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van Doorslaer, E.* ; Wagstaff, A.* ; van der Burg, H.* ; Christiansen, T.* ; de Graeve, D.* ; Duchesne, I.* ; Gerdtham, U.G.* ; Gerfin, M.* ; Geurts, J.* ; Gross, L.* ; Häkkinen, U.* ; John, J. ; Klavus, J.* ; Leu, R.E.* ; Nolan, B.* ; O'Donnell, O.* ; Propper, C.* ; Puffer, F.* ; Schellhorn, M.* ; Sundberg, G.* ; Winkelhake, O.

Equity in the delivery of health care in Europe and the US.

J. Health Econ. 19, 553-583 (2000)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
This paper presents a comparison of horizontal equity in health care utilization in 10 European countries and the US. It does not only extend previous work by using more recent data from a larger set of countries, but also uses new methods and presents disaggregated results by various types of care. In all countries, the lower-income groups are more intensive users of the health care system. But after indirect standardization for need differences, there is little or no evidence of significant inequity in the delivery of health care overall, though in half of the countries, significant pro-rich inequity emerges for physician contacts. This seems to be due mainly to a higher use of medical specialist services by higher-income groups and a higher use of GP care among lower-income groups. These findings appear to be fairly general and emerge in countries with very diverse characteristics regarding access and provider incentives.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Horizontal equity Health care utilization International comparison
ISSN (print) / ISBN 0167-6296
e-ISSN 1879-1646
Journal Journal of Health Economics
Quellenangaben Volume: 19, Issue: 5, Pages: 553-583 Article Number: , Supplement: ,
Publisher Elsevier
Publishing Place Amsterdam [u.a.]
Reviewing status Peer reviewed
Institute(s) Department for Medical Information Systems (MEDIS)
Institute of Health Economics and Health Care Management (IGM)