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Horizontal equity in health care utilization evidence from three high-income Asian economies

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  • Horizontal equity in health care utilization evidence from three high-income Asian economies
  • Lua, Jui-fen R. et al.
  • Elsevier Ltd.


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Title Horizontal equity in health care utilization evidence from three high-income Asian economies
Similar Titles
Material Type Articles
Author(English)

Lua, Jui-fen R. et al.

Publisher

[London] : Elsevier Ltd.

Date 2007-10
Journal Title; Vol./Issue Social Science & Medicine:vol. 64
Pages 14
Subject Country Hong Kong(Asia and Pacific)
South Korea(Asia and Pacific)
Taiwan(Asia and Pacific)
Language English
File Type Link
Subject Social Development < Health
Holding Harvard University
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Abstract

This paper compares the extent to which the principle of ‘‘equal treatment for equal need’’(ETEN) is maintained in the health care delivery systems of Hong Kong, South Korea and Taiwan. Deviations in the degree to which health care is distributed according to need are measured by an index of horizontal inequity. Income-related inequality in utilization is split into four major sources: (i) direct effect of income; (ii) need indicators (self-assessed health status, activity limitation, and age and gender interaction terms); (iii) non-need variables (education, work status, private health insurance coverage, employer-provided medical benefits, Medicaid status (low-income medical assistance), geographic region and urban/rural residency and (iv) a residual term. Service types studied include western doctor, licensed traditional medicine practitioner (LTMP), dental and emergency room (ER) visits, as well as inpatient admissions. (The rest omitted)