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Equity in Health Care Utilization: Further Tests Based on Hurdle Models and Swedish Micro Data

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Author Info
Ulf- G. Gerdtham (Centre for Health Economics, Stockholm School of Economics, Sweden)
Abstract

This paper tests the null hypothesis of no horizontal inequity in delivery of health care by use of count data hurdle models and Swedish micro data. It differs from most earlier work in three principal ways: First, the tests are carried out separately for physician and hospital care; second, the tests are carried out separately for the probability of seeking care and the amount of care received (given any use); and third, the tests are based on a model that includes several socioeconomic variables, e.g. income, education and size of community of residence. The paper rejects the hypothesis of no inequity because socioeconomic factors also have significant effects on utilization, e.g. income and size of community of residence. Size of community of residence has a positive significant effect on the frequency of physician visits but not on the probability of visiting a physician. © 1997 by John Wiley & Sons, Ltd.

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

Volume (Year): 6 (1997)
Issue (Month): 3 ()
Pages: 303-319
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Handle: RePEc:wly:hlthec:v:6:y:1997:i:3:p:303-319

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  2. Monika Sander, 2008. "Is There Migration-Related Inequity in Access to or in the Utilisation of Health Care in Germany?," SOEPpapers 147, DIW Berlin, The German Socio-Economic Panel (SOEP). [Downloadable!]
  3. Tamara Tonoyan, 2005. "Poverty, Inequality and Health: А case study of Armenia," Departmental Discussion Papers 124, University of Goettingen, Department of Economics. [Downloadable!]
  4. Rosa M. Urbanos-Garrido, . "Measurement of Inequity in the Delivery of Public Health Care: Evidence from Spain (1997)," Working Papers 2001-15, FEDEA. [Downloadable!]
  5. Dolores Jiménez-Rubio, 2007. "Ethnicity And Equity In The Use Of Health Care Services In The Spanish National Health Care System," FEG Working Paper Series 07/07, Faculty of Economics and Business (University of Granada). [Downloadable!]
  6. Antonio Clavero Barranquero & Mª. Luz González Alvarez, 2005. "A survey of econometric models to analyze the demand and utilisation of health care," Hacienda Pública Española, IEF, vol. 173(2), pages 129-162, June. [Downloadable!]
  7. Ignacio Abásolo & Jaime Pinilla & Miguel Negrín, 2008. "Equity in the utilization of public health care services by regions in Spain: a multinivel analysis," Hacienda Pública Española, IEF, vol. 187(4), pages 87-106, December. [Downloadable!]
  8. Marcus Tamm, 2005. "The Effect of Poverty on the Health of Newborn Children – Evidence from Germany," RWI Discussion Papers 0033, Rheinisch-Westfälisches Institut für Wirtschaftsforschung. [Downloadable!]
  9. Tom Van Ourti, 2004. "Measuring horizontal inequity in Belgian health care using a Gaussian random effects two part count data model," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 705-724. [Downloadable!]
  10. Eddy van Doorslaer & Xander Koolman & Andrew M. Jones, 2004. "Explaining income-related inequalities in doctor utilisation in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 629-647. [Downloadable!]
  11. Rosa María Urbanos Garrido, 1999. "Una revisión de las investigaciones sobre la equidad horizontal en la prestación sanitaria: principales resultados de los estudios españoles," Documentos de trabajo de la Facultad de Ciencias Económicas y Empresariales 99-13, Universidad Complutense de Madrid, Facultad de Ciencias Económicas y Empresariales. [Downloadable!]
  12. Kenya Valeria Micaela de Souza Noronha & Mônica Viegas Andrade, 2002. "Social inequality in the access to healthcare services in Brazil," Textos para Discussão Cedeplar-UFMG td172, Cedeplar, Universidade Federal de Minas Gerais. [Downloadable!]
  13. Teresa Bago d'Uva, 2006. "Latent class models for utilisation of health care," Health Economics, John Wiley & Sons, Ltd., vol. 15(4), pages 329-343. [Downloadable!]
  14. Teresa Bago d’Uva, 2005. "Latent class models for utilisation of health care," Health, Econometrics and Data Group (HEDG) Working Papers 05/01, HEDG, c/o Department of Economics, University of York. [Downloadable!]
  15. Sisira Sarma & Wayne Simpson, 2006. "A microeconometric analysis of Canadian health care utilization," Health Economics, John Wiley & Sons, Ltd., vol. 15(3), pages 219-239. [Downloadable!]
  16. Atella Vincenzo & Francesco Brindisi & Partha Deb & Furio C. Rosati, 2002. "Determinants Of Access To Physician Services In Italy: A Latent Class Probit Approach," Departmental Working Papers 158, Tor Vergata University, CEIS. [Downloadable!]
  17. José A. Pagán & Andrea Puig & Beth J. Soldo, 2007. "Health insurance coverage and the use of preventive services by Mexican adults," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1359-1369. [Downloadable!]
  18. João Cotter Salvado, 2008. "The Determinants of Health Care Utilization in Portugal: An Approach with Count Data Models," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 144(III), pages 437-458, September. [Downloadable!]
  19. Arsène Kouadio & Vincent Monsan & Mamadou Gbongue, 2008. "Social Welfare and Demand for Health Care in the Urban Areas of Côte d'Ivoire," Research Papers RP_181, African Economic Research Consortium. [Downloadable!]
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