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

  • Hai Zhong

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

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Article provided by University of Toronto Press in its journal Canadian Public Policy.

Volume (Year): 33 (2007)
Issue (Month): 4 (December)
Pages: 487-508

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Handle: RePEc:cpp:issued:v:33:y:2007:i:4:p:487-508
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  1. Thomas F. Crossley & Paul Grootendorst & Sule Korkmaz & Michael R. Veall, 2000. "The Effects of Drug Subsidies on Out-of Pocket Prescription Drug Expenditures by Seniors: Regional Evidence from Canada," Social and Economic Dimensions of an Aging Population Research Papers 19, McMaster University.
  2. 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, vol. 40(9), pages 1181-1192, May.
  3. Jones, Andrew M., 2000. "Health econometrics," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 6, pages 265-344 Elsevier.
  4. 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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