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

机译：巴勒斯坦卫生保健筹资公平：三重影响显现

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摘要

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.
机译：本文介绍了Urban和Lambert“升级的AJL分解”方法的应用，该方法旨在解决股权分析中的近收入均等问题，并应用于医疗保健领域。与大多数先前的研究相反，估计了各种融资计划的纵向和横向不平等以及组间，组内和整个组的排名的三重效应，并使用自举法计算了统计显着性。在巴勒斯坦被占领土的情况下，适用于目前的三种筹资计划。结果表明，在确定总体不平等方面，三种重新排名方式具有相对重要性。本文提供了政策建议，以限制系统中现有的不平等现象，并增强政府保险计划的能力。

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  • 来源
    《Journal of health economics》 |2009年第6期|1071-1080|共10页
  • 作者

    Mohammad Abu-Zaineh; Awad Mataria; Stephane Luchini; Jean-Paul Moatti;

  • 作者单位

    Department of Economics, Faculty of Commerce and Economics, Birzeit University, Ramallah, Palestine INSERM, U912 'Economics & Social Sciences, Health Systems & Societies' (SE4S) and ORS PACA, Southeastern Health Regional Observatory, Marseille, France;

    Institute of Community and Public Health and Department of Economics, Faculty of Commerce and Economics, Birzeit University, Ramallah, Palestine;

    Research Group in Quantitative Economics of Aix-Marseille (CREQAM-CNRS), and Institute of Public Economics (IDEP), Marseille, France;

    INSERM, U912 'Economics & Social Sciences, Health Systems & Societies' (SE4S) and ORS PACA, Southeastern Health Regional Observatory, Marseille, France Aix Marseille University, IRD, UMR-S912, Marseille, France;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    health care finance; vertical equity; horizontal equity; reranking; bootstrap method;

    机译：卫生保健财务;纵向股权;横向权益;重新排名;引导法;

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