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Equity considerations in health care: the relevance of claims

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  • Xavier Cuadras-Morató

    (Department of Economics and Centre for Health Economics, Universitat Pompeu Fabra, Barcelona, Spain)

  • José-Luis Pinto-Prades

    (Department of Economics and Centre for Health Economics, Universitat Pompeu Fabra, Barcelona, Spain)

  • José-Mar�a Abellán-Perpi�án

    (Universidad de Murcia, Murcia, Spain)

Abstract

The general issues of equity and efficiency are central to the analysis of resource allocation problems in health care. We examine them using axiomatic bargaining theory. We study different solutions that have been proposed and relate them to previous literature on health care allocation. In particular, we focus on the solutions based on axiomatic bargaining with claims, and show that they are appealing as distributive criteria in health policy. Finally, we present the results of a survey that tries to elicit moral intuitions of people about resource allocation problems and their different solutions. Copyright © 2001 John Wiley & Sons, Ltd.

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File URL: http://hdl.handle.net/10.1002/hec.590
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Bibliographic Info

Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 10 (2001)
Issue (Month): 3 ()
Pages: 187-205

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Handle: RePEc:wly:hlthec:v:10:y:2001:i:3:p:187-205

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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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  1. Bleichrodt, Han, 1997. "Health utility indices and equity considerations," Journal of Health Economics, Elsevier, vol. 16(1), pages 65-91, February.
  2. Chun, Y. & Thomson, W., 1989. "Bargaining Problems With Claims," RCER Working Papers 189, University of Rochester - Center for Economic Research (RCER).
  3. Dolan, Paul, 1998. "The measurement of individual utility and social welfare," Journal of Health Economics, Elsevier, vol. 17(1), pages 39-52, January.
  4. 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.
  5. Culyer, A. J. & Wagstaff, Adam, 1993. "Equity and equality in health and health care," Journal of Health Economics, Elsevier, vol. 12(4), pages 431-457, December.
  6. Clark, Derek, 1995. "Priority setting in health care: An axiomatic bargaining approach," Journal of Health Economics, Elsevier, vol. 14(3), pages 345-360, August.
  7. Herrero, Carmen & Marco, Maria Carmen, 1993. "Rational equal-loss solutions for bargaining problems," Mathematical Social Sciences, Elsevier, vol. 26(3), pages 273-286, November.
  8. Kalai, Ehud & Smorodinsky, Meir, 1975. "Other Solutions to Nash's Bargaining Problem," Econometrica, Econometric Society, vol. 43(3), pages 513-18, May.
  9. Anand, Sudhir & Hanson, Kara, 1997. "Disability-adjusted life years: a critical review," Journal of Health Economics, Elsevier, vol. 16(6), pages 685-702, December.
  10. Bossert, Walter, 1993. "An alternative solution to bargaining problems with claims," Mathematical Social Sciences, Elsevier, vol. 25(3), pages 205-220, May.
  11. Nash, John, 1950. "The Bargaining Problem," Econometrica, Econometric Society, vol. 18(2), pages 155-162, April.
  12. Wagstaff, Adam, 1991. "QALYs and the equity-efficiency trade-off," Journal of Health Economics, Elsevier, vol. 10(1), pages 21-41, May.
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Citations

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Cited by:
  1. HERRERO, Carmen & MORENO-TERNERO, Juan D. & PONTI, Giovanni, . "On the adjudication of conflicting claims: an experimental study," CORE Discussion Papers RP -2264, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  2. Abellán Perpiñán, José Mª & Sánchez Martínez,Fernando I. & Martínez Pérez, Jorge E., 2007. "La medición del bienestar social relacionado con la salud/The Measurement of the Health Related Social Welfare," Estudios de Economía Aplicada, Estudios de Economía Aplicada, vol. 25, pages 823 - 24 PÃ, Diciembre.
  3. Paula González & Nicolás Porteiro, 2009. "New perspectives in the design of pharmaceutical copayments," Economic Working Papers at Centro de Estudios Andaluces E2009/07, Centro de Estudios Andaluces.
  4. Juan de Dios Moreno Ternero & Carmen Herrero Blanco & Giovanni Ponti, 2003. "An Experiment On Bankruptcy," Working Papers. Serie AD 2003-03, Instituto Valenciano de Investigaciones Económicas, S.A. (Ivie).
  5. Stolk, Elly A. & Pickee, Stefan J. & Ament, Andre H.J.A. & Busschbach, Jan J.V., 2005. "Equity in health care prioritisation: An empirical inquiry into social value," Health Policy, Elsevier, vol. 74(3), pages 343-355, November.
  6. Marlies Ahlert & Katja Funke & Lars Schwettmann, 2013. "Thresholds, productivity, and context: an experimental study on determinants of distributive behaviour," Social Choice and Welfare, Springer, vol. 40(4), pages 957-984, April.
  7. Bleichrodt, Han & Doctor, Jason & Stolk, Elly, 2005. "A nonparametric elicitation of the equity-efficiency trade-off in cost-utility analysis," Journal of Health Economics, Elsevier, vol. 24(4), pages 655-678, July.
  8. Eyal Gamliel & Eyal Peer, 2010. "Attribute framing affects the perceived fairness of health care allocation principles," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 5(1), pages 11-20, February.
  9. Paul Dolan & Rebecca Shaw & Aki Tsuchiya & Alan Williams, 2005. "QALY maximisation and people's preferences: a methodological review of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 14(2), pages 197-208.

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