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Measuring Disparities in Access to Health Care: A Proposal Based on an Ex-ante Perspective

Author

Listed:
  • Antonio Abatemarco

    (University of Salerno)

  • Massimo Aria

    (University of Napoli ‘Federico II’)

  • Sergio Beraldo

    (University of Napoli ‘Federico II’)

  • Francesca Stroffolini

    (University of Napoli ‘Federico II’)

Abstract

We provide a novel approach to evaluate access to health care based on the monetization of access barriers individuals face. This approach allows to distinguish the opportunities individuals enjoy from their utilization of health services, permitting a better assessment of potential, as opposed to revealed, access. An application to Italian data on heart valve replacement shows that the methodology we provide can be easily applied to quantify the share of the population to which access is precluded and the key determinants of denied access.

Suggested Citation

  • Antonio Abatemarco & Massimo Aria & Sergio Beraldo & Francesca Stroffolini, 2020. "Measuring Disparities in Access to Health Care: A Proposal Based on an Ex-ante Perspective," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 150(2), pages 549-568, July.
    • Handle: RePEc:spr:soinre:v:150:y:2020:i:2:d:10.1007_s11205-020-02305-y
    DOI: 10.1007/s11205-020-02305-y
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    Cited by:

    1. Antonio Abatemarco & Massimo Aria & Sergio Beraldo & Michela Collaro, 2023. "Measuring Access and Inequality of Access to Health Care: a Policy-Oriented Decomposition," CSEF Working Papers 666, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    2. Sergio Beraldo & Michela Collaro & Immacolata Marino, 2020. "Do Harder Local Budget Constraints Affect Patient Mobility?," CSEF Working Papers 580, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    3. Rubino, Claudio & Di Maria, Chiara & Abbruzzo, Antonino & Ferrante, Mauro, 2022. "Socio-economic inequality, interregional mobility and mortality among cancer patients: A mediation analysis approach," Socio-Economic Planning Sciences, Elsevier, vol. 82(PA).
    4. Massimo Bordignon & Silvia Coretti & Massimiliano Piacenza & Gilberto Turati, 2020. "Hardening subnational budget constraints via administrative subordination: The Italian experience of recovery plans in regional health services," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1378-1399, November.
    5. Bahnsen, Lewe, 2022. "Kostenbeteiligungen, Wartezeiten, Leistungsumfang - Ein europäischer Vergleich der Gesundheitssysteme," WIP-Analysen Februar 2022, WIP – Wissenschaftliches Institut der PKV.
    6. Abatemarco, Antonio & Aria, Massimo & Beraldo, Sergio & Collaro, Michela, 2024. "Measuring health care access and its inequality: A decomposition approach," Economic Modelling, Elsevier, vol. 132(C).

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    More about this item

    Keywords

    Health care; Equality of opportunity; Access costs;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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