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Need, equity and equality in health and health care

Author

Listed:
  • Tony J Culyer
  • Adam Wagstaff

Abstract

Four distributional principles for the allocation of health care resources are discussed: equal expenditures per capita, proportionality to need, proportionality to endowment health status, and proportionality to capacity to benefit. They are compared with another process, concept of equity, equality of access and an end-state concept, equality of health. Each, save the last, is shown to create anomalies and inequity.

Suggested Citation

  • Tony J Culyer & Adam Wagstaff, 1992. "Need, equity and equality in health and health care," Working Papers 095chedp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:95chedp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%2095.pdf
    File Function: First version, 1992
    Download Restriction: no

    Citations

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    Cited by:

    1. Oliveira, Monica Duarte & Bevan, Gwyn, 2003. "Measuring geographic inequities in the Portuguese health care system: an estimation of hospital care needs," Health Policy, Elsevier, vol. 66(3), pages 277-293, December.
    2. Clark, Derek, 1995. "Priority setting in health care: An axiomatic bargaining approach," Journal of Health Economics, Elsevier, vol. 14(3), pages 345-360, August.
    3. Lindholm, Lars & Rosen, Mans & Emmelin, Maria, 1996. "An epidemiological approach towards measuring the trade-off between equity and efficiency in health policy," Health Policy, Elsevier, vol. 35(3), pages 205-216, March.
    4. Andrew M Jones, 1995. "A microeconometric analysis of smoking in the UK health and lifestyle survey," Working Papers 139chedp, Centre for Health Economics, University of York.
    5. Kim, Chul-Woung & Lee, Sang-Yi & Hong, Seong-Chul, 2005. "Equity in utilization of cancer inpatient services by income classes," Health Policy, Elsevier, vol. 72(2), pages 187-200, May.

    More about this item

    Keywords

    equity; expenditure; access;

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