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Progressivity of out-of-pocket costs under Australia's universal health care system: A national linked data study

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  • Law, Hsei Di
  • Marasinghe, Dinith
  • Butler, Danielle
  • Welsh, Jennifer
  • Lancsar, Emily
  • Banks, Emily
  • Biddle, Nicholas
  • Korda, Rosemary

Abstract

In line with affordability and equity principles, Medicare—Australia's universal health care program—has measures to contain out-of-pocket (OOP) costs, particularly for lower income households. This study examined the distribution of OOP costs for Medicare-subsidised out-of-hospital services and prescription medicines in Australian households, according to their ability to pay.

Suggested Citation

  • Law, Hsei Di & Marasinghe, Dinith & Butler, Danielle & Welsh, Jennifer & Lancsar, Emily & Banks, Emily & Biddle, Nicholas & Korda, Rosemary, 2023. "Progressivity of out-of-pocket costs under Australia's universal health care system: A national linked data study," Health Policy, Elsevier, vol. 127(C), pages 44-50.
    • Handle: RePEc:eee:hepoli:v:127:y:2023:i:c:p:44-50
    DOI: 10.1016/j.healthpol.2022.10.010
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    References listed on IDEAS

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    1. Neelsen, Sven & Limwattananon, Supon & O'Donnell, Owen & van Doorslaer, Eddy, 2019. "Universal health coverage: A (social insurance) job half done?," World Development, Elsevier, vol. 113(C), pages 246-258.
    2. Lairson, David R. & Hindson, Paul & Hauquitz, Alan, 1995. "Equity of health care in Australia," Social Science & Medicine, Elsevier, vol. 41(4), pages 475-482, August.
    3. Mohammad Hajizadeh & Luke Brian Connelly & James Robert Gerard Butler, 2014. "Health Policy and Equity of Health Care Financing in Australia: 1973–2010," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 60(2), pages 298-322, June.
    4. Kakwani, Nanok C, 1977. "Measurement of Tax Progressivity: An International Comparison," Economic Journal, Royal Economic Society, vol. 87(345), pages 71-80, March.
    5. Hua, Xinyang & Erreygers, Guido & Chalmers, John & Laba, Tracey-Lea & Clarke, Philip, 2017. "Using administrative data to look at changes in the level and distribution of out-of-pocket medical expenditure: An example using Medicare data from Australia," Health Policy, Elsevier, vol. 121(4), pages 426-433.
    6. Rachel J. Knott & Philip M. Clarke & Emma L. Heeley & John P. Chalmers, 2015. "Measuring the Progressivity of the Pharmaceutical Benefits Scheme," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 48(2), pages 122-132, June.
    7. Bhat, Chandra R., 1994. "Imputing a continuous income variable from grouped and missing income observations," Economics Letters, Elsevier, vol. 46(4), pages 311-319, December.
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