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Inequality and Polarisation in Health Systems’ Responsiveness: A Cross-Country Analysis

A Janoes, Nigel Rice, Silvana Robone and Pedro Rosa Dias ()

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

Abstract: The World Health Report 2000 proposed three fundamental goals for health systems encompassing population health, health care finance and health systems responsiveness. Each of the goals incorporates both an efficiency and equity dimension. While inequalities in population health and health care finance have motivated two important strands of research, inequalities in responsiveness have received less attention in health economics. This paper examines inequality and polarisation in responsiveness, bridging this gap in the literature and contributing towards an integrated analysis of health systems performance. It uses data from the World Health Survey to measure and compare inequalities in responsiveness across 25 European countries. In order to respect the inherently ordinal nature of the responsiveness data, median-based measures of inequality and polarisation are employed. The results suggest that, in the face of wide differences in the health systems analysed, there exists large variability in inequalit in responsiveness across countries.

Keywords: Health systems; responsiveness; Ordered response data; Inequality; Polarisation (search for similar items in EconPapers)
JEL-codes: I28 D63 (search for similar items in EconPapers)
Date: 2010-10
New Economics Papers: this item is included in nep-hea
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Journal Article: Inequality and polarisation in health systems' responsiveness: A cross-country analysis (2011) Downloads
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