Horizontal inequity in the healthcare service in Poland : based on social diagnosis 2009 and 2011

• Autorzy: Katarzyna Kolasa , Tomasz Rybnik
• Języki publikacji: EN

Abstrakty

EN

In policy and research the horizontal equity principle has received a lot of attention on the international arena. Even if the concept of "equal treatment for equal medical need, irrespective of other characteristics such as income, race, place of residence" is present in the Polish legal framework, its implementation into the healthcare system has not been researched so far. The objective of this study was to estimate whether there is a variation in the health care utilization patterns by income after standardizing for differences in the need for health care. The analysis was performed on available data collected from the frame of the Social Diagnosis 2009 and 2011. The inequity of access was measured by the horizontal inequity (HI) index. The decomposition method was applied to identify key drivers of inequity in healthcare services utilization. The results indicate inequity favouring the poor for free of charge contacts and pro rich distribution for both out-of-pocket and private healthcare insurance visits. Income was revealed to be a key driver of healthcare services utilization financed by private resources. (original abstract)

Słowa kluczowe

PL

Opieka zdrowotna; Służba zdrowia

EN

Health care; Health service

• Czasopismo: Journal of Management and Financial Sciences
• Rocznik: 2013
• Tom: 6
• Numer: nr 12
• Strony: 9-30

Twórcy

autor

Katarzyna Kolasa

• Warszawski Uniwersytet Medyczny

autor

Tomasz Rybnik

• Uniwersytet Warszawski

Bibliografia

• Blaxter M, A comparison of measures of inequality in morbidity, In: Fox J, (Ed,) Health inequalities in European countries, Aldershot, Gower1989, pp, 199-230.
• Culyer T, Need: the idea won't do--but we still need it, Social Science & Medicine 1995, vol 40 (6), pp, 727-730.
• Czapinski J,, Panek T,, (Ed,) 2009, Social Diagnosis 2009, www,diagnoza,com, [18,01,2012], pp, 274-277.
• Council for Social Monitoring, Social Diagnosis 2000-2009: integrated database, www,diagnoza,com, [18,01,2012].
• Czapinski J., Panek T., (Ed.) 2011, Social Diagnosis 2011, www.diagnoza.com, [18.01.2012], pp. 42-45.
• Gravelle H, Morris S, Sutton M, Economic Studies of equity in the consumption of health care, In: Jones AM, Elgar companion to health economics, Edward Elgar 2006, pp, 193-204.
• Health Power House, www,healthpowerhouse,com/files/Report-EHCI-2012, pdf, [18,05,2012].
• Kolasa K,, Lees M,, Assessment of the attitudes of the general public towards supplementary criteria to be used in P & R decision making process in Poland, abstract at ISPOR 14th Annual European Congress in the ISPOR 2011.
• Kuszewski K,, Gericke Ch,, Health Systems in Transition, European Observatory on Health Systems and Policies, Copenhagen 2005, p, XV.
• Layte R,, Nolan B,: Equity in the Utilization of Health Care in Ireland, Working Paper No, 2, University College Dublin and the University of Ulster, Dublin Ulster 2003.
• Leung G,,Tin K,, O'donnell O, Redistribution or horizontal equity in Hong Kong's mixed public - private health system: a policy conundrum, Health Economics 2009, 18 (1), pp,37-54.
• OECD Health data 2010, www,oecd,org [18,03,2012].
• O'Donnell O, et al, Analyzing Health Equity Using Household Survey Data, The International Bank for Reconstruction and Development, The World Bank, Washington 2008, p, 104.
• Sassi F, Equity vs, Efficiency, British Medical Journal 2001, 323, pp, 762-763. 15.
• Surmacz W,, Zdrowakasa [Healthy cash], Forbes 27,06,2011, http://www.forbes.pl/artykuly/sekcje/strategie/zdrowa- kasa,16473,1, [18,05,2012]
• Van Doorslaer E, et al, Horizontal inequities in Australia's mixed public/private health care system, Health Policy 2008 86, pp, 97-108.