Índice de Concentración; desigualdades en salud; salud autopercibida; limitaciones en salud; Europa ; Concentration Index; Inequalities In Health; Self-Assessed Health; Health Limitations; Europe.;

Find related papers by JEL classification:

References

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
as in new window
  1. Erreygers, Guido, 2009. "Correcting the Concentration Index: A reply to Wagstaff," Journal of Health Economics, Elsevier, Elsevier, vol. 28(2), pages 521-524, March.
  2. Cristina Hernández-Quevedo & Andrew M. Jones & Nigel Rice, 2007. "Persistence in health limitations: a European comparative analysis," Health, Econometrics and Data Group (HEDG) Working Papers, HEDG, c/o Department of Economics, University of York 07/03, HEDG, c/o Department of Economics, University of York.
  3. Jones, Andrew M. & Wildman, John, 2008. "Health, income and relative deprivation: Evidence from the BHPS," Journal of Health Economics, Elsevier, Elsevier, vol. 27(2), pages 308-324, March.
  4. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
  5. Newey, Whitney K & West, Kenneth D, 1994. "Automatic Lag Selection in Covariance Matrix Estimation," Review of Economic Studies, Wiley Blackwell, Wiley Blackwell, vol. 61(4), pages 631-53, October.
  6. Adam Wagstaff, 2011. "Reply to Guido Erreygers and Tom Van Ourti's comment on ‘The concentration index of a binary outcome revisited’," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 20(10), pages 1166-1168, October.
  7. Wagstaff, Adam & van Doorslaer, Eddy & Paci, Pierella, 1989. "Equity in the Finance and Delivery of Health Care: Some Tentative Cross-country Comparisons," Oxford Review of Economic Policy, Oxford University Press, Oxford University Press, vol. 5(1), pages 89-112, Spring.
  8. Guido Erreygers & Tom Van Ourti, 2011. "Putting the cart before the horse. A comment on Wagstaff on inequality measurement in the presence of binary variables," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 20(10), pages 1161-1165, October.
  9. Clarke, Philip M. & Gerdtham, Ulf-G. & Johannesson, Magnus & Bingefors, Kerstin & Smith, Len, 2002. "On the measurement of relative and absolute income-related health inequality," Social Science & Medicine, Elsevier, Elsevier, vol. 55(11), pages 1923-1928, December.
  10. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2002. "Simulation-based Inference in Dynamic Panel Probit Models: an Application to Health," Department of Economics Working Papers 2002-12, McMaster University.
  11. ERREYGERS, Guido, 2006. "Correcting the Concentration Index," Working Papers 2006027, University of Antwerp, Faculty of Applied Economics.
  12. Bobak, Martin & Pikhart, Hynek & Rose, Richard & Hertzman, Clyde & Marmot, Michael, 2000. "Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries," Social Science & Medicine, Elsevier, Elsevier, vol. 51(9), pages 1343-1350, November.
  13. Adam Wagstaff, 2005. "The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 14(4), pages 429-432.
  14. Adam Wagstaff & Eddy van Doorslaer, 2000. "Measuring and Testing for Inequity in the Delivery of Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 35(4), pages 716-733.
  15. Van de Poel, Ellen & O'Donnell, Owen & Van Doorslaer, Eddy, 2007. "Are urban children really healthier? Evidence from 47 developing countries," Social Science & Medicine, Elsevier, Elsevier, vol. 65(10), pages 1986-2003, November.
  16. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, Elsevier, vol. 33(5), pages 545-557, January.
  17. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications, The World Bank, number 6896, August.
  18. Franco Peracchi, 2002. "The European Community Household Panel: A review," Empirical Economics, Springer, Springer, vol. 27(1), pages 63-90.
  19. Le Grand, Julian, 1978. "The Distribution of Public Expenditure: The Case of Health Care," Economica, London School of Economics and Political Science, London School of Economics and Political Science, vol. 45(178), pages 125-42, May.
  20. Adam Wagstaff & Eddy van Doorslaer, 2004. "Overall versus socioeconomic health inequality: a measurement framework and two empirical illustrations," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 13(3), pages 297-301.
  21. Cristina Hernández Quevedo & Andrew M Jones & Ángel López Nicolás & Nigel Rice, 2005. "Socioeconomic inequalities in health: a comparative longitudinal analysis using the European Community Household Panel," Health, Econometrics and Data Group (HEDG) Working Papers, HEDG, c/o Department of Economics, University of York 05/12, HEDG, c/o Department of Economics, University of York.
  22. Olsen, Karen M. & Dahl, Svenn-Åge, 2007. "Health differences between European countries," Social Science & Medicine, Elsevier, Elsevier, vol. 64(8), pages 1665-1678, April.
  23. Erreygers, Guido & Clarke, Philip & Van Ourti, Tom, 2012. "“Mirror, mirror, on the wall, who in this land is fairest of all?”—Distributional sensitivity in the measurement of socioeconomic inequality of health," Journal of Health Economics, Elsevier, Elsevier, vol. 31(1), pages 257-270.
Full references (including those not matched with items on IDEAS)

Citations

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:lrk:eeaart:31_2_12. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Beatriz Rodríguez Prado).

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.