Health care deprivation profiles in the measurement of inequality and inequity: an application to GP fundholding in the English NHS

Mauro Laudicella, R Cookson, Andrew Jones and Nigel Rice

Health, Econometrics and Data Group (HEDG) Working Papers from HEDG, c/o Department of Economics, University of York

Abstract: This paper proposes a new approach to the measurement of inequality and inequity in the delivery of health care based on contributions from the literature on poverty and deprivation. This approach has some appealing characteristics: 1) inequity is additively decomposable by population subgroups; 2) the approach does not rely on socio-economic ranks; 3) it provides a graphical representation of the distribution of inequity; 4) it offers a range of indices consistent with dominance. An empirical application is provided investigating the effect of the GP fundholding reform on equity in English NHS. The results show that the most equitable GP practices self-selected into the scheme in 1991; evidence of an inequity-reducing treatment effect as well as a selfselection effect are found in 1992 and 1993; the self-selection process reduces and no evidence of a treatment effect is present thereafter.

Keywords: inequality; inequity; health care; poverty; deprivation; dominance; GP fundholding. (search for similar items in EconPapers)
Date: 2008-04
New Economics Papers: this item is included in nep-hea
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Related works:
Journal Article: Health care deprivation profiles in the measurement of inequality and inequity: An application to GP fundholding in the English NHS (2009)
Working Paper: Health care deprivation profiles in the measurement of inequality and inequity: an application to GP fundholding in the English NHS (2007)
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