TitleEquity in health care finance in Palestine: the triple effects revealed
Publication TypeJournal Article
Year of Publication2009
AuthorsAbu-Zaineh, M, Mataria, A, Luchini, S, Moatti, JP
JournalJ Health Econ
Volume28
Pagination1071-80
Date PublishedDec
ISBN Number1879-1646 (Electronic)<br/>0167-6296 (Linking)
Accession Number19910067
Keywords*Financial Support, *Financing, Personal, Delivery of Health Care/*economics, Middle East, Models, Statistical
Abstract

This paper presents an application of the Urban and Lambert "upgraded-AJL Decomposition" approach that was designed to deal with the problem of close-income equals in equity analysis, and as applied to the area of health care finance. Contrary to most previous studies, vertical and horizontal inequities and the triple effects of inter-groups, intra-group and entire-group reranking of various financing schemes are estimated, with statistical significance calculated using the bootstrap method. Application is made on the three financing schemes present in the case of the Occupied Palestinian Territory. Results demonstrate the relative importance of the three forms of reranking in determining overall inequality. The paper offers policy recommendations to limit the existing inequalities in the system and to enhance the capacity of the governmental insurance scheme.

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