Equity in health care finance in Palestine: The triple effects revealed
Equity in health care finance in Palestine: The triple effects revealed
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DOI：
10.1016/j.jhealeco.2009.09.005
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发表时间：
2009-12-01
影响因子：
3.5
通讯作者：
Moatti, Jean-Paul
中科院分区：
文献类型：
--
作者：
Abu-Zaineh, Mohammad;Mataria, Awad;Moatti, Jean-Paul
本文介绍了 Urban 和 Lambert“升级版 AJL 分解”方法的应用，该方法旨在处理公平分析中的收入接近平等问题，并应用于医疗保健金融领域。与大多数以前的研究相反，对各种融资方案的纵向和横向不平等以及组间、组内和整个组重新排名的三重效应进行了估计，并使用引导法计算了统计显着性。适用于巴勒斯坦被占领土的三项融资计划。结果证明了三种形式的重新排名在确定总体不平等方面的相对重要性。本文提出了限制系统中现有不平等现象并增强政府保险计划能力的政策建议。 (C) 2009 Elsevier B.V. 保留所有权利。
This paper presents an application of the Urban and Lambert "upgraded-AJL Decomposition" approach that was designed to deal with the problem of close-income equals in equity analysis, and as applied to the area of health care finance. Contrary to most previous studies, vertical and horizontal inequities and the triple effects of inter-groups, intra-group and entire-group reranking of various financing schemes are estimated, with statistical significance calculated using the bootstrap method. Application is made on the three financing schemes present in the case of the Occupied Palestinian Territory. Results demonstrate the relative importance of the three forms of reranking in determining overall inequality. The paper offers policy recommendations to limit the existing inequalities in the system and to enhance the capacity of the governmental insurance scheme. (C) 2009 Elsevier B.V. All rights reserved.