The Evolution of Income-Related Inequalities in Health Care Utilization in Switzerland Over Time

32 Pages Posted: 28 Sep 2004

See all articles by Robert E. Leu

Robert E. Leu

University of Bern

Martin Schellhorn

GSF - National Research Center for Environment and Health - Institute of Health Economics and Health Care Management (IGM); IZA Institute of Labor Economics

Date Written: September 2004

Abstract

This study investigates equity in access to health care in Switzerland over time, using nationwide representative survey data from 1982, 1992, 1997 and 2002. Both simple quintile distributions and concentration indices are used to assess horizontal equity, i.e. the extent to which adults in equal need for medical care appear to have equal rates of medical care utilization. Looking at each of the four survey years separately the results indicate that by and large, there is little or no inequity in use except with respect to specialist visits which are clearly pro rich distributed as in most other OECD countries. We neither find much significant variation over time despite the fact that the share of health care has grown from close to 8% to more than 11% over this period and that a major reform of the health care system has taken place in 1996.

Keywords: health care utilization, inequality

JEL Classification: D32, I10, I12

Suggested Citation

Leu, Robert E. and Schellhorn, Martin, The Evolution of Income-Related Inequalities in Health Care Utilization in Switzerland Over Time (September 2004). Available at SSRN: https://ssrn.com/abstract=596941

Robert E. Leu

University of Bern ( email )

Gesellschaftsstrasse 49
CH-3012 Bern, BERN 3001
Switzerland

Martin Schellhorn (Contact Author)

GSF - National Research Center for Environment and Health - Institute of Health Economics and Health Care Management (IGM) ( email )

Ingolst├Ądter Landstrasse 1
D-85764 Neuherberg
Germany

IZA Institute of Labor Economics ( email )

P.O. Box 7240
Bonn, D-53072
Germany

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