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Equity in the allocation of health care resources

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  • Trevor A. Sheldon
  • Peter C. Smith

Abstract

This paper examines some of the issues that arise when seeking to tackle health inequalities in a context of limited health care resources. Increasingly, central agencies are using devolved budgets for health care providers as a central instrument of expenditure control. Equity objectives play an important role in the resource allocation methods used to determine such budgets. Yet, unless integrated into a proper system of risk management, the use of budgets can lead to serious inequity. The paper discusses the potential contributions of different disciplines to promoting equity within a health care budgetary regime. Copyright © 2000 John Wiley & Sons, Ltd.

Suggested Citation

  • Trevor A. Sheldon & Peter C. Smith, 2000. "Equity in the allocation of health care resources," Health Economics, John Wiley & Sons, Ltd., vol. 9(7), pages 571-574, October.
    • Handle: RePEc:wly:hlthec:v:9:y:2000:i:7:p:571-574
    DOI: 10.1002/1099-1050(200010)9:7<571::AID-HEC555>3.0.CO;2-8
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    References listed on IDEAS

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    1. Alan Williams, 1997. "Intergenerational Equity: An Exploration of the ‘Fair Innings’ Argument," Health Economics, John Wiley & Sons, Ltd., vol. 6(2), pages 117-132, March.
    2. Nigel Rice & Peter Smith, 1999. "Approaches to capitation and risk adjustment in health care: an international survey," Working Papers 038cheop, Centre for Health Economics, University of York.
    3. Katharina Hauck & Rebecca Shaw & Peter C. Smith, 2002. "Reducing avoidable inequalities in health: a new criterion for setting health care capitation payments," Health Economics, John Wiley & Sons, Ltd., vol. 11(8), pages 667-677, December.
    4. Martin, Stephen & Rice, Nigel & Smith, Peter C., 1998. "Risk and the general practitioner budget holder," Social Science & Medicine, Elsevier, vol. 47(10), pages 1547-1554, November.
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    Cited by:

    1. Bin Zhu & Chih-Wei Hsieh & Yue Zhang, 2018. "Incorporating Spatial Statistics into Examining Equity in Health Workforce Distribution: An Empirical Analysis in the Chinese Context," IJERPH, MDPI, vol. 15(7), pages 1-15, June.
    2. Moreira, João M.L. & Cesaretti, Marcos A. & Carajilescov, Pedro & Maiorino, José R., 2015. "Sustainability deterioration of electricity generation in Brazil," Energy Policy, Elsevier, vol. 87(C), pages 334-346.
    3. Anselmi, Laura & Lagarde, Mylène & Hanson, Kara, 2015. "Going beyond horizontal equity: An analysis of health expenditure allocation across geographic areas in Mozambique," Social Science & Medicine, Elsevier, vol. 130(C), pages 216-224.
    4. Nagy, Balázs, 2010. "Egy hiányzó láncszem?. Forráselosztás a magyar egészségügyben [Resource allocation in Hungarian health care - is there a missing link?]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(4), pages 337-353.
    5. Kontodimopoulos, Nick & Nanos, Panagiotis & Niakas, Dimitris, 2006. "Balancing efficiency of health services and equity of access in remote areas in Greece," Health Policy, Elsevier, vol. 76(1), pages 49-57, March.

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