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Measurement of Inequity in Health Care with Heterogeneous Response of Use to Need

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Author Info

  • Ellen van de Poel

    (Health Policy & Management, Erasmus University Rotterdam)

  • Eddy van Doorslaer

    (Erasmus University Rotterdam)

  • Owen O'Donnell

    (Erasmus University Rotterdam)

Abstract

We propose a method of measuring and decomposing inequity in health care utilisation that allows for heterogeneity in the use-need relationship. This makes explicit inequity that derives from unequal treatment response to variation in need, as well as that due to differential effects of non-need determinants. Under plausible conditions concerning heterogeneity in the use-need relationship and the distribution of need, existing methods that impose homogeneity will underestimate pro-rich inequity. This prediction is confirmed for four low-middle income Asian countries.

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Bibliographic Info

Paper provided by Tinbergen Institute in its series Tinbergen Institute Discussion Papers with number 11-155/3.

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Date of creation: 04 Nov 2011
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Handle: RePEc:dgr:uvatin:20110155

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Web page: http://www.tinbergen.nl

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Keywords: health care; equity; decomposition;

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References

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Cited by:
  1. Layte, Richard & Nolan, Anne, 2013. "Income-Related Inequity in the Use of GP Services: A Comparison of Ireland and Scotland," Papers WP454, Economic and Social Research Institute (ESRI).

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