García-Gómez, Pilar
Schokkaert, Erik
Van Ourti, Tom
Most politicians and ethical observers are not interested in pure health inequalities, as they want to distinguish between different causes of health differences. Measures of "unfair" inequality - direct unfairness and the fairness gap, but also the popular standardized concentration index (CI) - therefore neutralize the effects of what are considered to be "legitimate" causes of inequality. This neutralization is performed by putting a subset of the explanatory variables at reference values, for example, their means. We analyze how the inequality ranking of different policies depends on the specific choice of reference values. We show with mortality data from the Netherlands that the problem is empirically relevant and we suggest a statistical method for fixing the reference values. Copyright © 2013 by Emerald Group Publishing Limited.
- Erreygers Guido, Clarke Philip, Van Ourti Tom, “Mirror, mirror, on the wall, who in this land is fairest of all?”—Distributional sensitivity in the measurement of socioeconomic inequality of health, 10.1016/j.jhealeco.2011.10.009
- Fleurbaey Marc, Schokkaert Erik, Unfair inequalities in health and health care, 10.1016/j.jhealeco.2008.07.016
- Fleurbaey M., Handbook of Health Economics, 1003 (2012)
- Fortin Nicole, Lemieux Thomas, Firpo Sergio, Decomposition Methods in Economics, Handbook of Labor Economics (2011) ISBN:9780444534507 p.1-102, 10.1016/s0169-7218(11)00407-2
- Gravelle Hugh, Measuring income related inequality in health: standardisation and the partial concentration index, 10.1002/hec.813
- Jones Andrew M., Rice Nigel, Rosa Dias Pedro, Quality of schooling and inequality of opportunity in health, 10.1007/s00181-011-0471-2
- Lambert Peter, Zheng Buhong, On the consistent measurement of attainment and shortfall inequality, 10.1016/j.jhealeco.2010.10.008
- Luttens Roland Iwan, Van de gaer Dirk, Lorenz Dominance and Non-welfaristic Redistribution, 10.1007/s00355-006-0164-5
- O’Donnell O., Analyzing health equity using household survey data (2008)
- Van de Poel Ellen, Van Doorslaer Eddy, O’Donnell Owen, Measurement of inequity in health care with heterogeneous response of use to need, 10.1016/j.jhealeco.2012.05.005
- Doorslaer Eddy Van, Van Ourti Tom, Measuring inequality and Inequity in Health and Health Care, 10.1093/oxfordhb/9780199238828.013.0035
- van Doorslaer Eddy, Wagstaff Adam, Bleichrodt Han, Calonge Samuel, Gerdtham Ulf-G., Gerfin Michael, Geurts José, Gross Lorna, Häkkinen Unto, Leu Robert E., O'Donell Owen, Propper Carol, Puffer Frank, Rodríguez Marisol, Sundberg Gun, Winkelhake Olaf, Income-related inequalities in health: some international comparisons, 10.1016/s0167-6296(96)00532-2
- Wagstaff Adam, van Doorslaer Eddy, Paci Pierella, On the measurement of horizontal inequity in the delivery of health care, 10.1016/0167-6296(91)90003-6
- Wagstaff Adam, van Doorslaer Eddy, Watanabe Naoko, On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam, 10.1016/s0304-4076(02)00161-6
- Yitzhaki Shlomo, On an Extension of the Gini Inequality Index, 10.2307/2648789
Bibliographic reference |
García-Gómez, Pilar ; Schokkaert, Erik ; Van Ourti, Tom. Reference value sensitivity of measures of unfair health inequality. In: Research on Economic Inequality, Vol. 21, p. 157-192 (2013) |
Permanent URL |
http://hdl.handle.net/2078.1/160554 |