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Equity in Pharmaceutical Utilization in Ontario: A Cross Section and Over Time Analysis

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Abstract

This study investigates inequality and inequity in pharmaceutical utilization in Ontario. First, I compare inequality and inequity in drug use between senior and non-senior population in Ontario at each of three points in time. During this time period, all seniors in Ontario have been universally covered by the publicly financed OBD program. This is not the case for the non-senior population. Second, I examine the changes in inequality and inequity for each population group at each of the three time points: 1990, 1996/97 and 2000/01. During this period, cost-sharing and other changes were introduced into the ODB, which allows us to identify the influence on equity of changes on drug coverage policies.

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File URL: http://economics.uwo.ca/epri/workingpapers_docs/wp2007/Zhong_01.pdf
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Paper provided by University of Western Ontario, Economic Policy Research Institute in its series University of Western Ontario, Economic Policy Research Institute Working Papers with number 20071.

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Date of creation: 2007
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Handle: RePEc:uwo:epuwoc:20071

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Postal: Economic Policy Research Institute, Social Science Centre, University of Western Ontario, London, Ontario, Canada N6A 5C2
Phone: 519-661-2111 Ext.85244
Web page: http://economics.uwo.ca/research/research_papers/epri_workingpapers.html

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  1. Sule Alan & Thomas Crossley & Paul Grootendorst & Michael Veall, 2005. "Distributional effects of `general population' prescription drug programs in Canada," Canadian Journal of Economics, Canadian Economics Association, Canadian Economics Association, vol. 38(1), pages 128-148, February.
  2. Adam Wagstaff & Eddy van Doorslaer, 2000. "Measuring and Testing for Inequity in the Delivery of Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 35(4), pages 716-733.
  3. Newbold, K. Bruce & Eyles, John & Birch, Stephen, 1995. "Equity in health care: Methodological contributions to the analysis of hospital utilization within Canada," Social Science & Medicine, Elsevier, Elsevier, vol. 40(9), pages 1181-1192, May.
  4. Andrew M. Jones, 2012. "health econometrics," The New Palgrave Dictionary of Economics, Palgrave Macmillan, Palgrave Macmillan.
  5. 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.
  6. Thomas F. Crossley & Paul Grootendorst & Sule Kokkmaz & Michael R. Veall, 2000. "The Effects of Drug Subsidies on Out-of-Poket Prescription Drug Expenditures by seniors: regional Evidence from Canada," CEPR Discussion Papers, Centre for Economic Policy Research, Research School of Economics, Australian National University 422, Centre for Economic Policy Research, Research School of Economics, Australian National University.
  7. P Grootendorst, 1999. "Beneficiary Cost Sharing Under Canadian Provincial Prescription Drug Benefit Programs: History and Assessment," Centre for Health Economics and Policy Analysis Working Paper Series, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada 1999-10, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
  8. van Doorslaer, Eddy & Wagstaff, Adam & van der Burg, Hattem & Christiansen, Terkel & De Graeve, Diana & Duchesne, Inge & Gerdtham, Ulf-G & Gerfin, Michael & Geurts, Jose & Gross, Lorna, 2000. "Equity in the delivery of health care in Europe and the US," Journal of Health Economics, Elsevier, Elsevier, vol. 19(5), pages 553-583, September.
  9. Eddy van Doorslaer & Cristina Masseria, 2004. "Income-Related Inequality in the Use of Medical Care in 21 OECD Countries," OECD Health Working Papers 14, OECD Publishing.
  10. van Doorslaer, Eddy & Wagstaff, Adam, 1992. "Equity in the delivery of health care: some international comparisons," Journal of Health Economics, Elsevier, Elsevier, vol. 11(4), pages 389-411, December.
  11. Deri, Catherine, 2005. "Social networks and health service utilization," Journal of Health Economics, Elsevier, Elsevier, vol. 24(6), pages 1076-1107, November.
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Cited by:
  1. Hai Zhong, 2010. "On decomposing the inequality and inequity change in health care utilization: change in means, or change in the distributions?," International Journal of Health Care Finance and Economics, Springer, Springer, vol. 10(4), pages 369-386, December.
  2. Jeremiah Hurley & Emmanuel Guindon, 2008. "Private Health Insurance in Canada," Centre for Health Economics and Policy Analysis Working Paper Series, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada 2008-04, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.

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