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Equity in health

In: Handbook of Health Economics

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Author Info
Williams, Alan
Cookson, Richard
Abstract

Equity in health has to be distinguished from equity in access to health care, or equity in the distribution of health care resources. We take as a working definition of health for our purposes the number of quality adjusted life years that a person may expect to enjoy over his or her lifetime. Although we mostly follow the economists' custom of regarding equity as synonymous with reducing inequalities in health, we also consider the much richer variety of concepts employed by philosophers when discussing distributive justice. Here however we have distinguished notions of justice which are essentially procedural from those which are substantive, concentrating mainly on the latter. What we have sought to do is to identify the implications of various philosophical theories of justice for the way in which a welfare economist might appraise a particular distribution of health within a community. To do this we distinguish theories which place constraints on admissible outcomes (the health opportunity set), from theories which require the social welfare function (or maximand) to have particular properties. This classification is summarised in the Table 1, which is the key exhibit around which the analysis and exposition is organised.

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This chapter was published in: A. J. Culyer & J. P. Newhouse (ed.) Handbook of Health Economics, , chapter 35, pages 1863-1910, 2000.

This item is provided by Elsevier in its series Handbook of Health Economics with number 1-35.

Handle: RePEc:eee:heachp:1-35

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Related research
This chapter was published in the following book, which is listed on IDEAS:
A. J. Culyer & J. P. Newhouse (ed.), 2000. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, edition 1, volume 1, number 1, September. [Downloadable!] (restricted)
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Find related papers by JEL classification:
I1 - Health, Education, and Welfare - - Health

Cited by:
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  1. 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!]
  2. Katharina Hauck & Rebecca Shaw & Peter C. Smith, 2002. "Reducing avoidable inequalities in health: a new criterion for setting health care capitation payments," Health Economics, John Wiley & Sons, Ltd., vol. 11(8), pages 667-677. [Downloadable!]
  3. Hugo Benitez-Silva & Moshe Buchinsky & John Rust & Emine Boz & Joseph B. Nichols & Sharbani Roy & Ignez Tristao, 2005. "Health Status, Insurance, and Expenditures in the Transition from Work to Retirement," Department of Economics Working Papers 05-11, Stony Brook University, Department of Economics. [Downloadable!]
  4. Dolores Jiménez-Rubio & Peter C. Smith & Eddy Van Doorslaer, 2008. "Equity in health and health care in a decentralised context: evidence from Canada," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 377-392. [Downloadable!]
  5. David Mayston, . "Developing a Framework Theory for Assessing the Benefits of Careers Guidance," Discussion Papers 02/08, Department of Economics, University of York. [Downloadable!]
  6. Carmen Herrero & Juan Moreno-Ternero, 2008. "Opportunity analysis of newborn screening programs," Review of Economic Design, Springer, vol. 12(4), pages 259-277, December. [Downloadable!] (restricted)
    Other versions:
  7. Andrew M. Jones & Angel López Nicolás, 2004. "Measurement and explanation of socioeconomic inequality in health with longitudinal data," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 1015-1030. [Downloadable!]
    Other versions:
  8. Minhaj Mahmud, 2006. "Using Choice Experiments to Measure Relative Values of Statistical Lives: Evidence from Bangladesh," Keele Economics Research Papers KERP 2006/02, Centre for Economic Research, Keele University. [Downloadable!]
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