Abstract
Equity in relation to health and health care are extremely important and the public attaches greater importance to the achievement of equity than to efficiency (MacLachlan and Maynard 1982). Whether this is justified or not can be debated but, even if health equity is not given primary importance, it is certainly a goal that attracts strong support in many countries. This is beginning to be reflected in academic research. Recent decades have witnessed a dramatic expansion of the literature on health equity. Not only has the number of articles with the word ‘equity’ in the abstract grown rapidly, but their share of all articles published in Medline, for instance, has grown by 260 per cent in the past 25 years (O’Donnell et al. 2007b). Various factors have contributed to this development. An increased interest and awareness among international organizations, governments and non-governmental organizations worldwide is certainly one factor. But the increased availability of micro data sets and the development of new analytic methods also must have played an important role.
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References
Aronson, J. R., P. Johnson and P. J. Lambert (1994) ‘Redistributive Effect and Unequal Tax Treatment’, Economic Journal, 104: 262–70.
Bago d’Uva, T., E. van Doorslaer, M. Lindeboom, O. O’Donnell et al. (2008) ‘Does Reporting Heterogeneity Bias the Measurement of Health Disparities?’, Health Economics, 17 (3): 351–75.
Berki, S. E. (1986) ‘A Look at Catastrophic Medical Expenses and the Poor’, Health Affairs, 5 (4): 138–45.
Bishop, J. A., J. P. Formby and P. D. Thistle (1992) ‘Convergence of the South and Non-South Income Distributions, 1969–1979’, American Economic Review, 82 (1): 262–72.
Chen, S. and M. Ravallion (2004) ‘How Have the World’s Poor Fared since the Early 1980s?’, World Bank Research Observer, 19 (2): 141–69.
Cirto, C. and R. Michael (1995) Measuring Poverty: A New Approach (Washington, DC: National Academy Press).
Filmer, D., J. Hammer and L. Pritchett (2002) ‘Weak Links in the Chain II: A Prescription for Health Policy in Poor Countries’, World Bank Research Observer, 17 (1): 47–66.
Gustaffson, B. and S. Li (2004) ‘Expenditures on Education and Health Care and Poverty in Rural China’, China Economic Review, 15: 292–301.
Gwatkin, D. R., S. Rustein, K. Johnson, R. Pande, et al. (2003) Initial Country-Level Information about Socio-economic Differentials in Health, Nutrition and Population, Vols I and II (Washington, DC: World Bank, Health, Population and Nutrition).
Hammer, J. S., I. Nabi and J. A. Cercone (1995) ‘Distributional Effects of Social Sector Expenditures in Malaysia, 1974–89’, in D. van de Walle and K. Nead (eds), Public Spending and the Poor (Baltimore: Johns Hopkins University Press).
Kakwani, N. C. (1977) ‘Measurement of Tax Progressivity: An International Comparison’, Economic Journal, 87 (345): 71–80.
King, G., C. J. L. Murray, J. Salomon and A. Tandon (2004) ‘Enhancing the Validity and Cross-Cultural Comparability of Measurement in Survey Research’, American Political Science Review, 98 (1): 184–91.
Lanjouw, P. and M. Ravallion (1999) ‘Benefit Incidence, Public Spending Reforms and the Timing of Program Capture’, World Bank Economic Review, 13 (2), 257–73.
Lu, J.-F. R., G. M. Leung, S. Kwon, K. Y. Tin et al. (2006) ‘Horizontal Equity in Health Care Utilization — Evidence from Three High-Income Asian Economies’, Social Science & Medicine, 64: 199–212.
MacLachlan, G. and A. Maynard (1982) ‘The Public/Private Mix in Health Care: The Emerging Lessons’, in G. MacLachlan and A. Maynard, The Public/Private Mix in Health Care: The Relevance and Effects of Change (London: Nuffield Provincial Hospital Trust),
Murray, C. J. L. (1996) ‘Epidemiology and Morbidity Transitions in India’, in M. Dasgupta, C. L. Chen and T. N. Krishnan (eds), Health, Poverty and Development in India (Delhi: Oxford University Press), 122–47.
O’Donnell, O., E. van Doorslaer, R. Rannan-Eliya A. Somanathan, S. R. Adhikari, D. Harbianto, C. C. Garg, P. Hanvoravongchai, M. N. Huq, A. Karan, G. M. Leung, C. W. Ng, B. R. Pande, K. Tin, K. Tisayaticom, L. Trisnantoro, Y. Zhang and Y. Zhao (2007a) ‘The Incidence of Public Spending on Health Care: Comparative Evidence from Asia’, World Bank Economic Review, 21 (1): 93–123.
O’Donnell, O., E. van Doorslaer, A. Wagstaff and M. Lindelow (2007b) Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation (Washington DC: World Bank Institute, World Bank).
O’Donnell, O., E. van Doorslaer, R. Rannan-Eliya, A. Somanathan, S. R. Adhikari, B. Akkazieva, D. Harbianto, C. C. Garg, P. Hanvoravongchai, A. N. Herrin, M. N. Huq, S. Ibragimova, A. Karan, S. M. Kwon, G. M. Leung, J. F. Lu, Y. Ohkusa, B. R. Pande, R. Racelis, K. Tin, K. Tisayaticom, L. Trisnantoro, Q. Wan, B. M. Yang and Y. Zhao (2008) ‘Who Pays for Health Care in Asia?’, Journal of Health Economics, 27 (2): 460–75.
Pradhan, M. and N. Prescott (2002) ‘Social Risk Management Options for Medical Care in Indonesia’, Health Economics, 11: 431–46.
Ranson, M. K. (2002) ‘Reduction of Catastrophic Health Care Expenditures by a Community-Based Health Insurance Scheme in Gujarat, India: Current Experiences and Challenges’, Bulletin of the World Health Organization, 80 (8): 613–21.
Sadana, R., A. Tandon, C. J. L. Murray, I. Serdobova, Y. Cao, W. J. Xie, S. Chatterji and B. L. Ustun (2002) Describing Population Health in Six Domains: Comparable Results from 66 Household Surveys (Geneva: World Health Organization).
Sala-i-Martin, X. (2005) ‘On the Health-Poverty Trap’, in G. Lopez-Casasnovas, B. Rivera and L. Currais (eds), Health and Economics Growth: Findings and Policy Implications (Cambridge MA: MIT Press).
Short, K. and T. Garner (2002) ‘Experimental Poverty Measures: Accounting for Medical Expenditures’, Monthly Labor Review, 125: 3–13.
Short, K., T. Garner, D. Johnson and P. Doyle (1999) ‘Experimental Poverty Measures: 1990 to 1997’, U.S. Census Bureau, Current Population Reports, Consumer Income, 60–205 (Washington, DC: US Government Printing Office).
Somanathan, A., O. O’Donnell, E. van Doorslaer, R. P. Rannan-Eliya, et al. (2005) ‘Who Gets Health Care in Asia?’, EQUITAP Working Paper No. 4, Erasmus University, Rotterdam, and IPS, Colombo.
Tandon, A., C. J. L. Murray, J. A. Salomon and G. King (2003) ‘Statistical Models for Enhancing Cross-Population Comparability’, in C. J. L. Murray and D. B. Evans (eds), Health Systems Performance Assessment: Debates, Methods and Empiricisms (Geneva: World Health Organization), 727–46.
Van Doorslaer, E., A. Wagstaff, S. Calonge, T. Christiansen et al. (1992) ‘Equity in the Delivery of Health Care: Some International Comparisons’, Journal of Health Economics, 11 (4): 389–411.
Van Doorslaer, E., A. Wagstaff, H. Bleichrodt, S. Calonge et al. (1997) ‘Income-Related Inequalities in Health: Some International Comparisons’, Journal of Health Economics, 16 (1): 93–112.
Van Doorslaer, E., A. Wagstaff, H. van der Burg, T. Christiansen et al. (1999) ‘The Redistributive Effect of Health Care Finance in Twelve OECD Countries’, Journal of Health Economics, 18 (3): 291–313.
Van Doorslaer, E., A. Wagstaff, H. van der Burg, T. Christiansen et al. (2000). ‘Equity in the Delivery of Health Care in Europe and the US’, Journal of Health Economics, 19 (5): 553–84.
Van Doorslaer, E., X. Koolman and A. M. Jones (2004) ‘Explaining Income-Related Inequalities in Doctor Utilization in Europe’, Health Economics, 13 (7): 629–47.
Van Doorslaer, E., C. Masseria and X. Koolman for the OECD Health Equity Research Group (2006a) ‘Inequalities in Access to Medical Care by Income in Developed Countries’, Canadian Medical Association Journal, 174: 177–83.
Van Doorslaer, E., O. O’Donnell, R. P. Rannan-Eliya, A. Somanathan, et al. (2006b) ‘Effects of Payments for Health Care on Poverty Estimates in 11 Countries in Asia: An Analysis of Household Survey Data’, The Lancet, 368: 1357–64.
Van Doorslaer, E, O. O’Donnell, R. Rannan-Eliya, A. Somanathan, S. R. Adhikari, C. C. Garg, D. Harbianto, A. N. Herrin, M. N. Huq, S. Ibragimova, A. Karan, T. J. Lee, G. M. Leung, J. F. Lu, C. W. Ng, B. R. Pande, R. Racelis, S. Tao, K. Tin, K. Tisayaticom, L. Trisnantoro, C. Vasavid and Y. Zhao (2007) ‘Catastrophic Payments for Health Care in Asia’, Health Economics, 16 (11): 1159–84.
Wagstaff, A. (2002). ‘Poverty and Health Sector Inequalities’, Bulletin of the World Health Organization, 80 (2): 97–105.
Wagstaff, A. and E. van Doorslaer (2000a). ‘Equity in Health Care Finance and Delivery’, in A. J. Culyer and J. P. Newhouse (eds), Handbook of Health Economics (Amsterdam: Elsevier North-Holland), 1B, 1803–62.
Wagstaff, A. and E. van Doorslaer (2000b) ‘Measuring and Testing for Inequity in the Delivery of Health Care’, Journal of Human Resources, 35 (4): 716–33.
Wagstaff, A., and E. van Doorslaer (2003) ‘Catastrophe and Impoverishment in Paying for Health Care: With Applications to Vietnam 1993–98’, Health Economics, 12: 921–34.
Wagstaff, A., E. van Doorslaer, S. Calonge, T. Christiansen et al. (1992) ‘Equity in the Finance of Health Care: Some International Comparisons’, Journal of Health Economics, 11 (4): 361–88.
Wagstaff, A., E. van Doorslaer, H. van der Burg, S. Calonge et al. (1999) ‘Equity in the Finance of Health Care: Some Further International Comparisons’, Journal of Health Economics, 18 (3): 263–90.
Wagstaff, A., E. van Doorslaer and N. Watanabe (2003) ‘On Decomposing the Causes of Health Sector Inequalities, with an Application to Malnutrition Inequalities in Vietnam’, Journal of Econometrics, 112 (1): 219–27.
Wyszewianski, L. (1986) ‘Financially Catastrophic and High Cost Cases: Definitions, Distinctions and Their Implications for Policy Formulation’, Inquiry, 23 (4): 382–94.
Xu, K., D. E. Evans, K. Kawabate, R. Zeramdini, et al. (2003) ‘Household Catastrophic Health Expenditure: A Multicountry Analysis’, The Lancet, 362: 111–17.
Younger, S. D. (2003) ‘Benefits on the Margin: Observations on Marginal Benefit Incidence Analysis’, World Bank Economic Review, 17 (1): 89–106.
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van Doorslaer, E., O’Donnell, O. (2011). Measurement and Explanation of Inequality in Health and Health Care in Low-Income Settings. In: McGillivray, M., Dutta, I., Lawson, D. (eds) Health Inequality and Development. Studies in Development Economics and Policy. Palgrave Macmillan, London. https://doi.org/10.1057/9780230304673_2
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DOI: https://doi.org/10.1057/9780230304673_2
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