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Measuring horizontal inequity in health care using Belgian panel data

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  • VAN OURTI, Tom

Abstract

We estimate the determinants of utilisation of physician and hospital services in Belgium using four different regression techniques. We apply a one- and two-part panel count data model, and a oneand two part cross-section count data model. We conclude that the two-part panel count data model is most appropriate as it controls for unobserved heterogeneity and allows for a two-part decision making process. The estimates of the determinants of utilisation of health care are then used to calculate indices of horizontal inequity. We find that there is little difference between the indices based on cross-section and the indices based on panel estimators. We further present longitudinal evidence on equity in Belgian health care and find that all indices are stable across years. We also find that general practitioner and hospital care are pro-poor distributed, while horizontal equity applies to specialist care. We further show that the inequity might be different for (i) the probability to contact the health care sector, (ii) the conditional number of visits, and (iii) the unconditional number of visits.

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File URL: https://www.uantwerpen.be/images/uantwerpen/container1244/files/TEW%20-%20Onderzoek/Working%20Papers/RPS/2002/RPS-2002-034.pdf
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Bibliographic Info

Paper provided by University of Antwerp, Faculty of Applied Economics in its series Working Papers with number 2002034.

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Length: 59 pages
Date of creation: Oct 2002
Date of revision:
Handle: RePEc:ant:wpaper:2002034

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Postal: Prinsstraat 13, B-2000 Antwerpen
Web page: https://www.uantwerp.be/en/faculties/applied-economic-sciences/
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Related research

Keywords: Equity in health care; Count data; Two-part model; Panel data;

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Cited by:
  1. Mª Luz González Alvarez & Antonio Clavero Barranquero, 2008. "An analysis of income-related inequalities in the health care use by dynamic models," Hacienda Pública Española, IEF, vol. 186(3), pages 9-42, October.
  2. Anne Nolan, 2007. "A dynamic analysis of GP visiting in Ireland: 1995-2001," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 129-143.
  3. Ana I. Balsa & Máximo Rossi & Patricia Triunfo, 2009. "Horizontal inequity in access to health care in four South American cities," Working Papers 131, ECINEQ, Society for the Study of Economic Inequality.
  4. 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.

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