This paper describes approaches to the measurement and explanation of income-related inequality and inequity in health care financing, health care utilization and health and considers the applicability and the feasibility of these methods in low-income countries. Results from a comparative study of 14 Asian countries are used to illustrate the main issues. The structure of health finance in low-income countries, in particular the heavy reliance on out-of-pocket payments, means that the equity issues in finance are quite different from those of concern in high-income countries. Primary concern is not with the distribution of contributions to pre-payment mechanisms but with the deterrent effect of payments on utilization and the distribution of uninsured payment risks. Measurement of inequity in utilization of health care in low-income countries is constrained by the lack of reliable measures of health that can be used to standardize …
CITATION STYLE
van Doorslaer, E., & O’Donnell, O. (2011). Measurement and Explanation of Inequality in Health and Health Care in Low-Income Settings. In Health Inequality and Development (pp. 20–44). Palgrave Macmillan UK. https://doi.org/10.1057/9780230304673_2
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