Abstract
International comparisons of horizontal inequity in health has recently become one of the most pertinent issues in health economics. However, no previous studies have been undertaken on Japan. This omission is rectified in this paper. Moreover, we consider the dynamics of horizontal inequity in health over six years from 1992 to 1998. These dynamics have never been considered in this field. In a rigorous international comparison, though we cannot find any horizontal inequity in health in 1998, we find pro-rich inequity before 1995. The reason for this may be the reform of the health insurance system in 1997.
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References
A. Gunji, Regional Variation in Medical Expenditure (in Japanese), Toyo-keizai-shinpousha (2001).
C. Honda and Y. Ohkusa, International comparison of subjective health evaluation - USA, UK and Japan, ISER Discussion paper no. 546 (2001).
M. Ii and Y. Ohkusa, Estimating price sensitivity for the medical services in the case of minor ailments using information on illness and symptoms, Japan Economic Review (2002) 154-166.
N. Kakwani, A. Wagstaff and E. Van Doorslaer, Socioeconomic inequalities in health: Measurement, computation and statistical inference, Journal of Econometrics 77 (1997) 87-103.
Y. Shigeno, The demand for private health insurance and public health insurance (in Japanese), The Quarterly of Social Security Research 36 (2000) 378-390.
R.M. Urbanos-Garrido, Explaining inequality in the use of public health care services: Evidence from Spain, Health Care Management Science 4 (2001) 143-157.
E. Van Doorslaer and A. Wagstaff, Equity in the delivery of health care: Some international comparisons, Journal of Health Economics 11 (1992) 389-411.
E. Van Doorslaer, X. Koolman and F. Puffer, Equity in the use of physician visits in OECD countries: Has equal treatment for equal need been achieved?, Equity II project, Working paper no. 3 (2001).
E. Van Doorslaer, A. Wagstaff et al., Income-related inequalities in health: Some international comparisons, Journal of Health Economics 16 (1997) 93-112.
E. Van Doorslaer, A. Wagstaff et al., Equity in the delivery of health care in Europe and the US, Journal of Health Economics 19 (2000) 553-583.
A. Wagstaff and E. Van Doorslaer, Equity in the delivery of health care: Methods and findings, in: Equity in the Finance and Delivery of Health Care: An International Perspective, eds. E. Van Doorslaer, A. Wagstaff and F. Rutten (Oxford University Press, Oxford, 1993).
A. Wagstaff and E. Van Doorslaer, Measuring inequalities in health in the presence of multiple-category morbidity indicators, Health Economics 3 (1994) 281-291.
A. Wagstaff and E. Van Doorslaer, Measuring and testing for inequalities in the delivery of health care, Journal of Human Resources (2000) 716-733.
A. Wagstaff, P. Paci and E. Van Doorslaer, On the measurement of inequalities in health, Social Science and Medicine 33 (1991) 545-557.
A. Wagstaff, E. Van Doorslaer and P. Paci, Equity in the finance and delivery of health care: Some tentative cross-country comparisons, Oxford Review of Economic Policy 5 (1989) 89-112.
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Ohkusa, Y., Honda, C. Horizontal Inequity in Health Care Utilization in Japan. Health Care Management Science 6, 189–196 (2003). https://doi.org/10.1023/A:1024492224790
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DOI: https://doi.org/10.1023/A:1024492224790