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  1. Micro-level analysis of distributional changes in health care financing in Finland.

    Article - En anglais

    Objectives 

    In the early 1990s the Finnish economy suffered a severe recession at the same time as health care reforms were taking place.

    This study examines the effects of these changes on the distribution of contributions to health care financing in relation to household income.

    Explanations for changes in various indicators of health care expenditure and use during that time are offered.

    Method 

    The analysis is based partly on actual income data and partly on simulated data from the base year (1990).

    It employs methods that allow the estimation of confidence intervals for inequality indices (the Gini coefficient and Kakwani's progressivity index).

    Results 

    In spite of the substantial decrease in real incomes during the recession, the distribution of income remained almost unaltered.

    The share of total health care funding derived from poorer households increased somewhat, due purely to structural changes.

    The financial plight of the public sector led to the share of total funding from progressive income taxes to decrease, while regressive indirect taxes and direct payments by households contributed more.

    Conclusions 

    It seems that, aside from an increased financing burden on poorer households, Finland's health care system has withstood the tremendous changes of the early 1990s fairly well.

    This is largely attributable to the features of the tax-financed health care system, which apportions the effects of financial and functional disturbances equitably. (...)

    Mots-clés Pascal : Finlande, Pays scandinaves, Europe, Monde, Organisation, Méthodologie, Protection sociale, Economie, Information, Santé, Revenu individuel, Sciences économiques, Europe Ouest, Aspect politique, Géographie, Comportement, Financement, Soin, Système santé, Dépense, Economie santé

    Mots-clés Pascal anglais : Finland, Scandinavia, Europe, World, Organization, Methodology, Welfare aids, Economy, Information, Health, Personal income, Economics, Western Europe, Political aspect, Geography, Behavior, Financing, Care, Health system, Expenditure, Health economy

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 11/09/1998.