The redistributive effect of health care finance in twelve OECD countries
(1999) In Journal of Health Economics 18(3). p.291-313- Abstract
The OECD countries finance their health care through a mixture of taxes, social insurance contributions, private insurance premiums and out-of-pocket payments. The various payment sources have very different implications for both vertical and horizontal equity and on redistributive effect which is a function of both. This paper presents results on the income redistribution consequences of the health care financing mixes adopted in twelve OECD countries by decomposing the overall income redistributive effect into a progressivity, horizontal inequity and reranking component. The general finding of this study is that the vertical effect is much more important than horizontal inequity and reranking in determining the overall redistributive... (More)
The OECD countries finance their health care through a mixture of taxes, social insurance contributions, private insurance premiums and out-of-pocket payments. The various payment sources have very different implications for both vertical and horizontal equity and on redistributive effect which is a function of both. This paper presents results on the income redistribution consequences of the health care financing mixes adopted in twelve OECD countries by decomposing the overall income redistributive effect into a progressivity, horizontal inequity and reranking component. The general finding of this study is that the vertical effect is much more important than horizontal inequity and reranking in determining the overall redistributive effect but that their relative importance varies by source of payment. Public finance sources tend to have small positive redistributive effects and less differential treatment while private financing sources generally have (larger) negative redistributive effects which are to a substantial degree caused by differential treatment.
(Less)
- author
- publishing date
- 1999-06-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Health care financing, Horizontal equity, Progressivity, Redistributive effect, Reranking
- in
- Journal of Health Economics
- volume
- 18
- issue
- 3
- pages
- 23 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:0033016597
- pmid:10537897
- ISSN
- 0167-6296
- DOI
- 10.1016/S0167-6296(98)00043-5
- language
- English
- LU publication?
- no
- id
- 4b9c19c7-0bfc-44ac-b921-1f8f15f21e3d
- date added to LUP
- 2018-10-09 12:22:32
- date last changed
- 2024-06-10 19:19:58
@article{4b9c19c7-0bfc-44ac-b921-1f8f15f21e3d, abstract = {{<p>The OECD countries finance their health care through a mixture of taxes, social insurance contributions, private insurance premiums and out-of-pocket payments. The various payment sources have very different implications for both vertical and horizontal equity and on redistributive effect which is a function of both. This paper presents results on the income redistribution consequences of the health care financing mixes adopted in twelve OECD countries by decomposing the overall income redistributive effect into a progressivity, horizontal inequity and reranking component. The general finding of this study is that the vertical effect is much more important than horizontal inequity and reranking in determining the overall redistributive effect but that their relative importance varies by source of payment. Public finance sources tend to have small positive redistributive effects and less differential treatment while private financing sources generally have (larger) negative redistributive effects which are to a substantial degree caused by differential treatment.</p>}}, author = {{Van Doorslaer, Eddy and Wagstaff, Adam and Van Der Burg, Hattem and Christiansen, Terkel and Citoni, Guido and Di Biase, Rita and Gerdtham, Ulf G. and Gerfin, Mike and Gross, Lorna and Häkinnen, Unto and John, Jürgen and Johnson, Paul and Klavus, Jan and Lachaud, Claire and Lauritsen, Jørgen and Leu, Robert and Nolan, Brian and Pereira, João and Propper, Carol and Puffer, Frank and Rochaix, Lise and Schellhorn, Martin and Sundberg, Gun and Winkelhake, Olaf}}, issn = {{0167-6296}}, keywords = {{Health care financing; Horizontal equity; Progressivity; Redistributive effect; Reranking}}, language = {{eng}}, month = {{06}}, number = {{3}}, pages = {{291--313}}, publisher = {{Elsevier}}, series = {{Journal of Health Economics}}, title = {{The redistributive effect of health care finance in twelve OECD countries}}, url = {{http://dx.doi.org/10.1016/S0167-6296(98)00043-5}}, doi = {{10.1016/S0167-6296(98)00043-5}}, volume = {{18}}, year = {{1999}}, }