Equity in the delivery of health care in Europe and the US

van Doorslaer, Eddy and Wagstaff, Adam and van der Burg, Hattem and Christiansen, Terkel and De Graeve, Diana and Duchesne, Inge and Gerdtham, Ulf-G and Gerfin, Michael and Geurts, Jose and Gross, Lorna and Hakkinen, Unto and John, Jurgen and Klavus, Jan and Leu, Robert E. and Nolan, Brian and O'Donnell, Owen and Propper, Carol and Puffer, Frank and Schellhorn, Martin and Sundberg, Gun and Winkelhake, Olaf (2000) Equity in the delivery of health care in Europe and the US. Journal of Health Economics, 19 (5). pp. 553-583. ISSN 0167-6296. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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This paper presents a comparison of horizontal equity in health care utilization in 10 European countries and the US. It does not only extend previous work by using more recent data from a larger set of countries, but also uses new methods and presents disaggregated results by various types of care. In all countries, the lower-income groups are more intensive users of the health care system. But after indirect standardization for need differences, there is little or no evidence of significant inequity in the delivery of health care overall, though in half of the countries, significant pro-rich inequity emerges for physician contacts. This seems to be due mainly to a higher use of medical specialist services by higher-income groups and a higher use of GP care among lower-income groups. These findings appear to be fairly general and emerge in countries with very diverse characteristics regarding access and provider incentives. (C) 2000 Elsevier Science B.V. All rights reserved. JEL classification: 110.

Item Type: Article
Uncontrolled keywords: horizontal equity; health care utilization; international comparison
Subjects: H Social Sciences
Divisions: Faculties > Social Sciences > School of Economics
Depositing User: A. Xie
Date Deposited: 03 Jun 2009 16:57
Last Modified: 16 Jul 2014 08:15
Resource URI: https://kar.kent.ac.uk/id/eprint/16690 (The current URI for this page, for reference purposes)
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