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Equity in the allocation of health care resources
Author(s) -
Sheldon Trevor A.,
Smith Peter C.
Publication year - 2000
Publication title -
health economics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.55
H-Index - 109
eISSN - 1099-1050
pISSN - 1057-9230
DOI - 10.1002/1099-1050(200010)9:7<571::aid-hec555>3.0.co;2-8
Subject(s) - equity (law) , health care , public economics , business , health equity , resource allocation , inequality , context (archaeology) , economics , health care rationing , actuarial science , economic growth , political science , market economy , mathematical analysis , mathematics , law , paleontology , biology
This paper examines some of the issues that arise when seeking to tackle health inequalities in a context of limited health care resources. Increasingly, central agencies are using devolved budgets for health care providers as a central instrument of expenditure control. Equity objectives play an important role in the resource allocation methods used to determine such budgets. Yet, unless integrated into a proper system of risk management, the use of budgets can lead to serious inequity. The paper discusses the potential contributions of different disciplines to promoting equity within a health care budgetary regime. Copyright © 2000 John Wiley & Sons, Ltd.