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Vertical and horizontal aspects of socio‐economic inequity in general practitioner contacts in Scotland
Author(s) -
Sutton Matthew
Publication year - 2002
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/hec.752
Subject(s) - health care , health equity , equity (law) , horizontal and vertical , race and health , social determinants of health , health policy , international health , distribution (mathematics) , public economics , demographic economics , economics , economic growth , political science , geography , mathematics , mathematical analysis , geodesy , law
Health status varies across socio‐economic groups and health status is generally assumed to predict health care needs. Therefore the need for health care varies across socio‐economic groups, and studies of equity in the distribution of health care between socio‐economic groups must compare levels of utilisation with levels of need. Economic studies of equity in health care generally assume that health care needs can be derived from the current health–health care relationship. They therefore do not consider whether the current health–health care relationship is (vertically) equitable and the focus is restricted to horizontal inequity. This paper proposes a framework for incorporating the implications of vertical inequity for the socio‐economic distribution of health care. An alternative to the current health–health care relationship is proposed using a restriction on the health‐elasticity of health care. The health‐elasticity of general practitioner contacts in Scotland is found to be generally negative, but positive at low levels of health status. Pro‐rich estimates of horizontal inequity and vertical inequity are obtained but neither is statistically significant. Further analysis demonstrates that the magnitude of vertical inequity in health care may be larger than horizontal inequity. Copyright © 2002 John Wiley & Sons, Ltd.