HEALTH POLICY AND EQUITY OF HEALTH CARE FINANCING IN AUSTRALIA: 1973-2010

Mohammad Hajizadeh; Luke Brian Connelly; James Robert Gerard Butler

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HEALTH POLICY AND EQUITY OF HEALTH CARE FINANCING IN AUSTRALIA: 1973-2010

机译：澳大利亚的卫生政策和卫生保健筹资：1973-2010年

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Using data from Australian Taxation Statistics and Household Expenditure Surveys we analyze the distribution of health care financing in Australia over almost four decades. We compute Kakwani Progressivity indices for four sources of health care financing: general taxation, Medicare Levy payments, Medicare Levy Surcharge payments, and direct consumer payments, and estimate the effects of major policy changes on them. The results demonstrate that the first three of these sources of health care financing are progressive in Australia, while the distribution of direct payments is regressive. Surprisingly, we find that neither the introduction of Medicare in Australia in 1984 nor the Extended Medicare Safety Net in 2004 had significant effects on the progressivity of health care financing in Australia. By contrast, the Lifetime Cover scheme-introduced in 2000 to encourage people to buy and hold private health insurance-had a progressive effect on health care financing.

机译：使用来自澳大利亚税收统计和家庭支出调查的数据，我们分析了近40年中澳大利亚医疗保健筹资的分布情况。我们计算卫生保健筹资的四个来源的卡科瓦尼进步指数：一般税收，Medicare Levy付款，Medicare Levy附加费付款和直接消费者付款，并估计主要政策变化对其的影响。结果表明，在澳大利亚，这些卫生保健筹资来源中的前三个是渐进式的，而直接付款的分配是递归的。出乎意料的是，我们发现1984年在澳大利亚推出的Medicare或2004年在澳大利亚推出的扩展Medicare安全网都没有对澳大利亚医疗保健融资的进行性产生重大影响。相比之下，2000年推出的旨在鼓励人们购买和持有私人健康保险的终身保险计划对医疗保健筹资产生了逐步的影响。

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来源
《Review of Income and Wealth》 |2014年第2期|298-322|共25页
作者
Mohammad Hajizadeh; Luke Brian Connelly; James Robert Gerard Butler;
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作者单位

Institute for Health and Social Policy (IHSP),McGill University, 1130 Pine Avenue West, Montreal, Canada, H3A 1A3;

Australian Centre for Economic Research on Health, The University of Queensland Centre for National Research on Disability and Rehabilitation Medicine, The University of Queensland School of Economics, The University of Queensland and The University of Queensland Centre for Clinical Research;

Australian Centre for Economic Research on Health, The Australian National University;

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正文语种 eng
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关键词
Australia; equity; health care financing; health policy; inequality;

机译：澳大利亚;公平;卫生保健筹资;卫生政策;不等式;

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7. Trends in the Quality of Care for Medicare Beneficiaries Admitted to the Hospital With Unstable Angina 11This study was supported in part by the Patrick and Catherine Weldon Donaghue Medical Research Foundation Hartford. Dr. Krumholz is a Paul Beeson Faculty Scholar. The analyses on which this publication is based were performed under Contract Number 500-96-P549, entitled “Utilization and Quality Control Peer Review Organization for the State of Connecticut,” sponsored by the Health Care Financing Administration, Department of Health and Human Services. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products or organizations imply endorsement by the U.S. Government. The authors assume full responsibility for the accuracy and completeness of the ideas presented. This article is a direct result of the Health Care Quality Improvement Program initiated by the Health Care Financing Administration, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of this Contractor. Ideas and contributions to the authors concerning experience in engaging with the issues presented are welcomed. [O] . Krumholz Harlan M., Philbin Daniel M., Wang Yun, 1998

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HEALTH POLICY AND EQUITY OF HEALTH CARE FINANCING IN AUSTRALIA: 1973-2010

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