Access, utilisation and equity: a further comment

Article Abstract:

The study addresses the issue of assessment of equity in health care and whether access to health care or utilisation of health care must be the focus of assessment of equity and delivery of health services. The study maintains that assessment of equity must not be limited to the medical expenses incurred when using health care facilities. It also maintains that interests about access to health care arises from a basic care about health. It indicated health care is the means to achieve the desired distribution of health.

author: Wagstaff, Adam, Culyer, A. J., Doorslaer, Eddy van
Analysis, Social justice

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Equity in the delivery of health care: some international comparisons

Article Abstract:

An eight-country comparative study was conducted to determine if persons equally in need of health care were entertained regardless of their income. Two methodswere employed in the study, one using an index of inequity and another using a regression-based test. Results revealed the existence of inequity in most of the countries under study. However, no proof was found to affirm a direct relation between a country's delivery system and how persons in equal need are treated.

author: Wagstaff, Adam, Doorslaer, Eddy van
Research, Medical care needs assessment

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Equity in the finance of health care: some international comparisons

Article Abstract:

A ten-country comparative study was conducted on different health care financing systems. Results revealed four sources of finance, namely out-of-pockcet payments, taxes, social insurance contributions ad private insurance premiums. The study showed that tax-financed health care systems provided optimal results, while social insurance systems and private systems tended to be regressive, with the latter being the more regressive.

author: Wagstaff, Adam, Doorslaer, Eddy van
Finance, International aspects

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subjects list: Medical care, Medical policy, Health policy
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