Abstract:
:In recent work, the concentration index has been widely used as a measure of income-related health inequality. The purpose of this note is to illustrate two different methods for decomposing the overall health concentration index using data collected from a Short Form (SF-36) survey of the general Australian population conducted in 1995. For simplicity, we focus on the physical functioning scale of the SF-36. Firstly we examine decomposition 'by component' by separating the concentration index for the physical functioning scale into the ten items on which it is based. The results show that the items contribute differently to the overall inequality measure, i.e. two of the items contributed 13% and 5%, respectively, to the overall measure. Second, to illustrate the 'by subgroup' method we decompose the concentration index by employment status. This involves separating the population into two groups: individuals currently in employment; and individuals not currently employed. We find that the inequality between these groups is about five times greater than the inequality within each group. These methods provide insights into the nature of inequality that can be used to inform policy design to reduce income related health inequalities.
journal_name
Health Econjournal_title
Health economicsauthors
Clarke PM,Gerdtham UG,Connelly LBdoi
10.1002/hec.767keywords:
subject
Has Abstractpub_date
2003-06-01 00:00:00pages
511-6issue
6eissn
1057-9230issn
1099-1050journal_volume
12pub_type
杂志文章相关文献
HEALTH ECONOMICS文献大全abstract::In this paper we analyse the distribution of family physician use in Canada to explore whether the stated goal of reasonable access to care has been achieved. We test hypotheses to see whether (a) variations in incidence and quantity of use are independent of need for care as proxied by self-assessed health status and...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4730020203
更新日期:1993-07-01 00:00:00
abstract::Accurate future projections of population health are imperative to plan for the future healthcare needs of a rapidly aging population. Multistate-transition microsimulation models, such as the U.S. Future Elderly Model, address this need but require high-quality panel data for calibration. We develop an alternative me...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3986
更新日期:2020-07-14 00:00:00
abstract:OBJECTIVES:Outpatient visit co-payments have increased in recent years. We estimate the patient response to a price change for specialty care, based on a co-payment increase from $15 to $50 per visit for veterans with hypertension. DESIGN, SETTING, AND PATIENTS:A retrospective cohort of veterans required to pay co-pay...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1759
更新日期:2012-08-01 00:00:00
abstract::While politics can determine what public goods are available, elected officials must decide on the method of allocation. Commonly, governments provide public health insurance directly or pay private parties to administer it on their behalf. Such contracting can leverage private sector expertise but also raises agency ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4135
更新日期:2020-08-05 00:00:00
abstract::In 2008, the Rural Health Project (Health XI) was initiated in 40 Chinese counties to pilot interventions aimed at improving local health systems. Performance targets were pre-specified (results-based), and project counties were allowed to tailor their interventions (bottom-up) in recognition of the substantial region...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3935
更新日期:2019-10-01 00:00:00
abstract::Using primary data from Laos, we compare a broad range of different types of shocks in terms of their incidence, distribution between the poor and the better off, idiosyncrasy, costs, coping responses, and self-reported impacts on well-being. Health shocks are more common than most other shocks, more concentrated amon...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2944
更新日期:2014-06-01 00:00:00
abstract::Health production models include participation in physical activity as an input. We investigate the relationship between participation in physical activity and health using a bivariate probit model. Participation is identified with an exclusion restriction on a variable reflecting sense of belonging to the community. ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2900
更新日期:2014-01-01 00:00:00
abstract::This paper discusses some of the economic issues which underpin the rationale for investment in information and communications technologies (ICTs). Information imperfections lead to significant transaction costs (search, negotiating and monitoring) which in turn confer a negative externality on parties involved in exc...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/(SICI)1099-1050(199601)5:1<25::AID-HEC181>
更新日期:1996-01-01 00:00:00
abstract::This empirical study presents estimates of the impact of unemployment on psychological health using U.K. household panel data. The causal impact of unemployment is established using instrumental variable methods. Psychological health is measured using both the General Household Questionnaire measure and also self-repo...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2831
更新日期:2013-06-01 00:00:00
abstract::This paper focuses on the contrast between describing the benefit of a healthcare intervention as gain in health (QALY-type ideas) or a disability reduction (DALY-type ideas). The background is an apparent convergence in practice of the work conducted under both traditions. In the light of these methodological develop...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1424
更新日期:2009-11-01 00:00:00
abstract::In Norway specialized health services are provided both by public hospitals and by privately practicing specialists who have a contract with the public sector. A patient's co-payment is the same irrespective of the type of provider he visits. The ambition of equity in the allocation of medical care is high among all p...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1009
更新日期:2005-12-01 00:00:00
abstract::Over the last 20 years, acute-care hospitals in most OECD countries have built up costly overcapacities. From the perspective of economic policy, it is desirable to know how hospitals of different ownership forms respond to changes in demand and are probably best suited to deal with existing overcapacities. This artic...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1624
更新日期:2011-06-01 00:00:00
abstract::In the "basic" approach, medical expenses are catastrophic if they exceed a prespecified percentage of consumption or income; the approach tells us if expenses cause a large percentage reduction in living standards. The ability-to-pay (ATP) approach defines expenses as catastrophic if they exceed a prespecified percen...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3881
更新日期:2019-06-01 00:00:00
abstract::African trypanosomiasis, or sleeping sickness, is a tropical disease caused by trypanosome parasites transmitted by tsetse flies. The focus of this paper is on the cost-effectiveness of alternative drug treatments for patients in the late stage of the disease. Melarsoprol has been used for many decades. More recently,...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4730040404
更新日期:1995-07-01 00:00:00
abstract::The goal of this paper is to measure the marginal change in facility-level costs of medical care for children under five due to an increase in service quality achieved through the integrated management of childhood illness (IMCI) strategy. Since the beneficial effects of IMCI training on child health outcomes are due ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1231
更新日期:2008-01-01 00:00:00
abstract::Systematic violations of expected utility theory (EU) have been reported in the context of both money and health outcomes. Rank-dependent utility theory (RDU) is currently the most popular and influential alternative theory of choice under circumstances of risk. This paper reports a test of the descriptive performance...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.769
更新日期:2003-10-01 00:00:00
abstract::The derivation of population norms using simple generic health-related quality of life measures to inform policy has been recommended in the literature. This letter illustrates the derivation of population norms for the SF-6D in the United Kingdom. It uses a sample of 22,166 respondents from the 2010 wave of the study...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1823
更新日期:2012-12-01 00:00:00
abstract::Fires and burns are among the leading causes of unintentional death in the USA. Most of these deaths occur in residences, and cigarettes are a primary cause. In this paper, I explore the relationship between smoking, cigarette policies, and fires. As smoking rates decline, there are fewer opportunities for fires; howe...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2990
更新日期:2014-11-01 00:00:00
abstract::QALY maximization is sometimes criticized for being 'ageist', because, other things being equal, the elderly, with a shorter life expectancy, will be given lower priority. On the other hand, there are philosophical arguments that, for different reasons, advocate rationing health care to the elderly, even when the size...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/(sici)1099-1050(200001)9:1<57::aid-hec484>
更新日期:2000-01-01 00:00:00
abstract::Debate about the monetary value of a quality-adjusted life year (QALY) has existed in the health economics literature for some time. More recently, concern about such a value has arisen in UK health policy. This paper reports on an attempt to 'model' a willingness-to-pay-based value of a QALY from the existing value o...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1416
更新日期:2009-08-01 00:00:00
abstract::The Future Elderly Model (FEM) is a microsimulation model designed to forecast health status, longevity, and a variety of economic outcomes. Compared to traditional actuarial models, microsimulation models provide greater opportunities for policy forecasting and richer detail, but they typically build upon smaller sam...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4169
更新日期:2020-10-07 00:00:00
abstract::This paper applies the inverse probability weighted (IPW) least-squares method to estimate the effects of treatment on total medical cost, subject to censoring, in a panel-data setting. IPW pooled ordinary-least squares (POLS) and IPW random effects (RE) models are used. Because total medical cost might not be indepen...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1087
更新日期:2006-05-01 00:00:00
abstract::Perceived quality of private and public health care, income and insurance premium are among the determinants of demand for private health insurance (PHI). In the context of a model in which individuals are expected utility maximizers, the non purchasing choice can result in consuming either public health care or priva...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.756
更新日期:2003-07-01 00:00:00
abstract::Using data from Survey of Health, Ageing and Retirement in Europe (SHARE), we investigate the determinants of voluntary private health insurance (VPHI) among the over 50s in 11 European countries and their effects on healthcare spending. First, we find that the main determinants of VPHI are different in each country, ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2800
更新日期:2013-03-01 00:00:00
abstract::The long-distance travellers could be important to any cost-benefit assessment of policies to increase or improve local resources. This study examines the out-of-area hospital admission pattern for patients with Ambulatory Care Sensitive (ACS) conditions, also known as preventable conditions. The availability of local...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/1099-1050(200101)10:1<67::aid-hec562>3.0.c
更新日期:2001-01-01 00:00:00
abstract::This paper analyses the impact of sugar availability/intake on diabetes expenditure and on total health care expenditure. Building this macroeconomic analysis upon the literature on the determinants of health care expenditure, we estimate a dynamic panel data model over a sample of 156 countries for the period 1995-20...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3462
更新日期:2017-12-01 00:00:00
abstract::Much recent research interest has focused on handling uncertainty in cost-effectiveness analysis and in particular the calculation of confidence intervals for incremental cost-effectiveness ratios (ICERs). Problems of interpretation when ICERs are negative have led to two important and related developments: the use of...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.639
更新日期:2001-10-01 00:00:00
abstract::This study evaluates the welfare benefits of the New Cooperative Medical Scheme (NCMS), the main public health insurance plan for the rural population in China. The findings show that the value of the NCMS to recipients is slightly lower than the government's costs of implementation, ranging from 0.79 to 0.97 per RMB ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3985
更新日期:2020-03-01 00:00:00
abstract::In 1996, free choice of health insurers was introduced to the German social health insurance system. One objective was to increase efficiency through competition. A crucial precondition for effective competition among health insurers is that consumers search for lower-priced health insurers. We test this hypothesis by...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1167
更新日期:2007-03-01 00:00:00
abstract::The objective of this paper is to determine the price sensitivity of smokers in their consumption of cigarettes, using evidence from a major increase in California cigarette prices due to Proposition 10 and the Tobacco Settlement. The study sample consists of individual survey data from Behavioral Risk Factor Survey (...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.849
更新日期:2004-08-01 00:00:00