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Healthcare Spending Inequality: Evidence from Hungarian Administrative Data

Author

Listed:
  • Aniko Biro

    (“Lendület” Health and Population Research Group Institute of Economics, Centre for Economic and Regional Studies, Hungarian Academy of Sciences)

  • Daniel Prinz

    (Health Policy and Economics at Harvard and a Pre-Doctoral Fellow in Disability Policy Research at NBER)

Abstract

Using administrative data on incomes and healthcare spending, we develop new evidence on the distribution of healthcare spending in Hungary. We document substantial geographic heterogeneity and a positive association between income and public healthcare spending.

Suggested Citation

  • Aniko Biro & Daniel Prinz, 2019. "Healthcare Spending Inequality: Evidence from Hungarian Administrative Data," CERS-IE WORKING PAPERS 1909, Institute of Economics, Centre for Economic and Regional Studies.
    • Handle: RePEc:has:discpr:1909
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    References listed on IDEAS

    as
    1. Bobak, Martin & Pikhart, Hynek & Rose, Richard & Hertzman, Clyde & Marmot, Michael, 2000. "Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries," Social Science & Medicine, Elsevier, vol. 51(9), pages 1343-1350, November.
    2. Amy Finkelstein & Matthew Gentzkow & Heidi Williams, 2016. "Sources of Geographic Variation in Health Care: Evidence From PatientMigration," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1681-1726.
    3. Péter Elek & Tamás Molnár & Balázs Váradi, 2019. "The closer the better: does better access to outpatient care prevent hospitalization?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(6), pages 801-817, August.
    4. Gaal, Peter & Evetovits, Tamas & McKee, Martin, 2006. "Informal payment for health care: Evidence from Hungary," Health Policy, Elsevier, vol. 77(1), pages 86-102, June.
    5. Marion Devaux, 2015. "Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 21-33, January.
    6. Kalediene, Ramune & Petrauskiene, Jadvyga, 2004. "Socio-economic transition, inequality, and mortality in Lithuania," Economics & Human Biology, Elsevier, vol. 2(1), pages 87-95, March.
    7. Péter Elek & Balázs Váradi & Márton Varga, 2015. "Effects of Geographical Accessibility on the Use of Outpatient Care Services: Quasi‐Experimental Evidence from Panel Count Data," Health Economics, John Wiley & Sons, Ltd., vol. 24(9), pages 1131-1146, September.
    8. Morris, Stephen & Sutton, Matthew & Gravelle, Hugh, 2005. "Inequity and inequality in the use of health care in England: an empirical investigation," Social Science & Medicine, Elsevier, vol. 60(6), pages 1251-1266, March.
    9. Leinsalu, Mall, 2002. "Social variation in self-rated health in Estonia: a cross-sectional study," Social Science & Medicine, Elsevier, vol. 55(5), pages 847-861, September.
    10. Ensor, Tim, 2004. "Informal payments for health care in transition economies," Social Science & Medicine, Elsevier, vol. 58(2), pages 237-246, January.
    11. David Cutler & Jonathan S. Skinner & Ariel Dora Stern & David Wennberg, 2019. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending," American Economic Journal: Economic Policy, American Economic Association, vol. 11(1), pages 192-221, February.
    12. repec:dau:papers:123456789/10510 is not listed on IDEAS
    13. Kopp, Maria S. & Skrabski, Árpád & Szedmák, Sándor, 2000. "Psychosocial risk factors, inequality and self-rated morbidity in a changing society," Social Science & Medicine, Elsevier, vol. 51(9), pages 1351-1361, November.
    14. Skinner, Jonathan, 2011. "Causes and Consequences of Regional Variations in Health Care," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 45-93, Elsevier.
    15. Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), 2011. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, volume 2, number 2.
    16. 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.
    17. Cylus, Jonathan & Papanicolas, Irene, 2015. "An analysis of perceived access to health care in Europe: How universal is universal coverage?," Health Policy, Elsevier, vol. 119(9), pages 1133-1144.
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    More about this item

    Keywords

    administrative data; healthcare expenditures; inequality;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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