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Horizontal Inequali...
Horizontal Inequality in Rationing by Waiting Lists
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- Tinghög, Gustav, 1979- (författare)
- Linköpings universitet,Avdelningen för hälso- och sjukvårdsanalys,Hälsouniversitetet,Nationalekonomi,The National Center for Priority Setting in Health Care, Linköping University, Linköping, Sweden,Linkoping Univ, Dept Management & Engn
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- Andersson, David (författare)
- Linköpings universitet,Institutionen för teknik och naturvetenskap,Tekniska högskolan,Linkoping Univ, Dept Management & Engn
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- Tinghög, Petter (författare)
- Karolinska Institutet,Linköpings universitet,Hälsa och samhälle,Filosofiska fakulteten,Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden,Karolinska Inst, Div Insurance Med
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- Lyttkens, Carl Hampus (författare)
- Lund University,Lunds universitet,Nationalekonomiska institutionen,Ekonomihögskolan,Department of Economics,Lund University School of Economics and Management, LUSEM,Department of Economics, Lund University
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(creator_code:org_t)
- Baywood Publishing Company, Inc. 2014
- 2014
- Engelska.
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Ingår i: International Journal of Health Services. - : Baywood Publishing Company, Inc.. - 0020-7314 .- 1541-4469. ; 44:1, s. 169-184
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https://doi.org/10.2...
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.2...
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Abstract
Ämnesord
Stäng
- The objective of this article was to investigate the existence of horizontal inequality in access to care for six categories of elective surgery in a publicly funded system, when care is rationed through waiting lists. Administrative waiting time data on all elective surgeries (n = 4,634) performed in Östergötland, Sweden, in 2007 were linked to national registers containing variables on socioeconomic indicators. Using multiple regression, we tested five hypotheses reflecting that more resourceful groups receive priority when rationing by waiting lists. Low disposable household income predicted longer waiting times for orthopedic surgery (27%, p < 0.01) and general surgery (34%,p < 0.05). However, no significant differences on the basis of ethnicity and gender were detected. A particularly noteworthy finding was that disposable household income appeared to be an increasingly influential factor when the waiting times were longer. Our findings reveal horizontal inequalities in access to elective surgeries, but only to a limited extent. Whether this is good or bad depends on one's moral inclination. From a policymaker's perspective, it is nevertheless important to recognize that horizontal inequalities arise even though care is not rationed through ability to pay.
Ämnesord
- HUMANIORA -- Filosofi, etik och religion -- Filosofi (hsv//swe)
- HUMANITIES -- Philosophy, Ethics and Religion -- Philosophy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Ekonomi och näringsliv -- Nationalekonomi (hsv//swe)
- SOCIAL SCIENCES -- Economics and Business -- Economics (hsv//eng)
Nyckelord
- Rationing
- waiting list
- horizontal equity
- elective surgery
- Sweden
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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