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Health Supplier Quality and the Distribution of Child Health

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  • Simon Burgess
  • Carol Propper
  • John A. Rigg

Abstract

There is emerging evidence to suggest that initial differentials between the health of poor and more affluent children in the UK do not widen over early childhood. One reason may be that through the universal public funded health care system all children have access to equally effective primary care providers. This paper examines this explanation. The analysis has two components. It first examines whether children from poorer families have access to general practitioners of a similar quality to children from richer families. It then examines whether the quality of primary care to which a child has access has an impact on their health at birth and on their health during early childhood. The results suggest that children from poor families do not have access to markedly worse quality primary care, and further, that the quality of primary care does not appear to have a large effect on differentials in child health in early childhood.

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File URL: http://sticerd.lse.ac.uk/dps/case/cp/CASEpaper102.pdf
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Bibliographic Info

Paper provided by Centre for Analysis of Social Exclusion, LSE in its series CASE Papers with number 102.

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Date of creation: Jun 2005
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Handle: RePEc:cep:sticas:102

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Web page: http://sticerd.lse.ac.uk/case/_new/publications/default.asp

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Keywords: primary care quality; child health;

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  1. Carol Propper & Deborah Wilson, 2003. "The Use and Usefulness of Performance Measures in the Public Sector," The Centre for Market and Public Organisation 03/073, Department of Economics, University of Bristol, UK.
  2. Simon Burgess & Carol Propper & John Rigg, 2004. "The Impact of Low-Income on Child Health: Evidence from a Birth Cohort Study," The Centre for Market and Public Organisation 04/098, Department of Economics, University of Bristol, UK.
  3. West, Patrick, 1997. "Health inequalities in the early years: Is there equalisation in youth?," Social Science & Medicine, Elsevier, vol. 44(6), pages 833-858, March.
  4. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic status and health in childhood: the origins of the gradient," Working Papers 262, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
  5. Currie, Alison & Shields, Michael A. & Price, Stephen Wheatley, 2007. "The child health/family income gradient: Evidence from England," Journal of Health Economics, Elsevier, vol. 26(2), pages 213-232, March.
  6. Currie, Alison & Shields, Michael A. & Wheatley Price, Stephen, 2004. "Is the Child Health / Family Income Gradient Universal? Evidence from England," IZA Discussion Papers 1328, Institute for the Study of Labor (IZA).
  7. Starfield, Barbara & Shi, Leiyu, 2002. "Policy relevant determinants of health: an international perspective," Health Policy, Elsevier, vol. 60(3), pages 201-218, June.
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