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Measurement of Inequity in Health Care with Heterogeneous Response of Use to Need

Ellen Van de Poel (), Eddy Van Doorslaer and Owen O'Donnell

No 11-155/3, Tinbergen Institute Discussion Papers from Tinbergen Institute

Abstract: This discussion paper resulted in an article in the Journal of Health Economics . Volume 31, issue 4, pages 676-689.

We propose a method of measuring and decomposing inequity in health care utilisation that allows for heterogeneity in the use-need relationship. This makes explicit inequity that derives from unequal treatment response to variation in need, as well as that due to differential effects of non-need determinants. Under plausible conditions concerning heterogeneity in the use-need relationship and the distribution of need, existing methods that impose homogeneity will underestimate pro-rich inequity. This prediction is confirmed for four low-middle income Asian countries.

Keywords: health care; equity; decomposition (search for similar items in EconPapers)
JEL-codes: D63 I14 (search for similar items in EconPapers)
Date: 2011-11-04
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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Related works:
Journal Article: Measurement of inequity in health care with heterogeneous response of use to need (2012) Downloads
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Persistent link: https://EconPapers.repec.org/RePEc:tin:wpaper:20110155

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