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Utilisation as a measure of equity by Mooney, Hall, Donaldson and Gerard

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Cited by (51)

  • Understanding the gap between need and utilization in outpatient care-The effect of supply-side determinants on regional inequities

    2014, Health Policy
    Citation Excerpt :

    Therefore, the ratio of needs-based allocation to actual spending is indicative of equity in health care provision; we hypothesize that equitable provision would be represented by a value of one, with greater values indicating an underprovision of health services, and values below one indicating excessive provision. The described ratio is referred to as equity index from here onwards, in line with the definition of inequity as any deviation between need and utilization of health services [4,5]. This index is calculated separately for each German district based on the RSCS allocations and expenditure for outpatient care of the insured residing in that district.

  • Do Inequalities in Health Care Utilization in Developing Countries Change When We Take into Account Traditional Medicines?

    2012, World Development
    Citation Excerpt :

    Similarly, individual choice (e.g., religious reasons) may dictate an avoidance of use even if access is guaranteed. This debate is outlined in Mooney, Hall, Donaldson, & Gerard (1991) and Culyer, van Doorslaer, and Wagstaff (1992), with the former arguing that access is not utilization – according to Mooney et al., equal access means “equal costs of utilization”, and many policy statements state “equal access for equal need”, not “equal utilization for equal need”. Culyer et al. (1992) respond saying policymakers are confused, or use these terms interchangeably but mean utilization when they say access.

  • A new Inequity-in-Health Index based on Millenium Development Goals: methodology and validation

    2008, Journal of Clinical Epidemiology
    Citation Excerpt :

    Inequity in health has become a relevant issue in the last few years. It has been defined as disparity in health that is avoidable, unnecessary, and unjust ([1]: 5), although several authors have proposed different perspectives for defining it ([2]: 108, [3–5]). In addition, it seems measuring inequity-in-health is far more difficult.

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