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

LIBRIS-ID:oai:hhs.se:1164882430006056
https://research.hhs.se/esploro/outputs/journalArticle/Equity-in-the-delivery-of-health/991001541699506056URI
https://doi.org/10.1016/S0167-6296(00)00050-3DOI

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.

Duchesne, IngeUniversity of Antwerp (författare)
Christiansen, TerkelOdense University (författare)
van der Burg, HattemErasmus University Rotterdam (författare)
Nolan, BrianEconomic and Social Research Institute (författare)
O'Donnell, OwenUniversity of Kent (författare)
Propper, CarolUniversity of Bristol (författare)
Puffer, FrankClark University (författare)
Sundberg, GunUppsala University (författare)
Schellhorn, MartinUniversity of Bern (författare)
Klavus, JanNational Research and Development Center for Welfare and Health (författare)
Leu, Robert EUniversity of Bern (författare)
Winkelhake, OlafNational Research Center for Environment and Health (författare)
van Doorslaer, EddyErasmus University Rotterdam (författare)
Wagstaff, AdamUniversity of Sussex (författare)
Gerdtham, Ulf-GStockholm School of Economics,Handelshögskolan i Stockholm (författare)
Gerfin, MichaelUniversity of Bern (författare)
Häkkinen, UntoNational Research and Development Center for Welfare and Health (författare)
John, JürgenNational Research Center for Environment and Health (författare)
Geurts, JoséStatistics Netherlands (författare)
Gross, LornaClark University (författare)
University of AntwerpOdense University (creator_code:org_t)

Ingår i:Journal of health economics: Elsevier B.V19:5, s. 553-5831879-16460167-6296

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