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Inequality and polarisation in health systems' responsiveness: A cross-country analysis

机译：卫生系统响应能力中的不平等和两极分化：一项跨国分析

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The World Health Report 2000 proposed three fundamental goals for health systems encompassing population health, health care finance and health systems responsiveness. The goals incorporate 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 inequality in responsiveness across countries.
机译：《 2000年世界卫生报告》提出了卫生系统的三个基本目标，包括人口卫生，卫生保健筹资和卫生系统的响应能力。这些目标兼顾了效率和公平性两个方面。尽管人口健康和医疗保健资金的不平等推动了两个重要的研究领域，但响应性不平等在健康经济学中受到的关注较少。本文研究了响应性方面的不平等和两极分化，弥合了文献中的这一空白，并有助于对卫生系统绩效进行综合分析。它使用来自世界卫生调查的数据来衡量和比较25个欧洲国家在响应能力方面的不平等。为了尊重响应性数据的固有序数性质，采用了基于中位数的不平等和两极分化的度量。结果表明，面对所分析的卫生系统存在很大差异，各国之间的响应不均存在很大差异。

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