使用高斯随机效应两部分计数数据模型衡量比利时医疗保健中的水平不公平

Measuring horizontal inequity in Belgian health care using a Gaussian random effects two part count data model

Health Economics · 2004
被引 62
人大 A-

中文导读

用两部分面板计数数据模型分析比利时医生和医院服务使用的影响因素,发现全科医生和医院服务存在有利于低收入者的水平不公平,而专科服务基本公平。

Abstract

We estimate the determinants of utilisation of physician and hospital services in Belgium using a one- and two-part panel count data model, and a one- and two-part pooled count data model. We conclude that the two-part panel count data model is most appropriate as it controls for unobserved heterogeneity and allows for a two-part decision-making process. The estimates of the determinants of utilisation of health care are then used to calculate indices of horizontal inequity. We find that inequity for general practitioner and hospital services is stable across time and in favour of low-income individuals, in the sense that, overall, they consume more than one would expect on the basis of their need, albeit the indices for hospital care are not significant. Horizontal equity applies to specialist care in all years, but from 1999 onwards, some evidence (although not statistically significant) of pro-rich inequity is found.

水平不公平医疗服务利用两部门计数数据模型比利时