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Redistributive effects of Swedish health care finance

Gerdtham, Ulf G. LU and Sundberg, Gun (1998) In International Journal of Health Planning and Management 13(4). p.289-306
Abstract

This paper investigates the redistributive effects of the Swedish health care financing system in 1980 and 1990 for four different financial sources: county council taxes, payroll taxes, direct payments and state grants. The redistributive effects are decomposed into vertical, horizontal and 'reranking' segments for each of the four financial sources. The data used are based on probability samples of the Swedish population, from the Level of Living Survey (LNU) from 1981 and 1991. The paper concludes that the Swedish health care financing system is weakly progressive, although direct payments are regressive. There is some horizontal inequity and 'reranking', which mainly comes from the county council taxes, since those tax rates vary... (More)

This paper investigates the redistributive effects of the Swedish health care financing system in 1980 and 1990 for four different financial sources: county council taxes, payroll taxes, direct payments and state grants. The redistributive effects are decomposed into vertical, horizontal and 'reranking' segments for each of the four financial sources. The data used are based on probability samples of the Swedish population, from the Level of Living Survey (LNU) from 1981 and 1991. The paper concludes that the Swedish health care financing system is weakly progressive, although direct payments are regressive. There is some horizontal inequity and 'reranking', which mainly comes from the county council taxes, since those tax rates vary for each county council. The implication is that, to some extent, people with equal incomes are treated unequally.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Equity, Financing, Health care, Redistributive effects
in
International Journal of Health Planning and Management
volume
13
issue
4
pages
18 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:0032409070
ISSN
0749-6753
DOI
10.1002/(SICI)1099-1751(199810/12)13:4<289::AID-HPM524>3.0.CO;2-N
language
English
LU publication?
no
id
f0bf2a36-93b0-4a43-8c4a-ac75423b52b7
date added to LUP
2018-10-09 12:28:50
date last changed
2018-10-15 12:46:43
@article{f0bf2a36-93b0-4a43-8c4a-ac75423b52b7,
  abstract     = {<p>This paper investigates the redistributive effects of the Swedish health care financing system in 1980 and 1990 for four different financial sources: county council taxes, payroll taxes, direct payments and state grants. The redistributive effects are decomposed into vertical, horizontal and 'reranking' segments for each of the four financial sources. The data used are based on probability samples of the Swedish population, from the Level of Living Survey (LNU) from 1981 and 1991. The paper concludes that the Swedish health care financing system is weakly progressive, although direct payments are regressive. There is some horizontal inequity and 'reranking', which mainly comes from the county council taxes, since those tax rates vary for each county council. The implication is that, to some extent, people with equal incomes are treated unequally.</p>},
  author       = {Gerdtham, Ulf G. and Sundberg, Gun},
  issn         = {0749-6753},
  keyword      = {Equity,Financing,Health care,Redistributive effects},
  language     = {eng},
  month        = {12},
  number       = {4},
  pages        = {289--306},
  publisher    = {Wiley-Blackwell},
  series       = {International Journal of Health Planning and Management},
  title        = {Redistributive effects of Swedish health care finance},
  url          = {http://dx.doi.org/10.1002/(SICI)1099-1751(199810/12)13:4<289::AID-HPM524>3.0.CO;2-N},
  volume       = {13},
  year         = {1998},
}