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Need, equity and equality in health and health care

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  • Tony J Culyer
  • Adam Wagstaff

Abstract

Four distributional principles for the allocation of health care resources are discussed: equal expenditures per capita, proportionality to need, proportionality to endowment health status, and proportionality to capacity to benefit. They are compared with another process, concept of equity, equality of access and an end-state concept, equality of health. Each, save the last, is shown to create anomalies and inequity.

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File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%2095.pdf
File Function: First version, 1992
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Bibliographic Info

Paper provided by Centre for Health Economics, University of York in its series Working Papers with number 095chedp.

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Length: 34 pages
Date of creation: Feb 1992
Date of revision:
Handle: RePEc:chy:respap:95chedp

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Related research

Keywords: equity; expenditure; access;

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Cited by:
  1. Lindholm, Lars & Rosen, Mans & Emmelin, Maria, 1996. "An epidemiological approach towards measuring the trade-off between equity and efficiency in health policy," Health Policy, Elsevier, vol. 35(3), pages 205-216, March.
  2. Andrew M Jones, 1995. "A microeconometric analysis of smoking in the UK health and lifestyle survey," Working Papers 139chedp, Centre for Health Economics, University of York.
  3. Clark, Derek, 1995. "Priority setting in health care: An axiomatic bargaining approach," Journal of Health Economics, Elsevier, vol. 14(3), pages 345-360, August.

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