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Equity in the Utilisation of Hospital Inpatient Services in Ireland? An Improved Approach to the Measurement of Health Need

  • Richard Layte

    (Economic and Social Research Institute, Dublin)

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    The complex interweaving of public and private provision in Irish hospitals has led to concerns that hospital care is not available to all on the basis of need alone. Previous research on Irish hospitals found that utilisation was neutral across the income distribution controlling for health status – i.e., there was essentially equal treatment for equal need irrespective of income. However, the health indicator used in these analyses may not consistently measure health status across income groups. In this paper we combine multiple indicators into a composite "Ill Health Index" and find that the measure used for standardisation has important consequences.

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    File URL: http://www.esr.ie/Vol38_2/02ESRIVol38.pdf
    File Function: First version, 2007
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    Article provided by Economic and Social Studies in its journal Economic and Social Review.

    Volume (Year): 38 (2007)
    Issue (Month): 2 ()
    Pages: 191-210

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    Handle: RePEc:eso:journl:v:38:y:2007:i:2:p:191-210
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    1. Nolan, Brian, 1991. "The Utilisation and Financing of Health Services in Ireland," Research Series, Economic and Social Research Institute (ESRI), number GRS155.
    2. Adda, Jerome & Chandola, Tarani & Marmot, Michael, 2003. "Socio-economic status and health: causality and pathways," Journal of Econometrics, Elsevier, vol. 112(1), pages 57-63, January.
    3. Richard Layte & Brian Nolan, 2004. "Equity in the Utilisation of Health Care in Ireland," The Economic and Social Review, Economic and Social Studies, vol. 35(2), pages 111–134.
    4. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    5. Tim Callan & Brian Nolan, 1991. "Distributional Aspects of Ireland's Fiscal Adjustment," Papers WP029, Economic and Social Research Institute (ESRI).
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