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Equity in health care finance in Palestine: The triple effects revealed

Mohammad Abu-Zaineh, Awad Mataria, Stéphane Luchini and Jean-Paul Moatti

Journal of Health Economics, 2009, vol. 28, issue 6, 1071-1080

Abstract: This paper presents an application of the Urban and Lambert "upgraded-AJL Decomposition" approach that was designed to deal with the problem of close-income equals in equity analysis, and as applied to the area of health care finance. Contrary to most previous studies, vertical and horizontal inequities and the triple effects of inter-groups, intra-group and entire-group reranking of various financing schemes are estimated, with statistical significance calculated using the bootstrap method. Application is made on the three financing schemes present in the case of the Occupied Palestinian Territory. Results demonstrate the relative importance of the three forms of reranking in determining overall inequality. The paper offers policy recommendations to limit the existing inequalities in the system and to enhance the capacity of the governmental insurance scheme.

Keywords: Health; care; finance; Vertical; equity; Horizontal; equity; Reranking; Bootstrap; method (search for similar items in EconPapers)
Date: 2009
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Citations: View citations in EconPapers (9)

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Journal of Health Economics is currently edited by J. P. Newhouse, A. J. Culyer, R. Frank, K. Claxton and T. McGuire

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