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Inequality aversion, health inequalities, and health achievement

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Author Info
Wagstaff, Adam

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Abstract

The author addresses two issues. First, how can health inequalities be measured so as to take into account policymakers'attitudes toward inequality? The Gini coefficient and the related concentration index embody one particular set of value judgments. Generalizing these indexes allows alternative sets of value judgments to be reflected. And second, how can information on health inequality be combined with information on the mean of the relevant distribution to obtain an overall measure of health"achievement?"Applying the approach developed by Wagstaff shows how much worse some countries perform when the focus switches from average health to an achievement index that also reflects the health gap between the poor and the better-off.

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Paper provided by The World Bank in its series Policy Research Working Paper Series with number 2765.

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Date of creation: 31 Jan 2002
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Handle: RePEc:wbk:wbrwps:2765

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Related research
Keywords: Health Systems Development&Reform; Public Health Promotion; Health Monitoring&Evaluation; Early Child and Children's Health; Disease Control&Prevention; Inequality; Governance Indicators; Agricultural Knowledge&Information Systems; Regional Rural Development; Health Monitoring&Evaluation;

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. 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. [Downloadable!]
    Other versions:
  2. Humphries, K.H. & Van Doorslaer, E., 1998. "Income-Related Health Inequality in Canada," Centre for Health Services and Policy Research 98:10d, University of British Columbia - Centre for Health Services and Policy Research..
  3. Le Grand, Julian, 1987. "Inequalities in health : Some international comparisons," European Economic Review, Elsevier, vol. 31(1-2), pages 182-191. [Downloadable!] (restricted)
  4. Wagstaff, Adam & Watanabe, Naoko, 2000. "Socioeconomic inequalities in child malnutrition in the developing world," Policy Research Working Paper Series 2434, The World Bank. [Downloadable!]
  5. Lerman, Robert I. & Yitzhaki, Shlomo, 1984. "A note on the calculation and interpretation of the Gini index," Economics Letters, Elsevier, vol. 15(3-4), pages 363-368. [Downloadable!] (restricted)
  6. Wagstaff, Adam, 1991. "QALYs and the equity-efficiency trade-off," Journal of Health Economics, Elsevier, vol. 10(1), pages 21-41, May. [Downloadable!] (restricted)
  7. 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. [Downloadable!] (restricted)
  8. Deon Filmer & Lant Pritchett, 1999. "The Effect of Household Wealth on Educational Attainment: Evidence from 35 Countries," Population and Development Review, The Population Council, Inc., vol. 25(1), pages 85-120. [Downloadable!] (restricted)
  9. Gerdtham, U. -G. & Johannesson, M. & Lundberg, L. & Isacson, D., 1999. "A note on validating Wagstaff and van Doorslaer's health measure in the analysis of inequalities in health," Journal of Health Economics, Elsevier, vol. 18(1), pages 117-124, January. [Downloadable!] (restricted)
Full references

Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. David Cantarero & Marta Pascual & Jose Maria Sarabia, 2004. "Can income inequality contribute to understand inequalities in health? An empirical approach based on the European Community Household Panel," ERSA conference papers ersa04p230, European Regional Science Association. [Downloadable!]
  2. Stéphane Mussard & Françoise Seyte & Michel Terraza, 2006. "La décomposition de l’indicateur de Gini en sous-groupes : une revue de la littérature," Cahiers de recherche 06-11, Departement d'Economique de la Faculte d'administration à l'Universite de Sherbrooke. [Downloadable!]
  3. Koen Decancq & Maria Ana Lugo, 2009. "Measuring Inequality of Well-Being with a Correlation-Sensitive Multidimensional Gini Index," Economics Series Working Papers 459, University of Oxford, Department of Economics. [Downloadable!]
    Other versions:
  4. Tom Van Ourti & Eddy Van Doorslaer & Xander Koolman, 2006. "The Effect of Growth and Inequality in Incomes on Health Inequality: Theory and Empirical Evidence from the European Panel," Tinbergen Institute Discussion Papers 06-108/3, Tinbergen Institute. [Downloadable!]
  5. Marc Fleurbaey, 2006. "Health, equity and social welfare," Annales d'Economie et de Statistique, ADRES, issue 83-84, pages 02, Juillet-D. [Downloadable!]
  6. Dolores Jiménez-Rubio & Peter C. Smith & Eddy Van Doorslaer, 2008. "Equity in health and health care in a decentralised context: evidence from Canada," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 377-392. [Downloadable!]
  7. Roberto Montero Granados & José Jesús Martín Martín & Juan de Dios Jiménez Aguilera, 2008. "Horizontal Inequity in Access to Healthcare Services and Educational Level in Spain," FEG Working Paper Series 08/03, Faculty of Economics and Business (University of Granada). [Downloadable!]
  8. Erreygers G., 2006. "Correcting the Concentration Index," Working Papers 2006027, University of Antwerp, Faculty of Applied Economics. [Downloadable!]
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