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Accounting For Horizontal Inequity In The Delivery Of Health Care: A Framework For Measurement And Decomposition

Guangchuan Zhao, Xinbang Cao, Chifeng Ma
Published 2020 · Economics
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Abstract The pursuit of equity is an objective of many healthcare systems. Horizontal equity, interpreted as “equal treatment for equal need”, has received much attention in both the policy and academia arenas. By combining the indirect standardization method with regression-based Shapley value decomposition, the paper aims to propose a framework for measuring and decomposing horizontal inequity and to investigate the contributors to horizontal inequity in health care delivery in China using the China Health and Nutrition Survey (CHNS) dataset. The horizontal inequity indicated by the Gini coefficient of indirectly standardized healthcare expenditure accounts for approximately 68.63 percent of the overall inequality, and the non-need factors, such as household registration, region, work status, education, income, insurance, and marital status, explain between 50 and 70 percent of the inequity, with household registration and region being the two largest contributors.
This paper references
10.1016/j.socscimed.2010.10.018
Measuring and decomposing socioeconomic inequality in healthcare delivery: A microsimulation approach with application to the Palestinian conflict-affected fragile setting.
Mohammad Abu-Zaineh (2011)
10.1017/9781316691113
China's Healthcare System and Reform
Lawton Robert Burns (2017)
10.1017/CBO9780511528446.003
The Shapley value: A value for n -person games
L. S. Shapley (1988)
10.1016/j.socscimed.2014.12.028
Inequities in health care utilization by people aged 50+: evidence from 12 European countries.
Marco Terraneo (2015)
10.1016/0167-6296(91)90009-C
Horizontal equity in the delivery of health care
Adam Wagstaff (1991)
10.1016/j.jhealeco.2012.05.005
Measurement of inequity in health care with heterogeneous response of use to need.
Ellen van de Poel (2012)
10.1787/440134737301
Health Care Quality Indicators Project Conceptual Framework Paper
Edward F. Kelley (2006)
10.1016/J.JCLEPRO.2019.01.112
Do financial constraints curb firms’ efforts to control pollution? Evidence from Chinese manufacturing firms
Dongyang Zhang (2019)
10.2307/146369
Measuring and Testing for Inequity in the Delivery of Health Care
Adam Wagstaff (2000)
10.1016/J.FRL.2016.12.006
Impact of the Medicaid expansion on U.S. health services firms: Evidence from the 2010 Affordable Care Act
Daeyong Lee (2017)
10.1093/acprof:osobl/9780199215911.001.0001
Fairness, Responsibility, and Welfare
Marc Fleurbaey (2008)
10.1016/J.FRL.2017.12.002
Study on the influence mechanism of air quality on stock market yield and Volatility: Empirical test from China based on GARCH model
Na An (2017)
10.1007/S10888-011-9214-Z
Decomposition procedures for distributional analysis: a unified framework based on the Shapley value
Anthony F. Shorrocks (2013)
10.1016/0167-6296(92)90037-2
Access, utilisation and equity: A further comment
Anthony Culyer (1992)
10.1016/J.CHIECO.2009.04.001
A dilemma of Chinese healthcare reform: How to re-define government roles?
Hufeng Wang (2009)
10.1016/J.FRL.2019.04.004
Does university reputation matter? Evidence from peer-to-peer lending
Jianwen Li (2019)
10.1016/0167-6296(91)90007-A
The distribution of health care revisited: a commentary on Wagstaff, van Doorslaer and Paci, and O'Donnell and Propper
Julian Le Grand (1991)
10.1002/JID.3014
Inequality in Maternal Health Care Utilisation in India: A Shapley Decomposition Analysis
Rama Pal (2015)
10.1016/0047-2727(88)90044-8
Empirical measurement of horizontal inequity
Stephen P. Jenkins (1988)
10.1016/0277-9536(94)00307-F
Need: the idea won't do--but we still need it.
Anthony Culyer (1995)
10.1016/j.healthplace.2018.06.004
Socioeconomic inequality in maternal healthcare: An analysis of regional variation in Bangladesh
Mohammad Habibullah Pulok (2018)
10.2307/1924099
A Measure of Horizontal Inequity
Robert D. Plotnick (1981)
10.1016/j.jhealeco.2008.07.016
Unfair inequalities in health and health care.
Marc Fleurbaey (2009)
10.1016/0167-6296(91)90026-J
Utilisation as a measure of equity: weighing heat?
Sheila Mooney (1991)
10.1016/j.socscimed.2006.08.033
Horizontal equity in health care utilization evidence from three high-income Asian economies.
Jui-fen Rachel Lu (2007)
10.1016/J.CHIECO.2014.09.010
Economic growth and the geographic maldistribution of health care resources: Evidence from China, 1949-2010
Xuezheng Qin (2014)
10.1016/J.FRL.2017.10.029
The effects of pre-/post-retirement downside consumption constraints on optimal consumption, portfolio, and retirement
Byung Hwa Lim (2017)
10.1016/S0304-4076(02)00161-6
On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam
Adam Wagstaff (2001)
10.1016/j.jhealeco.2008.09.008
Measurement of horizontal inequity in health care utilisation using European panel data.
Teresa Bago d’Uva (2009)
10.1016/j.jce.2004.02.005
Accounting for income inequality in rural China: a regression-based approach
Guanghua Wan (2004)
10.1016/j.socscimed.2012.11.013
Socioeconomic inequalities in drug utilization for Sweden: evidence from linked survey and register data.
Martin Nordin (2013)
10.1596/978-0-8213-6933-3
Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation
Owen O'Donnell (2007)
10.1111/j.1467-9361.2005.00266.x
Income Inequality in Rural China: Regression�?Based Decomposition Using Household Data
Guanghua Wan (2005)
10.1016/0167-6296(93)90004-X
Equity and equality in health and health care.
Anthony Culyer (1993)
10.1016/j.socscimed.2004.07.016
Inequity and inequality in the use of health care in England: an empirical investigation.
Stephen Morris (2005)
10.1016/S0167-6296(00)00050-3
Equity in the delivery of health care in Europe and the US.
Eddy van Doorslaer (2000)
Decomposition Methods in Economics
Nicole M. Fortin (2010)
10.1016/B978-0-444-53592-4.00016-5
Equity in health and health care
Marc Fleurbaey (2011)



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