This article discusses concentration indices aimed at measuring horizontal inequity in the delivery of health care.
It builds on the work of Wagstaff, van Doorslaer and others (in the so-called Ecuity study), reinterpreting their analysis as measurement of the vertical equity component in the goal of health care utilization according to need.
The claim that the ECuity method examines horizontal inequity can only be accepted under restrictive data-related assumptions that are unlikely to command widespread agreement.
Accordingly, a more general index of horizontal inequity is developed, based on the correspondence of rank positions in the utilization and health status distributions.
The new measure, which is more in line with current methods adopted in the income inequality literature, bypasses the need to empirically identify persons with'equal levels of health status'and should therefore facilitate applied work.
Mots-clés Pascal : Portugal, Europe, Epidémiologie, Evaluation, Homme, Santé, Méthodologie, Qualité, Soin, Inégalité, Horizontal, Vertical, Indice, Concentration
Mots-clés Pascal anglais : Portugal, Europe, Epidemiology, Evaluation, Human, Health, Methodology, Quality, Care, Inequality, Horizontal, Vertical, Index, Concentration
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0404211
Code Inist : 002B30A01A1. Création : 22/03/2000.