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首页> 外文期刊>Journal of health economics >Health care deprivation profiles in the measurement of inequality and inequity: An application to GP fundholding in the English NHS
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Health care deprivation profiles in the measurement of inequality and inequity: An application to GP fundholding in the English NHS

机译：在衡量不平等和不平等方面的医疗保健剥夺状况：英语NHS中GP资金持有的申请

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摘要

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 self-selection effect are found in 1992 and 1993; the self-selection process reduces and no evidence of a treatment effect is present thereafter.
机译：本文根据有关贫困和贫困的文献的研究成果，提出了一种新的方法来衡量卫生保健提供中的不平等和不平等。这种方法具有一些吸引人的特征：（1）不平等是人口亚组可加分解的； （2）该方法不依赖于社会经济等级； （3）提供不平等分布的图形表示； （4）它提供了一系列与优势一致的指标。提供了一个经验应用程序，用于研究GP股权持有改革对英语NHS权益的影响。结果表明，最公平的全科医生做法在1991年被自动纳入该计划；在1992年和1993年发现了减少不平等待遇的效果以及自我选择效果的证据；自我选择过程减少，此后不存在任何治疗效果的证据。

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