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Measuring Access and Inequality of Access to Health Care: a Policy-oriented Decomposition

Author

Listed:
  • Abatemarco, Antonio

    (CELPE - CEnter for Labor and Political Economics, University of Salerno, Italy)

  • Aria, Massimo

    (University of Naples "Federico II")

  • Beraldo, Sergio

    (University of Naples "Federico II")

  • Collaro, Michela

    (University of Naples "Federico II")

Abstract
Budget cuts and increasing out-of-pocket expenses have seriously jeopardized access to adequate health care, even where a mandate to provide universal health coverage is well established. In this paper, we propose a non-parametric estimation strategy for the measurement of equality of opportunity in health care within an ex-ante perspective, that is, by focusing on access opportunities of individuals when health needs and utilization decisions have not yet been revealed. In our approach, we account for both (i) the disparity of access among individuals having access and those having not, as well as (ii) the disparity of access conditions across the entire population. The measurement strategy we propose has the great advantage of being factor decomposable in such a way as to allow for the identification of the determinants of observed inequality of access to adequate care. An empirical application to breast cancer in Italy is reported to highlight the informative content of our methodology for policy purposes.

Suggested Citation

  • Abatemarco, Antonio & Aria, Massimo & Beraldo, Sergio & Collaro, Michela, 2023. "Measuring Access and Inequality of Access to Health Care: a Policy-oriented Decomposition," CELPE Discussion Papers 164, CELPE - CEnter for Labor and Political Economics, University of Salerno, Italy.
    • Handle: RePEc:sal:celpdp:0164
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    References listed on IDEAS

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    More about this item

    Keywords

    health care; equality of opportunity; factor-decomposition; health policy;
    All these keywords.

    JEL classification:

    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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