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Explaining the Sources of IncomeRelated Inequality in Health Care Utilization in Denmark

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Author Info

  • Gundgaard, Jens

    ()
    (Novo Nordisk A/S)

  • Lauridsen, Jørgen

    ()
    (COHERE, Department of Budiness and Economics, University of Southern Denmark)

Abstract

Objectives with the health care system often include equity considerations. One objective is equal treatment for equal need. In this paper we explain the sources of income-related inequality in utilization of health care services in Funen County, Denmark, by linking survey data to register based data. A decomposition of the concentration index was used to explain the sources of overall income-related inequality in utilization. The decomposition approach suggests that health care is in general equally distributed in Denmark when need based variables are controlled for. However, this overall result is a consequence of a number of off-setting effects from different types of health care and a complicated pattern of various explanatory variables.

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Bibliographic Info

Paper provided by COHERE - Centre of Health Economics Research, University of Southern Denmark in its series COHERE Working Paper with number 2013:1.

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Length: 21 pages
Date of creation: 01 Apr 2013
Date of revision:
Handle: RePEc:hhs:sduhec:2013_001

Contact details of provider:
Postal: COHERE - Center for Sundhedsøkonomisk Forskning, Institut for Virksomhedsledelse og Økonomi, Syddansk Universitet, Campusvej 55, DK-5230 Odense M, Denmark
Phone: (+45) 6550 3081
Fax: (+45) 6550 3880
Email:
Web page: http://www.sdu.dk/Om_SDU/Institutter_centre/cCohere
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Related research

Keywords: health care; utilization; concentration index; inequality; decomposition;

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  1. Manning, Willard G., 1998. "The logged dependent variable, heteroscedasticity, and the retransformation problem," Journal of Health Economics, Elsevier, vol. 17(3), pages 283-295, June.
  2. Philip M. Clarke & Ulf-G Gerdtham & Luke B. Connelly, 2003. "A note on the decomposition of the health concentration index," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 511-516.
  3. Hugh Gravelle, 2003. "Measuring income related inequality in health: standardisation and the partial concentration index," Health Economics, John Wiley & Sons, Ltd., vol. 12(10), pages 803-819.
  4. Wagstaff, Adam & Van Doorslaer, Eddy & Watanabe, Naoko, 2001. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Policy Research Working Paper Series 2714, The World Bank.
  5. Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income-related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628.
  6. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
  7. van Doorslaer, Eddy & Wagstaff, Adam, 1992. "Equity in the delivery of health care: some international comparisons," Journal of Health Economics, Elsevier, vol. 11(4), pages 389-411, December.
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