Measurement of Inequity in Health Care with Heterogeneous Response of Use to Need

Tinbergen Institute Discussion Paper No. 11-155/3

35 Pages Posted: 7 Nov 2011

See all articles by Ellen van de Poel

Ellen van de Poel

Erasmus University Rotterdam (EUR) - Erasmus School of Economics (ESE)

Eddy van Doorslaer

Erasmus School of Economics

Owen A. O'Donnell

University of Macedonia

Date Written: November 4, 2011

Abstract

We propose a method of measuring and decomposing inequity in health care utilization that allows for heterogeneity in the use-need relationship. This makes explicit inequity that derives from unequal treatment response to variation in need, as well as that due to differential effects of non-need determinants. Under plausible conditions concerning heterogeneity in the use-need relationship and the distribution of need, existing methods that impose homogeneity will underestimate pro-rich inequity. This prediction is confirmed for four low-middle income Asian countries.

Keywords: health care, equity, decomposition

JEL Classification: D63, I14

Suggested Citation

van de Poel, Ellen and van Doorslaer, Eddy and O'Donnell, Owen A., Measurement of Inequity in Health Care with Heterogeneous Response of Use to Need (November 4, 2011). Tinbergen Institute Discussion Paper No. 11-155/3. Available at SSRN: https://ssrn.com/abstract=1954750 or http://dx.doi.org/10.2139/ssrn.1954750

Ellen Van de Poel (Contact Author)

Erasmus University Rotterdam (EUR) - Erasmus School of Economics (ESE) ( email )

P.O. Box 1738
3000 DR Rotterdam, NL 3062 PA
Netherlands

Eddy Van Doorslaer

Erasmus School of Economics ( email )

Netherlands

Owen A. O'Donnell

University of Macedonia ( email )

156 Egnatia St.
P.O. 1591
Thessaloniki, 54006
Greece

Register to save articles to
your library

Register

Paper statistics

Downloads
91
Abstract Views
1,127
rank
281,714
PlumX Metrics