Scandinavian Working Papers in Economics

DaCHE discussion papers,
University of Southern Denmark, Dache - Danish Centre for Health Economics

No 2013:1: Explaining the Sources of IncomeRelated Inequality in Health Care Utilization in Denmark

Jens Gundgaard () and Jørgen Lauridsen ()
Additional contact information
Jens Gundgaard: Novo Nordisk A/S, Postal: Søborg, Denmark
Jørgen Lauridsen: COHERE, Department of Budiness and Economics, University of Southern Denmark, Postal: Campusvej 55, DK-5230 Odense M

Abstract: Objectives with the health care system often include equity considerations. One objective is equal treatment for equal need. In this paper we explain the sources of income-related inequality in utilization of health care services in Funen County, Denmark, by linking survey data to register based data. A decomposition of the concentration index was used to explain the sources of overall income-related inequality in utilization. The decomposition approach suggests that health care is in general equally distributed in Denmark when need based variables are controlled for. However, this overall result is a consequence of a number of off-setting effects from different types of health care and a complicated pattern of various explanatory variables.

Keywords: health care; utilization; concentration index; inequality; decomposition

JEL-codes: D20; D31; I10; I12

21 pages, April 1, 2013

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