Measurement of horizontal inequity in health care utilisation using European panel data

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Measurement of horizontal inequity in health care utilisation using European panel data.

Measurement of inequity in health care delivery has focused on the extent to which health care utilisation is or is not distributed according to need, irrespective of income. Studies using cross-sectional data have proposed various ways of measuring and standardizing for need, but inevitably much of the inter-individual variation in needs remains unobserved in cross-sections. This paper exploit...

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This paper offers a critical appraisal of the various methods used to date to investigate inequity in the delivery of health care. It concludes that none of the methods used to date is particularly well equipped to provide unbiassed estimates of the extent of inequity. It also concludes that Le Grand's (1978) approach is likely to point towards inequity favouring the rich even when none exists....

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ژورنال

عنوان ژورنال: Journal of Health Economics

سال: 2009

ISSN: 0167-6296

DOI: 10.1016/j.jhealeco.2008.09.008