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Measurement of Inequity in the Delivery of Public Health Care: Evidence from Spain (1997)

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  • Rosa M. Urbanos-Garrido

Abstract

This paper assesses horizontal equity in the delivery of public health care in Spain, and tries to identify those health care levels and population groups where inequality is concentrated. Different kinds of health care are analysed for 1997, both at disaggregate and aggregate level. The results show that the socio-economic population groups affected by inequity vary according to the specific health care level studied although, in global terms, there is not a clearly significant degree of inequity. The Spanish results are also compared to those obtained for other European countries.

Suggested Citation

  • Rosa M. Urbanos-Garrido, "undated". "Measurement of Inequity in the Delivery of Public Health Care: Evidence from Spain (1997)," Working Papers 2001-15, FEDEA.
    • Handle: RePEc:fda:fdaddt:2001-15
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    1. Cameron, A Colin & Trivedi, Pravin K, 1986. "Econometric Models Based on Count Data: Comparisons and Applications of Some Estimators and Tests," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 1(1), pages 29-53, January.
    2. Mullahy, John, 1986. "Specification and testing of some modified count data models," Journal of Econometrics, Elsevier, vol. 33(3), pages 341-365, December.
    3. Mooney, Gavin & Hall, Jane & Donaldson, Cam & Gerard, Karen, 1992. "Reweighing heat: Response to Culyer, van Doorslaer and Wagstaff," Journal of Health Economics, Elsevier, vol. 11(2), pages 199-205, August.
    4. van Doorslaer, Eddy & Wagstaff, Adam & van der Burg, Hattem & Christiansen, Terkel & De Graeve, Diana & Duchesne, Inge & Gerdtham, Ulf-G & Gerfin, Michael & Geurts, Jose & Gross, Lorna, 2000. "Equity in the delivery of health care in Europe and the US," Journal of Health Economics, Elsevier, vol. 19(5), pages 553-583, September.
    5. Culyer, A. J. & van Doorslaer, Eddy & Wagstaff, Adam, 1992. "Access, utilisation and equity: A further comment," Journal of Health Economics, Elsevier, vol. 11(2), pages 207-210, August.
    6. Owen O'Donnell & Carol Propper & Richard Upward, 1991. "An empirical study of equity in the finance and delivery of health care in Britain," Working Papers 085chedp, Centre for Health Economics, University of York.
    7. A. C. Cameron & P. K. Trivedi & Frank Milne & J. Piggott, 1988. "A Microeconometric Model of the Demand for Health Care and Health Insurance in Australia," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 55(1), pages 85-106.
    8. Mooney, Gavin & Hall, Jane & Donaldson, Cam & Gerard, Karen, 1991. "Utilisation as a measure of equity: weighing heat?," Journal of Health Economics, Elsevier, vol. 10(4), pages 475-480.
    9. Ulf‐ G. Gerdtham, 1997. "Equity in Health Care Utilization: Further Tests Based on Hurdle Models and Swedish Micro Data," Health Economics, John Wiley & Sons, Ltd., vol. 6(3), pages 303-319, May.
    10. Wagstaff, Adam & van Doorslaer, Eddy & Paci, Pierella, 1989. "Equity in the Finance and Delivery of Health Care: Some Tentative Cross-country Comparisons," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 5(1), pages 89-112, Spring.
    11. Adam Wagstaff & Eddy van Doorslaer, 2000. "Measuring and Testing for Inequity in the Delivery of Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 35(4), pages 716-733.
    12. Cameron, A. Colin & Trivedi, Pravin K., 1990. "Regression-based tests for overdispersion in the Poisson model," Journal of Econometrics, Elsevier, vol. 46(3), pages 347-364, December.
    13. Winfried Pohlmeier & Volker Ulrich, 1995. "An Econometric Model of the Two-Part Decisionmaking Process in the Demand for Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 30(2), pages 339-361.
    14. Wagstaff, Adam & van Doorslaer, Eddy & Paci, Pierella, 1991. "On the measurement of horizontal inequity in the delivery of health care," Journal of Health Economics, Elsevier, vol. 10(2), pages 169-205, July.
    15. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
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    1. Mario Izquierdo & Omar Licandro & Alberto Maydeu, 2001. "Car quality improvements and price indices in Spain," Estudios Económicos, Banco de España, number 72.

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