Measuring and Testing for Inequity in the Delivery of Health Care

This paper compares two indices of horizontal inequity in the delivery of health care, the index proposed by Wagstaff, van Doorslaer, and Paci (1991), and another index derived in this paper. As well as discussing the computational aspects of these two indices, the paper also addresses the issue of statistical inference, comparing two estimators for the standard error of each index. The paper contains an empirical illustration of both sets of methods using data from the 1992 Dutch Health Interview Survey.

[1]  C. Morris,et al.  A Comparison of Alternative Models for the Demand for Medical Care , 1983 .

[2]  Y. Benyamini,et al.  Self-rated health and mortality: a review of twenty-seven community studies. , 1997, Journal of health and social behavior.

[3]  E. Keeler,et al.  Health insurance and the demand for medical care: evidence from a randomized experiment. , 1987, The American economic review.

[4]  P. Lambert,et al.  Redistribution effect and unequal income tax treatment , 1993 .

[5]  M. Rosenzweig,et al.  Who Receives Medical Care?: Income, Implicit Prices, and the Distribution of Medical Services among Pregnant Women in the United States , 1991 .

[6]  A. Wagstaff,et al.  On the measurement of horizontal inequity in the delivery of health care. , 1991, Journal of health economics.

[7]  N. Kakwani,et al.  Socioeconomic inequalities in health: Measurement, computation, and statistical inference , 1997 .

[8]  K. Davis,et al.  Health and the War on Poverty: A Ten-Year Appraisal. , 1978 .

[9]  Donald W. L. Sprung,et al.  A note on the calculation of , 1978 .

[10]  A. Wagstaff,et al.  Equity in the delivery of health care: some international comparisons. , 1992, Journal of health economics.

[11]  A. Culyer,et al.  Equity and equality in health and health care. , 1993, Journal of health economics.

[12]  Stephen P. Jenkins,et al.  CALCULATING INCOME DISTRIBUTION INDICES FROM MICRO-DATA , 1988, National Tax Journal.

[13]  P. Grootendorst,et al.  A comparison of alternative models of prescription drug utilization. , 1995, Health economics.

[14]  A. Cameron,et al.  Econometric models based on count data. Comparisons and applications of some estimators and tests , 1986 .

[15]  S. Yitzhaki,et al.  A note on the calculation and interpretation of the Gini index , 1984 .

[16]  Winfried Pohlmeier,et al.  An Econometric Model of the Two-Part Decisionmaking Process in the Demand for Health Care , 1995 .

[17]  F. Puffer.  Access to Primary Health Care: A Comparison of the US and the UK , 1986, Journal of Social Policy.